手法提示在气道炎症待查患者首次肺功能及呼出气一氧化氮检测中的应用效果  

Effects of manual prompts in the first detection of lung function and fractional exhaled nitric oxide in patients with airway inflammation of unknown origin

作　　者：孙镜博 郝春艳[2] 石少敏[1] 孙丽平 Sun Jingbo;Hao Chunyan;Shi Shaomin;Sun Liping(Department of Respiratory,China-Japan Union Hospital of Jilin University,Changchun 130000,China;Outpatient Department,Nanhu District,China-Japan Union Hospital of Jilin University,Changchun 130000,China)

机构地区：[1]吉林大学中日联谊医院呼吸内科,长春130000 [2]吉林大学中日联谊医院南湖院区门诊部,长春130000

出　　处：《中华现代护理杂志》2024年第15期2021-2026,共6页Chinese Journal of Modern Nursing

基　　金：自然科学基金(省联合金白求恩医学专项)(20200201610JC)。

摘　　要：目的探讨手法提示在气道炎症待查患者首次肺功能及呼出气一氧化氮(FeNO)检测中的应用效果。方法采用便利抽样法,选取2018年5月—2020年12月在吉林大学中日联谊医院呼吸内科门诊及住院的810例气道炎症待查患者为研究对象。将研究对象分为观察组(n=406)和对照组(n=404),比较两组的肺功能检测质控参数[用力呼气时间(PET)、外推容积(VBE)、用力呼气开始至达到峰流速时间(FET-PEF)、外推容积占用力肺活量的百分率(VBE/FVC%)]、可重复性参数[用力肺活量最佳值与次佳值之间的变异(ΔFVC)、第1秒用力呼气量的最佳值与次佳值之间的变异(ΔFEV_(1))]以及检测效率指标(肺功能和FeNO的检测时间、FeNO检测的一次性成功率)。结果观察组的VBE/FVC%、ΔFVC、ΔFEV_(1)水平均低于对照组,差异具有统计学意义(P<0.05);观察组的肺功能、FeNO检测时间均短于对照组,FeNO检测一次性成功率高于对照组,差异均具有统计学意义(P<0.05)。结论对于首次接受肺功能及FeNO检测的气道炎症待查患者采用手法提示进行护理干预能够提升检测的质控参数、可重复性参数水平,缩短检测时间,提升FeNO检测一次性成功率。Objective To explore the effect of manual prompts in the first detection of lung function and fractional exhaled nitric oxide(FeNO)in patients with airway inflammation of unknown origin.Methods From May 2018 to December 2020,convenience sampling was used to select 810 patients with airway inflammation of unknown origin in the Department of Respiratory of the China-Japan Union Hospital of Jilin University as the subject.Subjects were divided into a observation group(n=406)and a control group(n=404).This study compared the quality control parameters of lung function detection[forced expiratory time(PET),backward extrapolated volume(VBE),time from forced expiratory to peak flow rate(FET-PET),percentage of backward extrapolated volume to forced vital capacity(VBE/FVC%)],reproducibility parameters[variation between optimal and suboptimal forced vital capacity(ΔFVC),variation between optimal and suboptimal first second forced expiratory volume(ΔFEV_(1))],and detection efficiency indicators(detection time for lung function and FeNO,one-time success rate of FeNO detection)between two groups.Results The VBE/FVC%,ΔFVC,andΔFEV_(1) in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The lung function and FeNO detection time of the observation group were shorter than those of the control group,and the one-time success rate of FeNO detection was higher than that of the control group,with statistical differences(P<0.05).Conclusions In lung function and FeNO detection for the first time among patients with airway inflammation of unknown origin,manual prompts can improve the quality control and reproducibility of the detection,shorten the detection time,and increase the one-time success rate of FeNO detection.

关 键 词：呼吸功能试验 手势交流 呼出气一氧化氮检测 护理 

分 类 号：R473.5[医药卫生—护理学]