Research on nurse driven multidisciplinary collaborative chronic disease management model in patients with chronic obstructive pulmonary disease
护士驱动的多学科协作慢病管理模式在慢性阻塞性肺疾病患者中的研究

摘要

目的 对于护士驱动的多学科协作慢病管理模式在慢性阻塞性肺疾病患者中的具体效果进行讨论。方法 选择我院2023.02-2024.02所接收的100例慢性阻塞性肺疾病患者为研究对象，采取随机对照试验分为研究组（护士驱动的多学科协作慢病管理模式）与对照组（常规护理），比较两组护理前后血气分析指标和心理状况与呼吸功能。结果 护理后研究组血气分析指标[脉氧分压（64.18±5.73）mmHg，动脉二氧化碳分压（45.48±7.84）mmHg，血氧饱和度（96.13±4.35）%]优于对照组，（P<0.05）；2.研究组心理状况（33.6±2.1分，40.32±4.43分）比对照组好，（P<0.05）；3.研究组呼吸力学指标[气道阻力（9.12±1.98）cmH2O/（L.s），呼吸做功（0.34±0.12）J/L，动态顺应性（35.25±5.01）mL/cmH2O]改善度比对照组高（P<0.05）。结论 护士驱动的多学科协作慢病管理模式在慢性阻塞性肺疾病患者中的临床效果明显，值得广泛推广与应用。

Abstract

Objective To discuss the specific effects of nurse driven multidisciplinary collaborative chronic disease management model in patients with chronic obstructive pulmonary disease.
Methods 100 patients with chronic obstructive pulmonary disease admitted to our hospital from February 2023 to February 2024 were selected as the research subjects. A randomized controlled trial was conducted and divided into a study group (nurse driven multidisciplinary collaborative chronic disease management model) and a control group (conventional nursing). Blood gas analysis indicators, psychological status, respiratory function, and quality of life were compared between the two groups before and after nursing.
Results After nursing, the blood gas analysis indicators of the study group [pulse oxygen partial pressure (64.18 ± 5.73) mmHg, arterial carbon dioxide partial pressure (45.48 ± 7.84) mmHg, blood oxygen saturation (96.13 ± 4.35)%] were better than those of the control group, (P<0.05); The psychological condition of the research group (33.6 ± 2.1 points, 40.32 ± 4.43 points) was better than that of the control group, (P<0.05); 3. The improvement of respiratory mechanical indicators in the study group, including airway resistance (9.12 ± 1.98) cmH2O/(L.s), respiratory work (0.34 ± 0.12) J/L, and dynamic compliance (35.25 ± 5.01) mL/cmH2O, was higher than that in the control group (P<0.05).
Conclusion   The nurse driven multidisciplinary collaborative chronic disease management model has significant clinical effects in patients with chronic obstructive pulmonary disease and is worthy of wide promotion and application.