Observation on the Effect of Non-Invasive Ventilator Combined with Conventional Therapy in the Treatment of Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure

Objective:To explore the clinical effect of a non-invasive ventilator combined with conventional therapy in the treatment of patients with chronic obstructive pulmonary disease(COPD)combined with respiratory failure.Methods:68 patients with COPD combined with respiratory failure treated in our hospital from September 2021 to October 2023 were selected as the research subjects.Using the random number table method,they were divided into a control group and an experimental group of 34 cases each.The control group received conventional symptomatic treatment,and the experimental group received non-invasive ventilator treatment based on the control group.The clinical effects,blood gas indicators(partial pressure of carbon dioxide(PaCO_(2)),partial pressure of oxygen(PaO_(2)),arterial oxygen saturation(SaO_(2))),lung function(forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),6 min walking distance),complications,and inflammatory factor levels(c-reactive protein(CRP),interleukin-6(IL-6),neutrophil-to-lymphocyte ratio(NLR))of the two groups of patients were observed.Results:(1)The clinical efficacy of the patients in the experimental group(33/97.06%)was more significant as compared with the control group(25/73.53%)(P<0.05);(2)After treatment,the clinical efficacy of the two groups of patients in terms of FEV1,FEV1/FVC,6-minute walking distance,PaO_(2)and SaO_(2)all increased in the experimental group as compared to that of the control group(P<0.05);(3)After treatment,the PaCO_(2),CRP,IL-6,and NLR of the two groups of patients decreased,and the decrease in the experimental group was higher than that of the control group(P<0.05);(4)The patients’complication rate in the experimental group(2/5.88%)was lower as compared to that of the control group(9/26.46%)(P<0.05).Conclusion:Non-invasive ventilators combined with conventional therapy achieved good clinical results in treating patients with COPD and respiratory failure.

Clinical Study on Respiratory Medicine Treatment of Chronic Obstructive Pulmonary Disease Combined with Respiratory Failure

Objective:To explore the respiratory medicine treatment methods for treating chronic obstructive pulmonary disease(COPD)combined with respiratory failure.Methods:70 cases of COPD patients with combined respiratory failure admitted to our hospital from January 2021 to January 2023 were selected as the study subjects,and randomly divided into the control group and the experimental group,each with 35 cases.The control group received only conventional treatment,and the experimental group received non-invasive positive pressure ventilation,and the treatment effects and changes in the levels of IL-18,hs-CRP,and CES2 inflammatory factors were observed and evaluated in the two groups.Results:There was no significant difference between the general data of the two groups(P>0.05);after treatment,the total effective rate of clinical efficacy of the observation group(91.43%)was significantly higher than that of the control group(71.43%),and the difference showed a significant correlation(P<0.05);after treatment,the level of inflammatory factor of the observation group was significantly reduced compared with that of the control group,and the difference showed a highly significant correlation(P<0.001).Conclusion:The non-invasive positive pressure ventilation treatment program significantly improves the therapeutic effect,effectively controls the level of inflammatory factors,and improves the health status of patients when dealing with patients with chronic obstructive pulmonary disease accompanied by respiratory failure,showing a good clinical application prospect.

Observation on the Effect of Comprehensive Nursing Intervention for Patients with Chronic Obstructive Pulmonary Disease

This study focused on the observation effect of the comprehensive nursing intervention in patients with chronic obstructive pulmonary disease.A total of 64 patients with the chronic obstructive pulmonary disease were selected as subjects.The patients were divided into two groups according to a randomized method.The observation group and the control group were the same in both groups(n=32),study time from June 2017 to August 2018,the selection of patients in the study time,the standard treatment and routine care to give way to the control group.The observation groups comprehend nursing intervention.The two groups of patients compared with nursing effects,nursing satisfaction,lung function levels before and aftercare,care adherence,hospitalization days,and satisfaction scores.The observation group was better than the control group in terms of nursing effect,nursing satisfaction,lung function level before and after nursing,nursing compliance,hospitalization days,and satisfaction score.The comprehensive nursing intervention of patients with the chronic obstructive pulmonary disease has significant effects and is worthy of further promotion and application.

