个案管理护理结合气道廓清技术对慢性阻塞性肺疾病患者的影响

Impact of case management nursing combined with airway clearance technology on patients with chronic obstructive pulmonary disease

目的探讨个案管理护理结合气道廓清技术对慢性阻塞性肺疾病(COPD)患者的影响。方法选取2021年1月至2023年6月厦门市海沧医院呼吸与危重症医学科收治的68例COPD患者作为研究对象,按照随机数字表法分成对照组(34例)和试验组(34例)。对照组采用常规的护理干预措施,试验组在对照组的基础上采用个案管理护理结合气道廓清技术的干预措施,比较两组的咳痰积分、呼吸困难量表评分、痰液黏稠程度、用力肺活量(FVC)、第一秒用力呼气容积(FEV_(1))、FEV_(1)/FVC、动脉氧分压(PaO_(2))、动脉二氧化碳分压(PCO_(2))、满意度和依从性。结果试验组患者的咳痰积分、呼吸困难量表评分、痰液黏稠程度、PCO_(2)低于对照组,差异有统计学意义(P<0.05);试验组患者PaO_(2)、FVC、FEV_(1)、FEV_(1)/FVC、总满意度和总依从性高于对照组,差异有统计学意义(P<0.05)。结论个案管理护理结合气道廓清技术干预能够降低患者的呼吸困难评分和咳痰积分,有利于改善患者肺功能和血气指标水平,从而减少并发症的发生率,最终提高整个治疗的满意度。

Objective To explore the impact of case management nursing combined with airway clearance technology on patients with chronic obstructive pulmonary disease.Methods A total of 68 patients admitted to the Department of Respiratory and Critical Care Medicine,Xiamen Haicang Hospital from January 2021 to June 2023 were selected as the study objects,and they were divided into control group(34 cases)and experimental group(34 cases)according to random number table method.The control group received routine nursing interventions,while the experimental group received case management nursing combined with airway clearance technology intervention on the basis of the control group.The sputum score,dyspnea scale score,sputum viscosity,forced vital capacity(FVC),first second forced expiratory volume(FEV_(1)),FEV_(1)/FVC,arterial oxygen pressure(PaO_(2)),arterial carbon dioxide pressure(PCO_(2)),satisfaction,and compliance of the two groups were compared.Results The sputum score,dyspnea scale score,sputum viscosity,and PCO_(2) of the experimental group patients were lower than those of the control group,and the differences were statistically significant(P<0.05).The PaO_(2),FVC,FEV_(1),FEV_(1)/FVC,total satisfaction,and total compliance of the experimental group patients were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Case management nursing combined with airway clearance technology intervention can reduce patients'dyspnea score and sputum score,which is beneficial for improving lung function and blood gas index levels,thereby reducing the incidence of complications and ultimately improving overall treatment satisfaction.