时效性激励模式在慢性阻塞性肺疾病急性加重期伴呼吸衰竭患者肺康复护理中的应用效果

Application effect of timeliness incentive mode in pulmonary rehabilitation nursing of patients with acute exacerbation of chronic obstructive pulmonary disease and respiratory failure

目的探讨时效性激励模式在慢性阻塞性肺疾病急性加重期(AECOPD)伴呼吸衰竭患者肺康复护理中的应用。方法前瞻性选取华中科技大学同济医学院附属武汉中心医院呼吸与危重症医学科2016年1月至2021年1月收治的91例AECOPD伴呼吸衰竭患者为研究对象,根据随机数字表法分为对照组45例和观察组46例。两组均实施常规治疗,对照组行常规肺康复护理,观察组在对照组基础上应用时效性激励模式护理。于护理前、护理1个月,评估患者肺康复训练依从性,采用圣乔治呼吸问卷(SGRQ)评估患者呼吸状况,采用Herth希望量表(HHI)评估患者希望水平,检测肺功能指标:呼气流量峰值(PEF)和用力肺活量(FVC)。结果观察组肺康复依从性优于对照组,差异有统计学意义(P<0.05);护理1个月,两组SGRQ评分均较护理前降低,HHI评分均较护理前升高,且观察组SGRQ评分低于对照组,HHI评分高于对照组,差异有统计学意义(P<0.05);护理1个月,两组PEF、FVC均较护理前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论时效性激励模式可提高AECOPD伴呼吸衰竭患者的肺康复依从性,并可改善患者希望水平、呼吸状况,促使肺功能提升。

Objective To explore the application effect of timeliness incentive mode in pulmonary rehabilitation nursing of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and respiratory failure.Methods A total of 91 AECOPD patients with respiratory failure admitted to the Department of Respiratory and Critical Care Medicine,the Central Hospital of Wuhan Affiliated to Tongji Medical College,Huazhong University of Science and Technology,from January 2016 to January 2021 were prospectively selected as the research subjects,they were divided by a random number table method into control group with 45 cases and observation group with 46 cases.Both groups received routine treatment,the control group was given routine pulmonary rehabilitation nursing,and the observation group was given timeliness incentive mode on the basis of the control group.The compliance of pulmonary rehabilitation training of patients was evaluated before and one month after nursing,St.George’s respiratory questionnaire(SGRQ)was used to assess the respiratory status of the patients,Herth hope inventory scale(HHI)was used to evaluate the hope level of patients,pulmonary function indexes were detected,such as peak expiratory flow(PEF)and forced vital capacity(FVC).Results The pulmonary rehabilitation compliance of the observation group was better than that of the control group,with statistical significant difference(P<0.05);the SGRQ scores of both groups one month after nursing were decreased than those before nursing,the HHI scores were increased than those before nursing,and the SGRQ score of the observation group was lower than that of the control group,the HHI score was higher than that of the control group,with statistical significant differences(P<0.05);PEF and FVC of both groups one month after nursing were increased than those before nursing,and the observation group was higher than the control group,with statistical significant differences(P<0.05).Conclusion Timeliness incentive mode can improve the compliance of pulmonary rehabilitation of AECOPD patients with respiratory failure,improve the hope level and respiratory status of patients,and promote the improvement of pulmonary function.