摘要
目的:观察以护士为主导的呼吸康复团队序贯4S康复训练对慢性阻塞性肺疾病急性加重期患者(AECOPD)有创通气后呼吸功能及睡眠的影响。方法:选取2020年1月至2021年10月厦门大学附属中山医院呼吸科收治的AECOPD患者63例作为观察组,给予护士为主导呼吸康复团队序贯4S康复治疗,同时选取既往AECOPD有创通气患者63例作为对照组,给予常规康复护理干预。采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者干预前后睡眠质量的改善效果,并比较2组患者康复前后患者的呼吸功能、BORG疲劳指数、睡眠障碍、呼吸机使用时长、脱机成功率、再插管率。结果:康复后,2组患者肺功能指标、BORG疲劳指数、睡眠障碍均有改善,且观察组显著优于对照组;观察组呼吸机使用时间显著短于对照组,脱机成功率显著高于对照组,2组比较差异均有统计学意义(P<0.05)。结论:对AECOPD有创通气患者开展以护士为主导的呼吸康复团队序贯4S康复训练,可有效改善患者的呼吸功能,缩短呼吸机使用时长,提高脱机成功率,降低再插管率,减轻睡眠障碍,值得临床推广使用。
Objective:To observe the effects of nurse-led respiratory rehabilitation team sequential 4S rehabilitation training on respiratory function and sleep in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)with invasive ventilation.Methods:A total of 63 patients with AECOPD admitted to the Respiratory Department of Zhongshan Hospital Affiliated to Xiamen University from January 2020 to October 2021 were selected as the observation group and given sequential 4S rehabilitation treatment by the nurse-led respiratory rehabilitation team.Meanwhile,63 patients with previous invasive ventilation with AECOPD were selected as the control group and given routine rehabilitation nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement effect of sleep quality before and after intervention,and respiratory function,BORG fatigue index,sleep disorders,ventilator duration,off-line success rate,and re-intubation rate were compared between 2 groups before and after recovery.Results:After recovery,lung function index,BORG fatigue index and sleep disorder were improved in 2 groups,and observation group was significantly better than the control group.The time of ventilator use in the observation group was significantly shorter than the control group,and the success rate of offline operation was significantly higher than the control group,the difference between the 2 groups was statistically significant(P<0.05).Conclusion:The nursery-led respiratory rehabilitation team sequential 4S rehabilitation training for patients with AECOPD invasive ventilation can effectively improve the respiratory function of patients,shorten the duration of ventilator use,increase the off-line success rate,reduce the rate of re-intubation,alleviate sleep disorders,and is worthy of clinical promotion.
作者
李凤玉
陈晓萍
许丽娜
郑玉芳
王玲
LI Fengyu;CHEN Xiaoping;XU Lina;ZHENG Yufang;WANG Ling(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,China)
出处
《世界睡眠医学杂志》
2022年第11期2214-2216,共3页
World Journal of Sleep Medicine
关键词
4S康复训练
慢性阻塞性肺疾病急性加重期
有创通气
呼吸功能
睡眠障碍
4S Rehabilitation training
Acute exacerbation of chronic obstructive pulmonary disease
Invasive ventilation
Respiratory function
Sleep disorder
