慢阻肺急性加重期合并呼吸衰竭病人肺康复训练中时效性激励模式护理效果及对肺功能的影响  

Nursing Effect of Time-effective Incentive Mode in Pulmonary Rehabilitation Training for Patients with COPD Acute Exacerbation Complicated with Respiratory Failure and its Influence on Lung Function

作　　者：袁燕 Yuan Yan(Department of Respiratory and Critical Care Medicine,Nanjing Gaochun People’s Hospital,Nanjing,Jiangsu,211300,China)

机构地区：[1]南京市高淳人民医院呼吸与危重症医学科,江苏南京211300

出　　处：《黑龙江医学》2025年第8期1007-1009,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨慢阻肺急性加重期合并呼吸衰竭病人肺康复训练中时效性激励模式护理的影响。方法:选取2022年1月—2023年10月南京市高淳人民医院收治的81例慢阻肺急性加重期合并呼吸衰竭患者作为研究对象,按照随机数表法将其分为对照组(n=40)和观察组(n=41)。对照组采用肺康复训练,观察组采用肺康复训练+时效性激励模式护理。比较两组患者肺功能及动脉血气分析、自我效能感(CSES)、健康受损情况、生活质量及肺康复训练执行情况。结果:干预后,观察组患者肺功能及动脉血气分析情况均优于对照组,差异均有统计学意义(t=2.543、2.220、2.464、2.761,P<0.05);观察组患者CSES评分均高于对照组,差异均有统计学意义(t=2.863、2.827、2.904、2.396、2.953,P<0.05);观察组患者SGRQ评分均低于对照组,差异均有统计学意义(t=3.062、3.194、3.236,P<0.05)。观察组患者执行率高于对照组,差异有统计学意义(χ^(2)=4.699,P<0.05)。结论:对于慢阻肺急性加重期合并呼吸衰竭患者来说,在肺康复训练中应用时效性激励模式护理不仅能强化患者的遵医行为,还能增强患者的自我效能感,进而利于肺功能的积极改善,并为日常生活提供基础保障。Objective:To explore the effect of time-effective incentive nursing in pulmonary rehabilitation training for patients with COPD acute exacerbation complicated with respiratory failure.Methods:According to the method of random number table,81 patients with acute exacerbation of COPD complicated with respiratory failure were divided into two groups:observation group(n=41)and control group(n=40)from January 2022 to October 2023.The control group received lung rehabilitation training,and the observation group received lung rehabilitation training+time-effective incentive nursing.The pulmonary function and arterial blood gas analysis,self-efficacy(CSES score),health impairment and quality of life(SGRQ score),pulmonary rehabilitation training were compared between the two groups.Results:After intervention,the pulmonary function and arterial blood gas analysis in observation group were better than those in control group,and the difference was statistically significant(t=2.543,2.220,2.464,2.761;P<0.05).CSES scores in observation group were higher than those in control group,and the difference was statistically significant(t=2.863,2.827,2.904,2.396,2.953;P<0.05).SGRQ scores in observation group were lower than those in control group,and the difference was statistically significant(t=3.062,3.194,3.236;P<0.05).The implementation rate of observation group was higher than that of control group,and the difference was statistically significant(χ^(2)=4.699,P<0.05).Conclusion:For patients with COPD acute exacerbation complicated with respiratory failure,the application of time-effective incentive nursing mode in pulmonary rehabilitation training can not only strengthen patients’compliance behavior,but also enhance patients’sense of self-efficacy,which is conducive to the positive improvement of lung function and provide basic guarantee for daily life.

关 键 词：慢阻肺急性加重期 呼吸衰竭 肺康复训练 时效性激励模式 

分 类 号：R825.6[医药卫生—临床医学]