团队干预对老年COPD稳定期患者预后的影响  

Effect of a multidisciplinary intervention on prognosis of aged patients with stable COPD

作　　者：杨小梅[1] 宋艳玲[1] 李卫青[1] 陈文姿[1] 田清艳[1] 

机构地区：[1]深圳市罗湖区人民医院护理部,广东深圳518001

出　　处：《护理学杂志》2013年第11期25-27,共3页

摘　　要：目的探讨团队干预对老年COPD稳定期患者预后的影响。方法对呼吸内科住院的COPD稳定期老年患者90例进行团队干预,由肺功能室、中医科病房医生、呼吸科病房医生、呼吸科病房责任护士组成干预团队,对患者进行呼吸功能锻炼、耳穴贴压、外敷涌泉穴、健康教育等团队干预。结果团队干预后,患者的肺功能各项指标较干预前显著好转(均P<0.05),其PaO2、PaCO2和SpO2指标得到显著改善,与干预前比较,差异有统计学意义(均P<0.05)。结论对老年COPD稳定期患者进行团队干预,能够缓解临床症状,改善肺功能状态,减缓疾病进展。Objective To explore the effect of a multidisciplinary intervention on prognosis of elderly patients with stable COPD. Methods Totally, 90 elderly patients with stable COPD who were admitted to the respiratory ward were selected to participate in the study. We formed a multidisciplinary team which included a technician from the lung function iaboratory,a TCM physician, 3 respiratorists and 10 respiratory nurse practitioners to make joint efforts in medical interventions for patients： the team provided pulmonary function training, ear points pressing, Yongquan point medicated compress therapy,and health education, etc. Results After the multidisciplinary intervention, all parameters of lung function had made better improvements （P〈 0.05 for all ）, with PaO2 , PaCO2 and SpO2 having statistical differences with those before the intervention （P〈0.05 for all）. Conclusion The multidis- ciplinary intervention helps aged patients with stable COPD alleviate clinical symptoms, improve lung function and decelerate pro- gression of the disease.

关 键 词：COPD 团队干预 肺功能 耳穴贴压 呼吸功能锻炼 中医治疗 

分 类 号：R437.5[医药卫生—临床医学]