Analysis of the Effect of Continuous Nursing Care in Patients with COPD

Objective:to study the effect of continuous nursing intervention in patients with chronic obstructive pulmonary disease(COPD).Methods:In this paper,56 COPD patients were selected and grouped by drawing lots,with 28 cases in each group.The study group underwent continuous nursing intervention,while the control group underwent conventional care,and the parameters of both groups of patients were compared.Results:Compared with the control group,the patients in the study group had a significantly higher forced expiratory volume in one second to forced vital capacity ratio(FEV1/FVC),a significantly lower COPD Assessment Test(CAT)score,and Hamilton Depression(HAM-D)score,and a significantly higher 6-Minute Walk Test(6WMT)score after nursing care.Besides,their self-care ability score and SaO_(2)were significantly higher,while their PaCO_(2)and coagulation indexes were significantly lower(P<0.05).Conclusion:Continuous nursing intervention is beneficial for COPD patients.

Long-term non-invasive positive pressure ventilation in severe stable chronic obstructive pulmonary disease： a meta-analysis

Background The evidence for non-invasive positive pressure ventilation （NIPPV） used in patients with severe stable chronic obstructive pulmonary disease （COPD） is insufficient. The aim of the meta-analysis was to assess the treatment effects of long-term NIPPV on gas change, lung function, health-related quality of life （HRQL）, survival and mortality in severe stable COPD patients. Methods Randomized controlled trials （RCTs） and crossover studies comparing the treatment effects of NIPPV with conventional therapy were identified from electronic databases and reference lists from January 1995 to August 2010. Two reviewers independently assessed study quality. Data were combined using Review Manager 5.0. Both pooled effects and 95% confidence intervals were calculated. Results Five RCTs and one randomized crossover study with a total of 383 severe stable COPD patients were included NIPPV improved gas change significantly when using a higher inspiratory positive airway pressures. The weighted mean difference （WMD） for the partial pressure of carbon dioxide in artery （PaCO2） was -3.52 （-5.26, -1.77） mmHg and for the partial pressure of oxygen in artery （PaO2） 2.84 （0.23, 5.44） mmHg. There were significant improvements in dyspnea and sleep quality, but gained no benefits on lung function. The standardized mean difference （SMD） for the forced expiratory volume in 1 second （FEV1） was 0.00 （0.29, 0.29）. And the benefits for exercise tolerance, mood, survival and mortality remained unclear. Conclusions Patients with severe stable COPD can gain some substantial treatment benefits when using NIPPV, especially improvements in gas change, dyspnea and sleep quality. Studies of high methodological quality with large population, especially those based on a higher inspiratory positive airway pressures are required to provide more evidences.

The Value of Positive Pressure Ventilations for Clients in Acute Respiratory Distress as a Result of Cardiac and Pulmonary Issues

Objective: Research was conducted to examine benefits to using non-invasive ventilation (NIV) or continuous positive airway pressure (CPAP) early in the treatment of respiratory distress caused by pulmonary edema, chronic obstructive pulmonary disease (COPD) and asthma. Limitations to successful NIV and CPAP therapy were evaluated to determine how prolonged initiation of treatment may lead to hypoxemia (decreased oxygen in the blood) and hypercapnia (increased carbon dioxide in the blood) resulting in poor outcomes. Method: Reviews of literature from nursing and allied health data bases (CINAHL and ProQuest) with terms pulmonary edema, positive pressure device and non-invasive ventilation from 2010 to 2014 were used. Studies were conducted in the hospital and prehospital settings. Results: The literature search located 7 articles from CINAHL and 25 articles from ProQuest. A total of 6 of these articles were analyzed. Additional sources of data were obtained from Ignatavicius and Workman (2013) Medical-Surgical Nursing Patient-Centered Collaborative Care 7th edition and American Journal of Nursing (02/2013) Volume 113: 2. Conclusion: All of the articles concluded that early initiation of continuous positive airway pressure ventilations in the short-term was beneficial;however, late initiation of therapy required additional interventions. The studies indicated that early use of positive airway pressure in acute respiratory distress improved breath rate, heart rate and blood pressure. The use of positive airway pressure for respiratory distress may decrease the need for endotracheal intubation.

