Clinical effects of SNAP nursing mode combined with pulmonary rehabilitation in patients with AECOPD
Objective To observe the clinical efficacy and safety of the support needs approach for patients(SNAP)nursing model combined with pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 150 AECOPD inpatients in Shanghai Pudong New Area Gongli Hospital from September 2019 to January 2020 were recruited.The patients were divided into SNAP group and the control group accord-ing to the random umber method,75 cases each.Both groups were given routine drugs,pulmonary rehabilitation evalua-tion and nursing treatment.The SNAP group was given SNAP nursing projects continued for 12 weeks.All patients were followed up to 52 weeks.The lung function[forced expiratory volume in one second(FEV1),forced expiratory volume in one second as a percentage of predicted value(FEV1%pre)],6-minute walk distance test(6MWTD),cardiopulmonary exercise test[peak oxygen consumption(peak VO2),peak heart rate(peak HR)and lowest oxygen saturation(L-SPO2)]were measured at admission and 52 weeks.During the follow-up period,the frequency of acute exacerbation,the participa-tion rate of pulmonary rehabilitation were observed,and adverse reactions occurred were recorded.Results After 52 weeks,the SNAP group showed significant improvement in 6MWTD,peak VO2,L-SPO2,and Peak HR compared to base-line(all P<0.05).Additionally,the SNAP group exhibited statistically significant improvements in 6MWTD,peak VO2,L-SPO2,and Peak HR compared to the control group(all P<0.05).During the follow-up at the 8th,12th,24th,and 52nd weeks,the participation rate in pulmonary rehabilitation of the SNAP group was higher than that of the control group(all P<0.01).Throughout the 52-week follow-up,there were 19 occurrences of mild exacerbation in the SNAP group,while the control group experienced 40 occurrences of moderate or more severe exacerbation.The difference between the two groups was statistically significant(χ2=12.321,P<0.01).No adverse reactions were observed in either group during the follow-up period.At the 12th,24th,and 52nd weeks,the SNAP group's SNAP scores were all higher than those of the control group(all P<0.01).Conclusions SNAP nursing combined with pulmonary rehabilitation can be safely imple-mented in patients with AECOPD,and can improve the cardiopulmonary exercise function and reduce the frequency of acute exacerbation.The SNAP nursing model can improve the participation rate of pulmonary rehabilitation therapy and the SNAP score of AECOPD patients.
chronic obstructive pulmonary diseaseacute exacerbation of chronic obstructive pulmonary diseasepulmonary rehabilitationSNAP nursing model
万方数据
维普
