多学科合作护理模式对慢性阻塞性肺疾病患者急性加重次数及肺功能改善效果观察  

Effect of muhidisciplinary nursing care on acute exacerbation and pulmonary function improvement in patients with chronic obstructive pulmonary disease

作　　者：杨蓉[1] 蔡宇星 李蔚[1] 郭亚梅[2] 卢梅 吕敏[4] Yang Rong;Cai Yuxing;Li Wei;Guo Yamei;Lu Mei;Lyu Min(Department of Respiratory Medicine, Baoji Central Hospital of Shaanxi Province,Baoji721008, China)

机构地区：[1]陕西省宝鸡市中心医院呼吸内科,721008 [2]陕西省宝鸡市中心医院临床营养科,721008 [3]陕西省宝鸡市中心医院精神卫生科,721008 [4]陕西省宝鸡市中心医院康复医学科,721008

出　　处：《中国实用护理杂志》2018年第13期975-979,共5页Chinese Journal of Practical Nursing

摘　　要：目的研究多学科肺康复综合护理对慢性阻塞性肺疾病（COPD）患者急性加重次数、生命质量及肺功能的影响。方法选择2015年2月至2016年7月呼吸内科收治的1088例COPD患者，并按随机数字表法分为2组，每组544例。对照组给予COPD相关的健康宣教与常规护理。研究组给予多学科肺康复综合护理，于护理干预后1年比较2组急性加重次数、6min步行试验距离（6MwD）、营养状况、精神状态、呼吸困难分级及肺功能改善情况。结果研究组干预后1年6MWD、急性加重次数分别为（450．32±67．21）m、（0．37±0．28）次，对照组分别为（394．12±63．17）m、（2．08±1．65）次，2组比较差异有统计学意义（t=2．064、2．029，P〈0．05）。研究组干预后1年呼吸困难分级优于对照组，差异有统计学意义（Z=9．248，P〈0．05）。研究组干预后1年精神状态得分、功能得分、症状得分分别为（1.76±1．02）分、（1．69±1．01）分、（1．61±0．79）分，对照组分别为（2．10±1．08）分、（2．08±2．03）分、（1．79±0．80）分，2组比较差异有统计学意义（t=2．051、2．017、2．103，P〈0．05）。结论多学科合作护理模式干预后COPD患者不仅肺功能改善明显，而且急性加重次数明显减少，患者生命质量提高，临床上值得进一步推广应用。Objective To study the effect of multidisciplinary rehabilitation nursing on the number of acute exacerbation, quality of life and pulmonary function in patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 1 088 cases of COPD patients admitted to department of respiratory medicine from February 2015 to July 2016 were divided into the study group and the control group by random digits table method, 544 cases in each group. The control group was given COPD related health education and routine care. The study group was given comprehensive rehabilitation of muhidisciplinary lung care. After 1 years, the mental status, dyspnea grade improvement, acute exacerbation and 6 min walk test distance （6MWD） were compared between the two groups. Results One year after intervention, 6MWD and the times of acute exacerbation in the study group were （450.32±67.21）m and （0.37±0.28） times, and （394.12±63.17）m and （2.08±1.65） times in the control group, the study group was better than the control group （t=2.064, 2.029, P 〈 0.05）. One year after intervention, the scores of mental state, function, symptom were 1.76±1.02, 1.69±1.01, 1.61±0.79 in the study group respectively, and 2.10±1.08, 2.08 ±2.03, 1.79±0.80 in the control group,the difference was statistically significant （t=2.051, 2.017, 2.103, P〈0.05）. Conclusions After comprehensive nursing intervention of multidisciplinary rehabilitation, COPD patients can not only have obvious improvement in lung function, but also reduce the frequency of acute exacerbation of COPD.

关 键 词：肺疾病 慢性阻塞性 主要特征 发病机制 氧气治疗 多学科护理 

分 类 号：R473.5[医药卫生—护理学]