专职护理小组结合精细化护理在BiPAP呼吸机治疗慢阻肺急性加重期合并呼吸衰竭患者中的应用

目的:分析专职护理小组结合精细化护理在无创正压通气(non-invasive positive pressure ventilation,NPPV)呼吸机治疗慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)合并呼吸衰竭患者中的应用价值。方法:选取江苏省东台市人民医院2021年4月至2022年4月BiPAP(bilevel positive airway pressure,BiPAP)呼吸机治疗的AECOPD合并呼吸衰竭患者82例,随机分为对照组(n=41)、观察组(n=41),对照组为常规护理,观察组为专职护理小组结合精细化护理,比较两组患者肺功能、血气指标及并发症发生率。结果:护理前,两组患者肺功能比较差异无统计学意义(P>0.05),护理后观察组更优(P<0.05);护理前,两组患者血气指标比较差异无统计学意义(P>0.05),护理后观察组较对照组更优(P<0.05),且观察组患者并发症发生率较对照组更低(P<0.05)。结论:对AECOPD合并呼吸衰竭患者,采用专职护理小组结合精细化护理可改善肺功能、血气指标,降低并发症发生率。

综合评估指导的中医护理干预在老年COPD患者中的应用效果

目的分析老年慢性阻塞性肺疾病(COPD)患者实施综合评估为指导的中医护理干预,对其衰弱状态、生活质量、肺功能及营养状态的影响,旨在改善老年COPD患者的衰弱状态,提高其生活质量和功能独立性,对于优化老年COPD患者的管理和护理提供依据。方法研究对象为启东市中医院呼吸内科在2021年4月—2023年3月收治且符合研究要求的COPD患者180例,基于组间基线资料具有可比性条件下将纳入患者分为对照组和观察组各90例。对照组行常规护理干预,观察组患者给予老年综合评估指导下的中医护理干预。比较观察两组患者衰弱状态、肺功能水平[第一秒用力呼气容积占用力肺活量百分比(FEV_(1)/FVC)、第一秒用力呼气容积占预计值百分比(FEV_(1)%)]、营养状况[血清总蛋白(TP)、白蛋白(ALB)水平和NRS-2002评分]以及生活质量[慢性阻塞性肺疾病评分(CAT)]变化情况。结果干预前两组患者衰弱状态分级、TP、ALB水平、NRS-2002评分、FEV_(1)/FVC、FEV_(1)%水平、CAT评分比较差异无统计学意义(P>0.05)。干预后,观察组患者衰弱状态轻于对照组,观察组TP、ALB水平高于对照组,NRS-2002评分低于对照组,观察组FEV_(1)/FVC、FEV_(1)%水平高于对照组,观察组CAT评分低于对照组,两组以上指标比较差异均有统计学意义(P<0.05)。结论老年综合评估指导下的中医护理干预策略可进一步提高患者营养水平和肺功能,最终改善患者衰弱状态,减轻COPD对生活质量的影响。

危重症专职护理联合改良式体位管理在慢性阻塞性肺疾病呼吸衰竭机械通气患者中的应用

目的探讨危重症专职护理联合改良式体位管理在慢性阻塞性肺疾病呼吸衰竭(RF)机械通气(MV)患者中的应用效果。方法选取2021年1月至2023年1月九江市第一人民医院收治的61例慢性阻塞性肺疾病RF患者作为研究对象,按照随机数字表法分为对照组(30例)和观察组(31例)。对照组患者采用危重症专职护理,观察组患者采用危重症专职护理联合改良式体位管理。比较两组患者的心功能、血气指标、临床指标、并发症发生率和呼吸机相关性肺炎(VAP)发生率。结果两组患者护理前的左室射血分数(LVEF)、第1秒用力呼气容积(FEV1)、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))比较,差异无统计学意义(P>0.05)。两组护理后的LVEF、FEV1、PaO_(2)均高于本组护理前,PaCO_(2)均低于本组护理前,差异有统计学意义(P<0.05);观察组护理后的LVEF、FEV1、PaO_(2)均高于对照组,PaCO_(2)低于对照组,差异有统计学意义(P<0.05)。观察组的机械通气时间、ICU入住时间和住院时间均短于对照组,VAP发生率和并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论在行MV治疗的慢性阻塞性肺疾病RF患者中应用危重症专职护理联合改良式体位管理可改善心功能及血气指标,缩短机械通气、ICU入住及住院时间,降低并发症及VAP发生率,值得推广。

