摘要
目的 探讨多学科协作模式对慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者预后与生活质量的影响.方法 选取医院2021年6月-2022年6月收治的COPD合并呼吸衰竭患者94例为研究对象,按照组间基本资料均衡可比的原则分为对照组和观察组,每组47例.对照组给予常规治疗、常规护理与健康教育、肺康复指导,观察组采用多学科协作护理模式,首先组建多学科协作小组,小组人员共同查房,同时进行呼吸道管理、康复训练、营养干预、心理干预、健康教育及出院指导.比较两组患者干预前后肺功能指标、营养与免疫状况、情绪状况、治疗时间、生活质量及出院后3个月复发情况.结果 干预后,观察组各项肺功能指标高于对照组(P＜0.05);干预后观察组血清总蛋白、白蛋白、CD4+、CD4+/CD8+高于对照组(P＜0.05);干预后观察组焦虑、抑郁评分低于对照组(P＜0.05);观察组呼吸功能恢复时间、ICU停留时间、住院时间短于对照组(P＜0.05);观察组出院3个月急性加重次数低于对照组(P＜0.05);干预后,观察组生活质量各项得分低于对照组(P＜0.05).结论 针对COPD合并呼吸衰竭患者实施多学科协作模式,可促进呼吸功能恢复、改善营养与免疫状况,缓解不良情绪,改正不良的康复行为方式,缩短恢复时间及住院时间,防止病情复发,提高患者生活质量.
Abstract
Objective To explore the effect of multidisciplinary collaboration model on the prognosis and quality of life of patients with chronic obstructive pulmonary disease(COPD)combined with respiratory failure.Methods 94 patients with COPD combined with respiratory failure admitted to the hospital from June 2021 to June 2022 were selected for the study,and were divided into a control group and an observation group according to the principle of balanced and comparable basic data between the groups,with 47 cases in each group.The control group was given conventional treatment,routine care and health education,and pulmonary rehabilitation guidance,while the observation group adopted a multidisciplinary collaborative care model,firstly forming a multidisciplinary collaborative team,with the team members checking the room together,and at the same time carrying out respiratory management,rehabilitation training,nutritional interventions,psychological interventions,health education and discharge guidance.Comparison of the two groups of patients before and after the intervention of pulmonary function indicators,nutrition and immune status,emotional status,treatment time,quality of life and relapse 3 months after discharge.Results After intervention,all pulmonary function indexes of the observation group were higher than those of the control group(P＜0.05).Serum total protein,albumin,CD4+,CD4+/CD8+of the observation group were higher than those of the control group after intervention(P＜0.05),anxiety and depression scores of the observation group were lower than those of the control group after intervention(P＜0.05).respiratory function recovery time,ICU stay time and hospitalization time of the observation group were shorter than those of the control group(P＜0.05).After the intervention,the number of acute exacerbations in the observation group was lower than that of the control group in 3 months after discharge(P＜0.05).The scores of quality of life in the observation group were lower than that of the control group(P＜0.05).Conclusion The implementation of multidisciplinary collaboration model for patients with COPD combined with respiratory failure can promote the recovery of respiratory function,improve the nutritional and immune status,alleviate the bad mood,correct the bad rehabilitation behavior,shorten the recovery time and hospitalization time,prevent recurrence of the disease,and improve the quality of life of the patients.
基金项目
三峡大学2022年"课程思政"教学改革研究与实践类专题项目(K2022025)
维普
万方数据