呼吸专科护士主导的多专科学组合作肺康复管理模式在AECOPD患者中的应用研究  

Application research of multi-specialty group cooperative pulmonary rehabilitation management mode led by respiratory specialist nurses in patients with AECOPD

作　　者：王蓉[1] 陆娟[1] 郭晓娟[1] 曹俊霞[1] 冒鑫娥 杨爱春[1] 刘秀[1] Wang Rong;Lu Juan;Guo Xiaojuan;Cao Junxia;Mao Xin'e;Yang Aichun;Liu Xiu(Subei People's Hospital of Jiangsu Province,Yangzhou Jiangsu 225001)

机构地区：[1]江苏省苏北人民医院,江苏扬州225001

出　　处：《护士进修杂志》2021年第23期2149-2154,2159,共7页Journal of Nurses Training

摘　　要：目的探讨呼吸专科护士主导的多专科学组合作肺康复模式在慢性阻塞性肺病急性加重期(Acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者中的作用。方法选取2019年12月-2020年5月住院治疗的87例AECOPD患者为对照组,以2020年6-11月住院治疗的91例AECOPD患者为观察组,予对照组慢性阻塞性肺病的常规护理,观察组在此基础上接受呼吸专科护士主导的多专科学组合作肺康复模式进行肺康复管理。观察比较2组干预前后肺功能(FEV1%pred、FEV1/FVC)、6 min步行试验、改良版英国医学研究委员会呼吸困难量表(Modified version of british medical research council dyspnea scale,mMRC)、日常生活能力量表(Activity of daily living scale,ADL)、体质量指数、血清白蛋白及血清前白蛋白。结果观察组出院后2周血清白蛋白及血清前白蛋白较对照组增加,差异有统计学意义(P<0.05);重复测量方差分析显示随着时间的推移,观察组肺功能指标(FEV1%pred、FEV1/FVC)高于对照组(P<0.05)、6 min步行距离大于对照组(P<0.05)、mMRC评分低于对照组(P<0.05)、ADL评分高于对照组(P<0.05)。结论专科护士主导的多专科学组合作肺康复模式长期效果显著,对改善急性加重期患者的临床症状、减轻呼吸困难、提高运动耐力及改善营养状况以及日常生活能力等方面有重要意义。Objective To study the role of multi-specialist cooperative pulmonary rehabilitation model led by respiratory specialist nurses in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods 87 AECOPD patients who were hospitalized from December 2019 to May 2020 were selected as the control group,and 91 AECOPD patients who were hospitalized from June to November 2020 were selected as the experimental group.The control group was chronic obstructive pulmonary disease.On this basis,the experimental group accepted the cooperative pulmonary rehabilitation model of the multi-specialty group led by respiratory specialist nurses for pulmonary rehabilitation management.Pulmonary function(FEV1%pred,FEV1/FVC),6-minute walk test,modified version of British medical research council Dyspnea scale(mMRC),BMI,serum albumin and serum prealbumin were observed and compared between the two groups before and after intervention.Results The experimental group Serum albumin and serum prealbumin increased in comparison with the control group at 2 weeks after discharge.There was statistically significant difference(P<0.05).The pulmonary function indexes(FEV1%pred,FEV1/FVC)improvement,6-minute walking distance and mMRC scores were statistically different from those of the control group(P<0.05).Repeated measures analysis of variance showed that over time,the pulmonary function indexes(FEV1%pred,FEV1/FVC)of the test group were higher than those of the control group(P<0.05),6-minute walking distance was larger than that of the control group(P<0.05),and mMRC scores were lower than the control group(P<0.05),the ADL score was higher than the control group(P<0.05),and serum albumin and serum prealbumin were higher than the control group(P<0.05).Conclusion In this study,the multi-specialty cooperative pulmonary rehabilitation model led by specialist nurses has a significant long-term effect,which is of great significance for improving the clinical symptoms of patients in acute exacerbation,reducing breathing difficulti

关 键 词：慢性阻塞性肺病 急性加重期 专科护士 肺康复 多学科合作 

分 类 号：R473.56[医药卫生—护理学]