连续护理干预对急诊老年COPD患者肺功能改善及生活质量的影响分析

目的 探讨连续护理干预对老年急诊慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肺功能的改善作用及对患者生活质量的影响。方法 选取作者医院急诊科2021-01/2022-01月收治的106例年龄≥60岁的老年COPD患者作为观察对象。通过随机表数字法将其分为对照组和研究组,每组各53例。对照组老年COPD患者开展常规护理干预,研究组老年COPD患者开展连续护理干预。观察两组老年COPD患者护理前后肺功能的改善情况以及生活质量的变化。结果 肺功能方面:护理前两组老年COPD患者一秒用力呼气容积(forced expiratory volume in one second,FEV_(1))、用力肺活量(forced vital capacity,FVC)、FEV_(1)/FVC水平比较差异均无统计学意义(P>0.05);护理后两组老年COPD患者FEV_(1)、FVC、FEV_(1)/FVC水平均明显高于护理前,且研究组高于对照组(P均<0.05)。生活质量方面:护理前两组老年COPD患者症状评分、疾病对生活的影响评分、活动能力评分、生活质量总评分比较差异均无统计学意义(P>0.05);护理后两组老年COPD患者症状评分、疾病对生活的影响评分、活动能力评分、生活质量总评分明显高于护理前,且研究组高于对照组(P均<0.05)。结论 针对急诊老年COPD患者,实施连续护理干预具有良好的临床应用价值,对急诊老年COPD患者肺功能以及生活质量均可以带来良好的改善作用,值得推广。

个性化针对性护理干预对老年慢性阻塞性肺疾病稳定期患者的影响

目的探讨个性化针对性护理干预在老年慢性阻塞性肺疾病稳定期患者中的应用效果及对微小RNA-146a、微小RNA-146b的影响。方法选取2021年1月—2022年12月收治的80例老年慢性阻塞性肺疾病稳定期患者作为研究对象,按照组间基线资料可比的原则将其分对照组和观察组,各40例。对照组接受常规护理,观察组在对照组基础上接受综合护理干预,比较两组患者负性情绪、肺功能指标、微小RNA-146a、微小RNA-146b、睡眠质量等。结果护理干预前,两组患者SAS、SDS评分比较差异无统计学意义(P>0.05);护理干预后,观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组用力肺活量(forced vital capacity,FVC)、第1秒用力呼气量(forced ecpiratory volume in the first second,FEV1)、FEV1/FVC高于对照组,差异有统计学意义(P<0.05);观察组患者情感负担、经济负担、照顾负担评分低于对照组,差异有统计学意义(P<0.05);观察组患者匹兹堡睡眠质量量表(Pittsburgh sleep quality scale,PSQI)低于对照组,差异有统计学意义(P<0.05);护理干预后,观察组患者miR-146a及miR-146b水平高于对照组,差异有统计学意义(P<0.05)。结论慢性阻塞性肺疾病稳定期患者接受综合护理干预,能让其保持积极心态接受诊治,降低其自我感受负担,改善肺功能,保持良好的睡眠质量。

基于罗森塔尔效应的护理干预结合组合式呼吸锻炼对慢性阻塞性肺疾病患者肺康复方案执行及生活质量的影响

目的探讨基于罗森塔尔效应的护理干预结合组合式呼吸锻炼对慢性阻塞性肺疾病患者肺康复方案执行及生活质量的影响。方法选取2019年2月至2021年3月收治的92例慢性阻塞性肺疾病患者为研究对象,以随机数字表法将其分为对照组与观察组,各46例。对照组给予组合式呼吸锻炼,观察组在对照组基础上加用基于罗森塔尔效应的护理干预。比较两组的肺康复方案执行情况、心理状态及生活质量。结果干预后,观察组的肺康复方案执行量表各维度评分高于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05)。干预后,观察组的圣乔治呼吸问卷(SGRQ)各维度评分均低于对照组(P<0.05)。结论基于罗森塔尔效应的护理干预结合组合式呼吸锻炼不仅能够提高慢性阻塞性肺疾病患者肺康复方案执行情况,还能有效调节心理状态及改善生活质量,值得推广。

AECOPD机械通气病人下呼吸道感染风险预测Nomogram模型的构建

目的:构建慢性阻塞性肺疾病急性加重(AECOPD)机械通气病人下呼吸道感染的风险预测Nomogram模型。方法:回顾性选取2019年1月—2022年12月在本院行机械通气的417例AECOPD病人,将所有病人按照2∶1比例随机分为训练集(278例)和验证集(139例)。收集病人资料,统计AECOPD机械通气病人下呼吸道感染发生率,采用单因素分析和多因素Logistic回归分析AECOPD机械通气病人下呼吸道感染的影响因素,应用R软件构建下呼吸道感染风险预测Nomogram模型并进行验证。结果:下呼吸道感染发生率为51.80%(216/417);多因素Logistic回归分析结果显示,年龄、合并糖尿病、机械通气持续时间、气管插管、合并低蛋白血症、抗菌药物使用时间、抗菌药物使用种类≥2种均是AECOPD机械通气病人下呼吸道感染的独立影响因素(P<0.05);基于多因素Logistic回归分析筛选出的7个影响因素构建风险预测Nomogram模型,该模型在训练集和验证集中预测的曲线下面积分别为0.873[95%CI(0.831,0.915)]、0.858[95%CI(0.791,0.914)];训练集和验证集校准曲线和Hosmer-Lemeshow检验(P>0.05)均显示预测值和实际值具有良好一致性;决策曲线显示,当训练集阈概率在4%~90%、验证集阈概率在9%~78%时该模型的净收益高。结论:基于7项影响因素[年龄、合并糖尿病、机械通气持续时间、气管插管、合并低蛋白血症、抗菌药物使用时间、抗菌药物使用种类(≥2种)]构建的AECOPD机械通气病人下呼吸道感染的风险预测Nomogram模型具有良好区分度和一致性,且具有临床应用价值。

