Application of five-segemental care model for chronic obstructive pulmonary disease patients with non-invasive mechanical ventilation
10.3760/cma.j.issn.1674-2907.2015.17.005
- VernacularTitle:“五段式”培训方法在家庭无创通气治疗稳定期COPD患者中的应用
- Author:
Fang XI
1
;
Yajun LI
;
Songyan YE
Author Information
1. 450003 郑州大学人民医院 河南省人民医院 呼吸与危重症学科
- Keywords:
Pulmonary disease,chronic obstructive;
Lung function;
Life quality;
Five-segemental care;
Non-invasive positive pressure ventilation
- From:
Chinese Journal of Modern Nursing
2015;(17):1999-2002
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of five-segemental care model for chronic obstructive pulmonary disease patients with non-invasive mechanical ventilation. Methods A total of 70 community-dwelling COPD patients with non-invasive mechanical ventilation were randomly divided into two groups, with 35 cases in each group. The patients in the control group received routine discharge guidance and follow-up education, while the patients and their family members in the experimental group participated in five-segemental care model within two months after discharge. The frequency of acute exacerbations, lung function and blood gas parameters, as well as the quality of life when discharge and at 6 months after discharge were compared between two groups. Results After 6 month of discharge, the PaCO2 , PaO2 and FEV1/FVC of the experimental group were (61. 3 ± 5. 2)mmHg, (58. 4 ± 4. 7) mmHg, and (66. 8 ± 16. 3)%, which had no significant differences compared with the control groups (t= -0. 159,0. 477, 0. 968;P>0. 05). After 6 month of discharge, the times of acute exacerbation were (2. 5 ± 1. 1) of the experimental group and (3. 4 ± 2. 1) of the control group. There was significant difference between two groups (t= -3. 696,P<0. 01). Conclusions The application of five-segemental care model can improve COPD patients′ self-care knowledge and skills, promote patients′compliance on the application of non-invasive mechanical ventilation, reduce the frequency of acute exacerbations and improve the patients′quality of life.
