|
|
|
| Effect of objective nursing mode in chronic obstructive pulmonary disease patients with diaphragm pacemaker adjuvant therapy |
| DAI Yan LIU Yunqiu▲ GOU Haichao YANG Min MA Hongfang SONG Lu |
| Department of Respiratory Medicine, Kailuan General Hospital, Hebei Province, Tangshan 063000, China |
|
|
|
Abstract Objective To explore the application effect of target nursing mode in adjuvant therapy of EDP in AECOPD patients. Methods From March 2015 to April 2017, in Kailuan General Hospital, 200 AECOPD patients undergoing EDP therapy were selected, according to random number table, they were divided into target group (n = 100, given routine nursing and nursing target) and convention group (n = 100, given routine nursing). The negative emotional scores, chronic obstructive pulmonary symptom score (CAT), exercise endurance, and lung function indexes and the degree of satisfaction were compared. Results After implementation, the scores of anxiety and depression, CAT in two groups were lower than those before implementation (P < 0.05), and these in the target group were lower than those in the routine group (P < 0.05). After implementation, the 6 min walking distance (6MWT), the respiratory volume (FEV1) and forced expiratory volume (FEV1/FVC) in two groups were higher than those before implementation (P < 0.05), these in the target group were higher than those in the convention group (P < 0.05). The satisfaction and the good rate in two groups were compared, the difference was not statistically significant (P < 0.05). Conclusion In the process of EDP assisted treatment, the AECOPD targeted nursing mode can significantly relieve negative emotions, improve clinical symptoms, exercise endurance and lung function, and enhance nursing satisfaction.
|
|
|
|
|
|
[1] 邢晓莉，黄少祥.无创呼吸机联合体外膈肌起搏器对COPD稳定期合并慢性呼吸衰竭患者的疗效观察[J].重庆医学，2017，46（16）：2276-2278.
[2] Zettervall SL，Soden PA，Shean KE，et al. Early extubation reduces respiratory complications and hospital length of stay following repair of abdominal aortic aneurysms [J]. J Vasc Surg，2017，65（1）：58-64.
[3] 陈芳玮.慢阻肺急性期患者住院期间肺康复治疗的应用[J].中国当代医药，2017，24（22）：20-23.
[4] 黄晓芸，庄振中，江意春，等.体外膈肌起搏器在慢性心衰患者治疗中的作用[J].中国医学物理学杂志，2017，34（1）：84-88.
[5] 王莉.精神分裂症康复期患者采取目标性护理模式的效果观察[J].吉林医学，2012，33（31）：6917-6919.
[6] 白澎，孙永昌.北京市社区慢性阻塞性肺疾病流行病学及认知情况调查[A].全国慢性阻塞性肺疾病学术会议[C].2013.
[7] Bellack AS，Lombardo TW. Behavioral theories and treatment of anxiety [M]. New York：Springer US，1984.
[8] Zung WW. Self-rating depression scale [M]. New York：Springer，2011.
[9] 熊小明，童国强，吴健卫，等.慢性阻塞性肺疾病患者mMRC症状评估与CAT症状评分对病情严重程度评估差异的研究[J].实用医学杂志，2014，30（1）：25-27.
[10] 张劭夫.六分钟行走试验：运动耐力评价的方法及临床意义[J].中国组织工程研究，2011，15（5）：894-897.
[11] 王吉善，陈晓红，王圣友，等.住院患者服务满意度调查与分析[J].中国护理管理，2014，14（9）：897-900.
[12] 郭安，汪群智.社区获得性铜绿假单胞菌感染诱发慢性阻塞性肺疾病急性加重的危险因素[J].中华老年医学杂志，2017，36（8）：128-130.
[13] 李有霞，郑则广，刘妮，等.慢性阻塞性肺疾病急性加重伴肺动脉栓塞的危险因素分析[J].中华结核和呼吸杂志，2016，39（4）：298-303.
[14] 赵莹，唐文慧，韩丽丽，等.慢性阻塞性肺疾病患者吸烟和戒烟状况初析[J].首都医科大学学报，2016，37（5）：579-582.
[15] Mantero M，Aliberti S，Azzari C，et al. Role of Streptococcus pneumoniae infection in chronic obstructive pulmonary disease patients in Italy [J]. Ther Adv Respir Dis，2017， 11（10）：403-407.
[16] 沈丹，江德鹏，蒋幼凡.未吸烟人群慢性阻塞性肺疾病与肺癌危险关系的系统评价[J].重庆医科大学学报，2016， 41（4）：360-363.
[17] 黄斌，杨增荣，白桦，等.阻塞性睡眠呼吸暂停低通气综合征血栓前状态危险因素分析[J].中国呼吸与危重监护杂志，2017，16（5）：469-473.
[18] Khan DM，Ullah A，Randhawa FA，et al. Role of Vitamin D in reducing number of acute exacerbations in Chronic Obstructive Pulmonary Disease（COPD）patients [J]. Pak J Med Sci，2017，33（3）：610-614.
[19] 张艳梅，张淑玲，汪凤兰，等.以护理结局指标评价老年肺炎的中西医结合护理效果[J].中国煤炭工业医学杂志，2013，16（4）：645-647.
[20] 李敏捷，吕宏梅，罗艳虹，等.慢性阻塞性肺疾病患者报告临床结局量表的条目筛选[J].中国呼吸与危重监护杂志，2016，15（2）：105-108. |
|
|
|
