多科室干预对老年慢性阻塞性肺疾病合并呼吸衰竭患者心肺功能、营养状态和心理状态的影响

Effects of multidisciplinary intervention on cardiopulmonary function,nutritional status and psychological status in elderly patients with COPD and respiratory failure

目的:探究多科室干预对老年慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者心肺功能、营养状态和心理状态的影响。方法:将我院2016年4月-2018年4月收治的100例老年COPD合并呼吸衰竭患者随机分为观察组和对照组各50例。对照组给予常规护理干预,观察组联合多科室干预,比较两组心肺功能、营养状态及心理状态的变化,并采用生存质量指数(QOL评分)、6min行走距离(6MWD)、Borg呼吸困难量表评价患者生活质量。结果:观察组心肺功能指标改善情况均显著优于对照组,差异有统计学意义(t=-6.484,-6.280,7.504,5.200,2.543,4.650;P<0.05);观察组干预后血清总蛋白(TP)、白蛋白(ALB)、转铁蛋白(TF)、前白蛋白(PA)水平均显著高于对照组,差异有统计学意义(t=8.148,5.972,2.344,3.463;P<0.05);观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、QOL评分、Borg呼吸困难评分显著低于对照组,6MWD显著高于对照组,差异有统计学意义(t=-2.702,-4.470,-3.628,-4.396,8.723;P<0.05)。结论:给予多科室干预可有效改善老年COPD合并呼吸衰竭患者的心肺功能,降低营养不良风险,消除负性情绪,并提高患者运动耐力及生存质量。

Objective:To explore the effects of multidisciplinary intervention on cardiopulmonary function,nutritional status and psychological status in elderly patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:A total of 100 cases of COPD patients with respiratory failure admitted to our hospital from April 2016 to April 2018 were randomly divided into observation group and control group with 50 cases in each group.Control group was given routine nursing intervention,and observation group was combined with multidisciplinary intervention.The changes of cardiopulmonary function,nutritional status and psychological status were compared between the two groups,and the quality of life index(QOL),6-min walking distance(6 MWD)and Borg dyspnea scale were used to evaluate the quality of life.Results:The improvement of cardiopulmonary function indexes in observation group were significantly better than those in control group(t=-6.484,-6.280,7.504,5.200,2.543,4.650;P<0.05).The levels of serum total protein(TP),albumin(ALB),transferrin(TF)and prealbumin(PA)in observation group after intervention were significantly higher than those in control group(t=8.148,5.972,2.344,3.463;P<0.05).The scores of self-rating anxiety scale(SAS),self-rating depressionscale(SDS),the scores of QOL,and Borg dyspnea scale in observation group were significantly lower than those in control group while 6 MWD were significantly higher in observation group than those in control group(t=-2.702,-4.470,-3.628,-4.396,8.723;P<0.05).Conclusion:Multidisciplinary intervention can effectively improve the cardiopulmonary function of elderly COPD patients with respiratory failure,reduce the risk of malnutrition,eliminate negative emotions,and improve exercise tolerance and quality of life.