慢性阻塞性肺疾病病人运动干预方案的应用效果

目的:构建慢性阻塞性肺疾病(COPD)病人的运动干预方案并验证其应用效果。方法:选取2020年2月—2022年4月我院收治的126例COPD病人为研究对象,采用随机数字表法分为对照组和观察组各63例。对照组采取常规护理干预,观察组在常规护理干预基础上按照制定的COPD病人运动干预方案开展运动锻炼,两组均连续干预12周。比较两组病人干预前后下肢肌肉力量、COPD病人生活质量量表(COPD-QOL)评分、6 min步行距离(6MWD)、5次坐立试验、劳累评估量表(Borg)评分。结果:干预后观察组病人肌肉力量6MWD优于对照组(P<0.05),COPD-QOL评分、5次坐立试验、Borg评分低于对照组(P<0.05)。结论:构建合理的运动干预方案有利于提高COPD病人肌肉力量,缓解呼吸困难,降低劳累程度,提高COPD病人生活质量。

慢性阻塞性肺疾病急性加重期肺康复护理干预的运用价值

目的观察慢性阻塞性肺疾病急性加重期肺康复护理干预的运用价值。方法选取于2020年7月—2022年7月我院收治的慢性阻塞性肺疾病急性加重期患者92例作为研究对象,遵循随机抽样分组原则分为传统组和康复组,每组有46例患者,分别实施传统护理干预和肺康复护理干预。分析两组干预前和干预后的肺功能状态、生活质量、运动耐力、疾病症状积分、康复锻炼配合度、干预满意度的差异。结果在干预后,康复组的第1秒呼气容量、用力肺活量、第1秒呼气容量/用力肺活量等肺功能状态指标水平均高于传统组(均P<0.05);在干预后,康复组的生活质量评分低于传统组,运动耐力水平高于传统组(均P<0.05);在干预后,康复组的咳嗽、咳痰、喘息、胸闷等疾病症状积分均低于传统组(均P<0.05);在干预后,康复组的康复锻炼配合度及患者对护理干预的满意度均高于传统组(均P<0.05)。结论将肺康复护理干预应用于慢性阻塞性肺疾病急性加重期中可帮助患者肺功能不断恢复,减轻疾病症状,维持较好生活质量,增强运动耐力,提高康复锻炼配合度,加快患者康复进程。

精细化护理辅助无创通气对AECOPD患者病情恢复及护理满意度的影响

目的:探究精细化护理辅助无创通气对慢性阻塞性肺疾病急性加重期(AECOPD)患者病情恢复及护理满意度的影响。方法:选择2022年3月—2023年3月莆田市第一医院收治的60例AECOPD患者作为研究对象,采用随机数表法将患者分为对照组和观察组,各30例。对照组给予常规护理,观察组在对照组基础上给予精细化护理辅助无创通气,两组均连续干预8周。比较两组干预前、干预4周后、干预8周后改良英国医学研究委员会呼吸困难量表(mMRC)、慢性呼吸系统早期预警评分(CREWS)、改良版Barthel指数(MBI)及护理满意度评分变化情况。结果:干预4周后,两组mMRC评分、CREWS评分低于干预前,干预8周后,两组m MRC评分、CREWS评分低于干预前和干预4周后,且观察组低于对照组,差异有统计学意义(P<0.05)。干预4周后,两组MBI评分高于干预前,干预8周后,两组MBI评分高于干预前和干预4周后,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组干预8周后护理总满意度高于对照组,但差异无统计学意义(P>0.05)。结论:精细化护理辅助无创通气对改善AECOPD患者呼吸困难程度、促进病情恢复、提高日常生活能力、提升护理满意度有积极意义。

