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- Title
集中护理模式对于提高 COPD 患者吸入制剂使用正确率、 肺功能和减少再入院风险的价值
- Authors
卢红梅; 左仁娇; 邬亭亭; 廖蕾
- Abstract
Objective To investigate the effects of concentrated nursing model on the enhancing the accuracy of inhaled formulations, pulmonary function, and reducing the risk of re-admission in COPD patients. Methods A total of 102 patients with COPD who visited our hospital from January 2016 to April 2016 were randomly divided into control group (51 cases) and experimental group (51 cases) . The control group and the experimental group were treated by conventional and centralized nursing model,respectively and all were followed up for 12 months. The scores and accuracy of inhaled preparations, treatment compliance, lung function indicators, symptom scores, activities and quality of life were compared between the two groups before and after nursing. The survival curves were plotted and the risk of AECOPD and readmission was compared between the two groups. Results Compared with pre-care, the scores of inhalant use and accuracy as well as MASES scores were significantly higher in the two groups 12months later (P<0.05). Among them, the scores of inhalant use and accuracy as well as MASES scores were significantly higher in the experimental group than those of control group (/χ2=3.977, 14.294, 6.307, P= 0.000, 0.000, 0.000) . The FEV1%pred and FVC%pred were significantly increased after nursing in both groups(P<0.05) . After nursing, the TLC and RV/TLC increasedobviously in control group (P<0.05), but not in the experimental group (P>0.05) . The levels of FEV1 and FVC% pred in the experimental group were significantly higher when compared with control group (P=2.010, 2.045, P= 0.047, 0.044), while TLC and RV/TLC were significantly lower than the control group (P=2.317, 2.685, P= 0.023, 0.008) . Both mMRC and SGRQ scores after nursing were significantly lower, while the 6MWT was obviously higher than those before nursing (P<0.05) . Among them, the mMRC and SGRQ scores in experimental group were lower (P=2.439, 2.161, P= 0.016,0.033),and the 6MWT was higher when compared with the control group (P=2.441, P= 0.016). The incidence of AECOPD after discharge was 78.43% and 62.75% in the control group and experimental group. The in the experimental group has a lower risk of AECOPD (HR=0.560, 95% CI [0.350, 0.895], P= 0.001) ; the readmission rate 12 months after discharge of the control and experimental groups were 62.75% and 47.06%, and the experimental group had a lower risk of readmission (HR=0.582, 95% CI [0.343, 0.986], P= 0.032) . Conclusions The centralized nursing model can effectively improve the accuracy and compliance of inhaled preparations for patients with COPD, significantly improve the symptoms and lung function of patients with COPD, significantly enhance mobility and quality of life, and reduce the risk of AECOPD and re-admission.
- Publication
Journal of Kunming Medical University / Kunming Yike Daxue Xuebao, 2019, Vol 40, Issue 12, p155
- ISSN
2095-610X
- Publication type
Article