居家无创正压通气延续护理模式治疗AECOPD出院患者
彭远珍;谭任政;黄戈;廖卫平;陈小燕;李阳;
摘要(Abstract)：
目的探讨对慢性阻塞性肺疾病急性加重期(AECOPD)出院患者开展居家无创正压通气治疗延续护理模式规范的价值。方法选择2013年1月至2017年2月在我院内科出院的122例AECOPD病人作为研究对象,随机进入观察组和对照组,各61例。两组病人均采用居家无创正压通气治疗,对照组病人仅提供传统的护理干预,观察组病人在对照组护理的基础上开展延续护理模式干预,观察三个月,记录两组预后。结果 3个月后,与对照组比较,观察组病人的总有效率明显高于对照组(P <0. 05)、FEV1%提升明显(P <0. 05);观察组病人的症状管理、日常生活管理、情绪管理、信息管理、自我效能等评分都明显高于对照组(P <0. 05);观察组病人的躯体功能、躯体职能、机体疼痛、一般健康状况和精力等评分都明显优于对照组(P <0. 05)。结论延续护理模式在AECOPD出院患者的应用能提高居家无创正压通气治疗效果,改善肺功能,促进自我护理能力与生活质量的提高,有很好的应用价值。
关键词(KeyWords)： 延续护理模式;性阻塞性肺疾病急性加重期;居家治疗;无创正压通气;肺功能
基金项目(Foundation): 佛山市科技局医学类攻关项目(2016121)
作者(Author): 彭远珍;谭任政;黄戈;廖卫平;陈小燕;李阳;
Email:
DOI: 10.13799/j.cnki.mdjyxyxb.2018.05.044
参考文献(References)：
- [1] SUHAJ A,MANU M K,UNNIKRISHNAN M K,et al. Effectiveness of clinical pharmacist intervention on health-related quality of life in chronic obstructive pulmonary disorder patients-a randomized controlled study[J]. J Clin Pharm Ther,2016,41(1):78-83.
- [2] KHERAD O,BRIDEVAUX P O,KAISER L,et al. Is Acute Exacerbation of COPD(AECOPD)Related to Viral Infection Associated with Subsequent Mortality or Exacerbation Rate?[J]. Open Respir Med J,2014,4(8):18-21.
- [3] LEUNG J M,CHEN V,HOLLANDER Z,et al. COPD Exacerbation Biomarkers Validated Using Multiple Reaction Monitoring Mass Spectrometry[J]. PLo S One,2016,11(8):e0161129.
- [4]张彩虹.慢性阻塞性肺疾病患者自我管理量表编制与考评[J].中国全科医学,2011,14(10A):3219-3223.
- [5] MARICOTO T,RODRIGUES L V,TEIXEIRA G,et al. Assessment of Inhalation Technique in Clinical and Functional Control of Asthma and Chronic Obstructive Pulmonary Disease[J]. Acta Med Port,2015,28(6):702-707.
- [6] GULCEV M,REILLY C,GRIFFIN T J,et al. Tryptophan catabolism in acute exacerbations of chronic obstructive pulmonary disease[J].Int J Chron Obstruct Pulmon Dis,2016,29(11):2435-2446.
- [7] LEE J S,O'DOCHARTAIGH D,MACKENZIE M,et al. Factors Associated with Failure of Non-invasive Positive Pressure Ventilation in a Critical Care Helicopter Emergency Medical Service[J]. Prehosp Disaster Med,2015,30(3):239-243.
- [8] MIRAVITLLES M,MONTERO C J,RICHARD F,et al. A crosssectional study to assess inhalation device handling and patient satisfaction in COPD[J]. Int J Chron Obstruct Pulmon Dis,2016,26(11):407-415.
- [9] HWANG S L,LIN Y C,GUO S E,et al. Fine particulate matter on hospital admissions for acute exacerbation of chronic obstructive pulmonary disease in southwestern Taiwan during 2006-2012[J]. Int J Environ Health Res,2017,27(2):95-105.
- [10] TITOVA E,SALVESEN,BENTSEN S B,et al. Does an Integrated Care Intervention for COPD Patients Have Long-Term Effects on Quality of Life and Patient Activation A Prospective,Open,Controlled Single-Center Intervention Study[J]. PLo S One,2017,12(1):e0167887.
- [11] ALEXOPOULOS E C,MALLI F,MITSIKI E,et al. Frequency and risk factors of COPD exacerbations and hospitalizations:a nationwide study in Greece(Greek Obstructive Lung Disease Epidemiology and health eco Nomics:GOLDEN study)[J]. Int J Chron Obstruct Pulmon Dis,2015,11(10):2665-2674.
- [12] TITOVA E,STEINSHAMN S,INDREDAVIK B,et al. Long term effects of an integrated care intervention on hospital utilization in patients with severe COPD:a single centre controlled study[J].Respir Res,2015,3(16):8.
- [13] HARRISON S L,GOLDSTEIN R,DESVEAUX L,et al. Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease[J]. Int J Chron Obstruct Pulmon Dis,2014,29(9):1197-1205.