目标式护理模式在慢性阻塞性肺病急性加重期患者体外膈肌起搏器辅助治疗中的应用效果  

Effect of objective nursing mode in chronic obstructive pulmonary disease patients with diaphragm pacemaker adjuvant therapy

作　　者：代妍[1] 刘运秋[1] 勾海超 杨敏[1] 马洪芳[1] 宋路[1] DAI Yan;LIU Yunqiu;GOU Haichao;YANG Min;MA Hongfang;SONG Lu(Department of Respiratory Medicine, Kailuan General Hospital, Hebei Province, Tangshan 063000, Chin)

机构地区：[1]河北省唐山市开滦总医院呼吸内科,河北唐山063000

出　　处：《中国医药导报》2018年第13期156-159,共4页China Medical Herald

基　　金：河北省医学科学研究重点课题计划项目(20171442)

摘　　要：目的探讨在慢性阻塞性肺病急性加重期(AECOPD)患者体外膈肌起搏器(EDP)辅助治疗中目标式护理模式的应用效果。方法选择2015年3月~2017年4月唐山市开滦总医院收治拟行EDP的AECOPD患者的200例,按照随机数字表法分为目标组(n=100,实施常规护理+目标式护理)与常规组(n=100,实施常规护理)。比较两组负性情绪、慢阻肺症状评分(CAT)和运动耐力、肺功能指标变化和满意度情况。结果实施后两组焦虑、抑郁、CAT评分均低于实施前(P<0.05),且目标组评分均低于常规组(P<0.05);实施后两组6分钟步行距离(6MWT)、第1秒呼吸末容积(FEV_1)和用力呼气量占用力肺活量比值(FEV_1/FVC)均高于实施前(P<0.05),且目标组均高于常规组(P<0.05);两组满意度及优良率差异有统计学意义(P<0.05)。结论对AECOPD患者采用EDP中配合给予目标式护理模式能够缓解负性情绪,改善症状、运动耐力和肺功能,提升护理满意度。Objective To explore the application effect of target nursing mode in adjuvant therapy of EDP in AECOPD patients. Methods From March 2015 to April 2017, in Kailuan General Hospital, 200 AECOPD patients undergoing EDP therapy were selected, according to random number table, they were divided into target group（n = 100, given routine nursing and nursing target） and convention group（n = 100, given routine nursing）. The negative emotional scores, chronic obstructive pulmonary symptom score（CAT）, exercise endurance, and lung function indexes and the degree of satisfaction were compared. Results After implementation, the scores of anxiety and depression, CAT in two groups were lower than those before implementation（P〈0.05）, and these in the target group were lower than those in the routine group（P〈0.05）. After implementation, the 6 min walking distance（6 MWT）, the respiratory volume（FEV1） and forced expiratory volume（FEV1/FVC） in two groups were higher than those before implementation（P〈0.05）, these in the target group were higher than those in the convention group（P〈0.05）. The satisfaction and the good rate in two groups were compared, the difference was not statistically significant（P〈0.05）. Conclusion In the process of EDP assisted treatment,the AECOPD targeted nursing mode can significantly relieve negative emotions, improve clinical symptoms, exercise endurance and lung function, and enhance nursing satisfaction.

关 键 词：慢性阻塞性肺病 体外膈肌起搏器 目标式护理模式 负性情绪 运动耐力 肺功能 

分 类 号：R563[医药卫生—呼吸系统]