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专病一体化护理模式对COPD伴冠心病患者心肺功能及预后的影响

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目的 探讨专病一体化护理模式对慢性阻塞性肺疾病(COPD)伴冠心病患者心肺功能及预后的影响.方法 选择2021年3月至2022年9月收治的96例COPD伴冠心病患者,随机分为对照组和观察组,每组48例.其中对照组给予常规方法进行护理,观察组给予专病一体化护理模式护理,出院后进行3个月的随访.比较2组干预前和干预后3个月的肺功能[最大呼气中期流量(MMEF)、用力肺活量(FVC)、呼气高峰流速(PEF)、第1秒用力呼气量(FEV1)]、心功能[脑钠肽(BNP)、6 min步行距离(6MWD)]及生存质量评分变化,分析2组护理满意度差异.结果 观察组护理满意度明显高于对照组(P<0.05).与治疗前比较,2组MMEF值及血清BNP水平明显降低,FVC、PEF、FEV1及6MWD值明显升高,且观察组更明显(P<0.05).与治疗前比较,2组生存质量、社会适应性、心理维度及生理维度评分均明显升高,且观察组更明显(P<0.05).结论 专病一体化护理模式干预COPD伴冠心病患者,可有效改善其心肺功能,提高护理满意度和预后生存质量,具有一定的临床应用价值.
Effect of disease-specific integration nursing on cardiopulmonary function and prognosis of chronic obstructive pulmonary disease patients with coronary heart disease
Objective To explore the effect of disease-specific integration nursing on cardiopulmonary function and prognosis of chronic obstructive pulmonary disease(COPD)patients with coronary heart disease(CHD).Methods From March 2021 to September 2022,totally 96 COPD patients with CHD were randomly assigned to the control group(n=48)and the observation group(n=48),in which they received conventional nursing and disease-specific integration nursing,respectively.A 3-month follow-up was performed after discharge,aiming to compare pulmonary function(maximum mid-expiratory flow[MMEF],forced vital capacity[FVC],peak expiratory flow[PEF],forced expiratory volume in one second[FEV1]),cardiac function(brain natriuretic peptide[BNP],6-min walking distance[6MWD]),quality of life score before intervention and 3 months after intervention.The nursing satisfactory degree was assessed.Results The nursing satisfactory degree was significantly higher in the observation group than in the control group(P<0.05).Significantly decreased MMEF and BNP,and significantly increased FVC,PEF,FEV1,6MWD were found in the two groups than those before intervention(all P<0.05),and the different was significant between groups for the above indexes(all P<0.05).Significantly increased scores of quality of life,social adaptability,psychological dimension,biological dimension were detected in the two groups than those before intervention(P<0.05),and the observation group was superior to the control group for scores of quality of life,social adaptability,psychological dimension,biological dimension(P<0.05).Conclusion For COPD patients with CHD,disease-specific integration nursing can effectively improve cardiopulmonary function,nursing satisfaction and prognostic quality of life,and with certain clinical application value.

disease-specific integration nursingchronic obstructive pulmonary diseasecoronary heart diseasecardiopulmonary functionprognosis

付静、宋广玉

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222000 江苏省连云港市第一人民医院/徐州医科大学附属连云港医院呼吸与危重症医学科

222000 江苏省连云港市第一人民医院/徐州医科大学附属连云港医院心血管内科

专病一体化护理模式 慢性阻塞性肺疾病 冠心病 心肺功能 预后

连云港市科协软课题研究项目

Lkxyb22028

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(8)
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