摘要
目的:探究肺康复护理在慢性阻塞性肺疾病(COPD)急性加重期伴高碳酸血症患者中的应用效果。方法:选取2022年2—12月阜宁县人民医院呼吸与危重症医学科收治的80例COPD急性加重期伴高碳酸血症患者。根据随机数表法将其分为对照组和观察组,各40例。对照组给予常规护理,观察组在对照组基础上给予肺康复护理。比较两组护理前后呼吸困难情况、日常生活活动能力、心理状态、肺功能、营养状况及诊治效果。结果:护理后,观察组改良版英国医学研究委员会呼吸困难(mMRC)评分低于对照组,Barthel指数评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)及FEV_(1)/FVC%均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组营养状况显著优于对照组,差异有统计学意义(P<0.05)。观察组诊治效果优于对照组,总有效率高于对照组,差异有统计学意义(P<0.05)。结论:针对COPD急性加重期伴高碳酸血症患者使用肺康复护理,一方面有利于改善患者呼吸功能、提高患者日常生活活动能力;另一方面可改善患者心理状态、提高患者营养情况及诊治总有效率。
Objective:To explore the application effect of pulmonary rehabilitation nursing in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)accompanied by hypercapnia.Method:A total of 80 patients with acute exacerbation of COPD accompanied by hypercapnia were selected from the Department of Respiratory and Critical Care Medicine of Funing County People's Hospital from February to December 2022.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given pulmonary rehabilitation nursing based on the control group.The dyspnea condition,activity ability of daily living,mental state,lung function,nutritional status before and after nursing and diagnosis and treatment effect were compared between the two groups.Result:After nursing,the modified version of the British Medical Research Council difficulty breathing(mMRC)score of the observation group was lower than that of the control group,and the Barthel index score was higher than that of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC%in observation group were higher than those in control group,the differences were statistically significant(P<0.05).After nursing,the nutritional status of the observation group was significantly better than that of the control group,the difference was statistically significant(P<0.05).The diagnosis and treatment effect of the observation group was better than that of the control group,and the total effective rate was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Pulmonary rehabilitation nursing for patients with acute exacerbation of COPD accompanied by hypercapnia,on the one hand,it is beneficial to improve the respiratory function of patients and improve the ability of daily living;on the other hand,it can improve the psychological state of patients,improve the nutritional status of patients and the total efficiency of diagnosis and treatment.
作者
陈苏
陈碧
嵇桂娟
李玉珍
陈帅
胡霞
CHEN Su;CHEN Bi;JI Guijuan;LI Yuzhen;CHEN Shuai;HU Xia(Funing County People's Hospital,Funing 224400,China;不详)
出处
《中外医学研究》
2023年第27期87-91,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
慢性阻塞性肺疾病急性加重期
高碳酸血症
肺康复护理
常规护理
Acute exacerbation of chronic obstructive pulmonary disease
Hypercapnia
Pulmonary rehabilitation nursing
Routine nursing
作者简介
通信作者:陈碧。
