Effects of transitional care on BiPAP ventilation in patients with chronic obstructive pulmonary disease combined with respiratory failure
10.3760/cma.j.issn.1674-2907.2017.29.002
- VernacularTitle:延续护理对COPD伴呼吸衰竭患者BiPAP通气的影响
- Author:
Jing LU
1
;
Yanmei WANG
;
Meilan ZHANG
;
Cheng ZHANG
;
Sijia CHEN
Author Information
1. 200135,上海市浦东新区公利医院护理部
- Keywords:
Pulmonary diseases,chronic obstructive;
Respiratory failure;
Transitional care;
Bilevel positive airway pressure
- From:
Chinese Journal of Modern Nursing
2017;23(29):3693-3698
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of transitional care on BiPAP ventilation in patients with COPD combined with respiratory failure and to explore an effective implementation form of developing home treatment with BiPAP.Methods Patients with COPD combined with typeⅡ respiratory failure who would receive home treatment with BiPAP after leaving Shanghai Pudong Gongli Hospital were recruited by convenience sampling method from July 2014 to December 2015. They were divided into intervention group (n=48) and control group (n=45) with random number table. Patients of both groups all received long-term treatment with BiPAP after leaving hospital. On this foundation,patients in the control group accepted telephone follow-up for one time while patients in the intervention group received transitional care including telephone follow-up,home visits,group lectures,intervention by WeChat group for several times. The pulmonary ventilation function,inflammatory factors,6-minute walk test (6MWT) and BiPAP related complications were recorded between two groups before,three months and six months after discharging from hospital. Results There was a statistically significant difference in pulmonary function index changing over time (P<0.05). Grouping and interaction had no significant effect on pulmonary function indexes (P>0.05). There were statistically significant differences in arterial blood gas indexes and levels of inflammatory factors of patients among different times,grouping and interaction between the two groups(P<0.05). Besides,there were statistically significant differences in 6MWT among different times,grouping and interaction between the two groups (P<0.05). The incidence of facial pressure ulcer and readmission rate in intervention group were lower than those in control group with significant differences (P<0.05).Conclusions Under the comprehensively transitional care intervention,home treatment with BiPAP for patients with COPD combined with typeⅡ respiratory failure would help to improve the dispersion of oxygen and inflammatory reaction,increase activity tolerance and prevent the progressive decline of pulmonary ventilation function.
