医养结合模式下的延续护理在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果

Application Effect of Continuous Nursing Under the Mode of Combination of Medicine and Nursing in Patients with Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure

目的探讨医养结合模式下的延续护理在慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者中的应用效果。方法选取2021年1—12月泰州市人民医院收治的60例COPD合并呼吸衰竭患者为研究对象,采用随机数字表法分为对照组(30例,接受常规护理干预)与研究组(30例,接受医养结合模式下的延续护理干预)。出院后1个月评价两组护理效果。比较两组干预前后的6 min步行距离(6MWD)、焦虑自评量表(SAS)及体质量指数、气流阻塞、呼吸困难、运动能力(BODE)指数、汉密尔顿抑郁量表(HAMD)评分、护理满意率。结果干预前两组6MWD、SAS、BODE指数、HAMD评分比较,差异无统计学意义(P>0.05);干预后研究组的6MWD长于对照组,SAS、HAMD评分低于对照组,BODE指数小于对照组,研究组的护理总满意率(93.33%)高于对照组(66.67%)(P<0.05)。结论医养结合模式下的延续护理可有效改善COPD合并呼吸衰竭患者的运动耐力,减轻患者临床症状,提高患者护理满意率。

Objective To explore the application effect of continuous nursing under the mode of combination of medicine and nursing in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods A total of 60 patients with COPD complicated with respiratory failure who were treated in Taizhou People’s Hospital from January to December 2021 were randomly divided into control group(30 cases,received routine nursing intervention)and research group(30 cases,received continuous nursing intervention under the mode of combination of medical and nursing).The nursing effect of both groups was evaluated one month after discharge.The 6-minute walk distance(6MWD),self rating anxiety scale(SAS)and body mass index,airflow obstruction,dyspnea,exercise capacity(BODE)index,Hamilton depression scale(HAMD),nursing satisfaction rate were compared between the two groups before and after intervention.Results There was no statistical difference in 6MWD,SAS,BODE index and HAMD score between the two groups before intervention(P>0.05).After intervention,the 6MWD of research group was longer than that of control group,the scores of SAS and HAMD and the BODE index were lower than those of control group,and the total satisfaction rate of nursing of research group(93.33%)was higher than that of control group(66.67%)(P<0.05).Conclusion Continuous nursing under the mode of combination of medicine and nursing can effectively improve the exercise endurance of COPD patients with respiratory failure,reduce the clinical symptoms and improve the nursing satisfaction rate of patients.