基于健康行为改变整合理论的护理干预在慢性阻塞性肺疾病患者肺康复运动中的应用

目的探讨基于健康行为改变整合理论的护理干预在慢性阻塞性肺疾病(COPD)患者肺康复运动中的应用效果。方法本次研究对象为在我院就诊的COPD患者,共计90例,其就诊时间均在2021年3月至2023年3月。按照随机数字表法将90例患者分为观察组(45例)和对照组(45例),对照组患者采用常规护理方案,观察组则在此基础之上给予基于健康行为改变整合理论的护理干预,对两组患者的护理效果进行对比和分析。结果出院2个月后,两组患者肺功能指标(FEV_(1)/FVC和FEV_(1)%pred)均上升,但观察组高于对照组(P<0.05)。出院2个月后观察组患者6MWD长于对照组(P<0.05)。观察组世卫组织生存质量测定量表(WHOQOL-100)评分高于对照组(P<0.05)。观察组患者MMRC量表0级所占比例高于对照组(P<0.05),而1级、2级、3级和4级所占比例和对照组无统计学意义(P>0.05)。结论基于健康行为改变整合理论的护理干预可有效改善慢阻肺患者肺功能指标,提高运动能力,帮助患者建立持续的运动行为,改变身体健康情况,提高生活质量。

呼吸康复护理干预在改善慢性阻塞性肺疾病患者呼吸困难指数中的应用

目的探讨呼吸康复护理干预在改善慢性阻塞性肺疾病患者呼吸困难指数中的应用。方法选取我院接收的88例慢性阻塞性肺疾病患者为对象,样本案例纳入时间为2023年1月至2023年12月,根据样本案例纳入时间分组,2023年1月~5月接收的44例患者为参照组给予常规护理,2023年6月~12月接收的44例患者为研究组实施呼吸康复护理干预。对比两组肺功能、呼吸困难指数及运动耐力。结果研究组第1秒用力呼气容积、用力肺活量及最大呼气峰流速指标均高于参照组(P<0.05);研究组呼吸困难指数分值低于参照组(P<0.05);研究组患者6 min步行距离高于参照组(P<0.05)。结论实施呼吸康复护理干预可取得更好的干预效果,利于改善患者肺功能,减轻其呼吸困难情况,提升运动耐力。

中医定向透药联合护理干预对COPD急性加重期患者肺功能和满意度的影响

目的:研究中医定向透药联合护理干预治疗慢性阻塞性肺疾病急性加重期(AECOPD)的临床效果。方法:收集2021年1月—2022年12月江西省抚州市中医医院AECOPD患者64例,按随机数字表法分成两组各32例。对照组给予西医常规治疗和护理,干预组在对照组基础上加用中医定向透药疗法联合护理干预,两组均治疗2周。比较两组治疗前、治疗2周后的1秒用力呼吸容积(FEV_(1))、FEV_(1)占预计值(FEV_(1)%)、FEV_(1)与用力肺活量(FVC)比值(FEV_(1)/FVC)、临床病情控制有效率以及患者满意率。结果:治疗2周后,干预组的FEV_(1)值、FEV_(1)%值、FEV_(1)/FVC值均高于对照组(P<0.05)。干预组的临床病情控制有效率和患者满意率分别为96.88%(31/32)、96.88%(31/32),高于对照组的71.88%(23/32)和75.00%(24/32,P<0.05)。结论:中医定向透药联合护理干预治疗AECOPD效果佳,可有效改善肺功能,提高治疗效果和患者满意度。

基于慢病轨迹模式的护理干预联合共情护理对慢性阻塞性肺疾病患者病情控制及疾病自我感受负担的影响

目的探讨基于慢病轨迹模式的护理干预联合共情护理对慢性阻塞性肺疾病(COPD)患者病情控制及疾病自我感受负担的影响。方法择取2020年3月至2022年3月我院收治的114例COPD患者为研究对象,按随机数字表法将其分为对照组和观察组,各57例。对照组采用常规护理,观察组在对照组基础上加基于慢病轨迹模式的护理干预联合共情护理。比较两组的干预效果。结果干预后,观察组的用力肺活量(FVC)、第1秒用力呼吸容积(FEV_(1))、FEV_(1)/FVC高于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05)。结论基于慢病轨迹模式的护理干预联合共情护理不仅能够加强COPD患者病情控制情况,减轻疾病自我感受负担,还能改善其心理状态,值得推广。