PRECEDE护理模式结合早期康复活动对老年慢性阻塞性肺疾病稳定期患者血氧指标及生存质量的影响

Effects of PRECEDE nursing mode combined with early rehabilitation activity on blood oxygen indexes and quality of life in elderly patients with chronic obstructive pulmonary disease in stable stage

目的探究教育诊断评价中倾向、强化及促成因素(PRECEDE)护理模式结合早期康复活动在老年慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法择取2018年4月至2021年5月我院接收的90例老年COPD稳定期患者为研究对象,根据护理方案将其分为对照组和观察组,各45例。对照组接受常规护理,观察组在对照组基础上加施PRECEDE护理模式结合早期康复活动。比较两组的干预效果。结果干预后,两组的动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、氧合指数(OI)及世界卫生组织生存质量测定量表(WHOQOL-100)、卡氏功能状态量表(KPS)评分均高于干预前,且观察组高于对照组(P<0.05)。干预后,两组的峰值摄氧量(VO_(2peak))、摄氧量功率比值(VO_(2)/WR)均高于干预前,二氧化碳通气当量(VE/VCO_(2))低于干预前,且观察组优于对照组(P<0.05)。结论PRECEDE护理模式结合早期康复活动用于老年COPD稳定期患者中,能改善血氧指标,促进心肺功能恢复,提高生存质量,值得推广。

Objective To explore the application effects of predisposing reinforcing and enabling causes in educational diagnosis and evaluation(PRECEDE)nursing mode combined with early rehabilitation activity in elderly patients with chronic obstructive pulmonary disease(COPD)in stable stage.Methods A total of 90 elderly patients with COPD in stable stage enrolled in our hospital from April 2018 to May 2021 were selected as the study objects and divided into control group and observation group according to the nursing plan,with 45 cases in each group.The control group received routine nursing,while the observation group received PRECEDE nursing mode combined with early rehabilitation activity on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the arterial partial prussure of oxygen(PaO_(2)),arterial oxygen saturation(SaO_(2)),oxygenation index(OI),World Health Organization Quality of Life with 100 questions(WHOQOL-100)and Karnofsky's Performance Scale(KPS)scores of both groups were higher than those before intervention,and those in the observation group were higher than the control group(P<0.05).After intervention,the peak oxygen uptake(VO_(2peak))and oxygen uptake to work rate(VO_(2)/WR)in both groups were higher than those before intervention,the ventilation/carbon dioxide production(VE/VCO_(2))was lower than that before intervention,and those in the observation group were better than the control group(P<0.05).Conclusion PRECEDE nursing mode combined with early rehabilitation activity can improve blood oxygen indexes,promote cardiopulmonary function recovery,and improve quality of life in elderly patients with COPD in stable stage,which is worth promoting.