中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
17期
1999-2002
,共4页
肺疾病,慢性阻塞性%肺功能%生活质量%五段式培训%无创通气
肺疾病,慢性阻塞性%肺功能%生活質量%五段式培訓%無創通氣
폐질병,만성조새성%폐공능%생활질량%오단식배훈%무창통기
Pulmonary disease,chronic obstructive%Lung function%Life quality%Five-segemental care%Non-invasive positive pressure ventilation
目的：探讨“五段式”培训方法在家庭无创通气治疗稳定期 COPD 患者中的应用。方法2011年8月—2013年2月将70例行家庭无创通气的COPD稳定期患者,随机分为干预组和对照组,各35例,干预组实施“五段式”无创通气培训指导,对照组实施常规的无创通气治疗及健康指导,比较两组出院时及出院后6个月的肺功能、血气分析、急性加重次数。结果出院6个月后,干预组二氧化碳分压(PaCO2)、氧分压(PaO2)、FEV1/FVC值分别为(61.3±5.2)mmHg,(58.4±4.7)mmHg,(66.8±16.3)%,与对照组比较差异无统计学意义(t值分别为-0.159,0.477,0.968；P>0.05)。干预组出院6个月内急性加重次数为(2.5±1.1)次,对照组为(3.4±2.1)次,两组比较差异有统计学意义(t =-3.696,P<0.01)。结论应用“五段式”无创通气培训方法能够提高COPD稳定期患者家庭无创通气的应用水平,改善生活质量,降低急性加重次数,有效延缓COPD的病情发展。
目的：探討“五段式”培訓方法在傢庭無創通氣治療穩定期 COPD 患者中的應用。方法2011年8月—2013年2月將70例行傢庭無創通氣的COPD穩定期患者,隨機分為榦預組和對照組,各35例,榦預組實施“五段式”無創通氣培訓指導,對照組實施常規的無創通氣治療及健康指導,比較兩組齣院時及齣院後6箇月的肺功能、血氣分析、急性加重次數。結果齣院6箇月後,榦預組二氧化碳分壓(PaCO2)、氧分壓(PaO2)、FEV1/FVC值分彆為(61.3±5.2)mmHg,(58.4±4.7)mmHg,(66.8±16.3)%,與對照組比較差異無統計學意義(t值分彆為-0.159,0.477,0.968；P>0.05)。榦預組齣院6箇月內急性加重次數為(2.5±1.1)次,對照組為(3.4±2.1)次,兩組比較差異有統計學意義(t =-3.696,P<0.01)。結論應用“五段式”無創通氣培訓方法能夠提高COPD穩定期患者傢庭無創通氣的應用水平,改善生活質量,降低急性加重次數,有效延緩COPD的病情髮展。
목적：탐토“오단식”배훈방법재가정무창통기치료은정기 COPD 환자중적응용。방법2011년8월—2013년2월장70례행가정무창통기적COPD은정기환자,수궤분위간예조화대조조,각35례,간예조실시“오단식”무창통기배훈지도,대조조실시상규적무창통기치료급건강지도,비교량조출원시급출원후6개월적폐공능、혈기분석、급성가중차수。결과출원6개월후,간예조이양화탄분압(PaCO2)、양분압(PaO2)、FEV1/FVC치분별위(61.3±5.2)mmHg,(58.4±4.7)mmHg,(66.8±16.3)%,여대조조비교차이무통계학의의(t치분별위-0.159,0.477,0.968；P>0.05)。간예조출원6개월내급성가중차수위(2.5±1.1)차,대조조위(3.4±2.1)차,량조비교차이유통계학의의(t =-3.696,P<0.01)。결론응용“오단식”무창통기배훈방법능구제고COPD은정기환자가정무창통기적응용수평,개선생활질량,강저급성가중차수,유효연완COPD적병정발전。
Objective To evaluate the effect of five-segemental care model for chronic obstructive pulmonary disease patients with non-invasive mechanical ventilation. Methods A total of 70 community-dwelling COPD patients with non-invasive mechanical ventilation were randomly divided into two groups, with 35 cases in each group. The patients in the control group received routine discharge guidance and follow-up education, while the patients and their family members in the experimental group participated in five-segemental care model within two months after discharge. The frequency of acute exacerbations, lung function and blood gas parameters, as well as the quality of life when discharge and at 6 months after discharge were compared between two groups. Results After 6 month of discharge, the PaCO2 , PaO2 and FEV1/FVC of the experimental group were (61. 3 ± 5. 2)mmHg, (58. 4 ± 4. 7) mmHg, and (66. 8 ± 16. 3)%, which had no significant differences compared with the control groups (t= -0. 159,0. 477, 0. 968;P>0. 05). After 6 month of discharge, the times of acute exacerbation were (2. 5 ± 1. 1) of the experimental group and (3. 4 ± 2. 1) of the control group. There was significant difference between two groups (t= -3. 696,P<0. 01). Conclusions The application of five-segemental care model can improve COPD patients′ self-care knowledge and skills, promote patients′compliance on the application of non-invasive mechanical ventilation, reduce the frequency of acute exacerbations and improve the patients′quality of life.
