Application of continuity of care in the care of COPD patients with respiratory failure
延续性护理在COPD伴呼吸衰竭患者护理中的应用

摘要

目的 观察COPD伴呼吸衰竭患者应用延续性护理后对患者肺功能、心理状态和护理依从性的影响。方法 选取本院（2021.3至2022.3）的54例COPD患者（伴有呼吸衰竭症状）作为医疗观察对象。根据随机数字法分组，试验组（延续性护理，27例），对照组（常规护理，27例），对比两组的护理效果。结果 干预前两组的肺功能和心理指标对比无统计意义（P＞0.05）；干预后，试验组的肺功能（FEV1、FVC、FEV1/FVC）、心理状态（BAI、BDI）和护理依从性均优于对照组（P＜0.05）。结论 在延续性护理干预下COPD伴呼吸衰竭患者能够显著提高其肺功能状态，改善负面心理影响。

Abstract

Objective To observe the effects of continuity of care on lung function, psychological status, and nursing compliance in COPD patients with respiratory failure.
Methods 54 COPD patients (with respiratory failure symptoms) from our hospital (March 2021 to March 2022) were selected as medical observation subjects. According to the random number method, the experimental group (27 cases of continuity care) and the control group (27 cases of routine care) were divided into two groups, and the nursing effects of the two groups were compared.
Results There was no statistically significant difference in lung function and psychological indicators between the two groups before intervention (P>0.05); After intervention, the lung function (FEV1, FVC, FEV1/FVC), psychological state (BAI, BDI), and nursing compliance of the experimental group were all better than those of the control group (P<0.05).
Conclusion   Under continuity of care intervention, COPD patients with respiratory failure can significantly improve their lung function status, alleviate negative psychological effects, and promote healthy living for patients.