|
|
|
| Application of graded management of home oxygen therapy in elderly patients with stable chronic obstructive pulmonary disease |
| HUANG Li-ling |
| Departmen of Respiratory Medicine, Joint Logistics Support Force No.900 Hospital Putian Medical District, Fujian Province, Putian 351100, China |
|
|
|
|
Abstract Objective To investigate the application value of home oxygen therapy graded management in elderly patients with chronic obstructive pulmonary disease (COPD) at stable stage. Methods A total of 82 elderly patients with COPD in stable stage admitted to the Joint Logistics Support Force No.900 Hospital Putian Medical District from October 2017 to December 2018 were selected as the research subjects, and divided into the control group (41 cases) and the observation group (41 cases) according to random number table method. The control group received routine intervention, the observation group was given an intervention mode of family oxygen therapy hierarchical management on the basis of the control group. Acute attack and hospitalization during the intervention, forced expiratory volume in the first second (FEV1), FEV1/forced vital capacity (FVC), and blood gas analysis of arterial oxygen content (PaO2) and arterial carbon dioxide content (PaCO2) were compared between the two groups. Results The times of acute attacks and hospitalizations in the observation group were less than those in the control group during the intervention period, and the differences were statistically significant (P＜0.05). After intervention, FEV1, FEV1/FVC and PaO2 in both groups were higher than those before intervention, and PaCO2 was lower than that before intervention, and FEV1, FEV1/FVC and PaO2 in the observation group were higher than those in the control group, and PaCO2 was lower than that in the control group, the differences were statistically significant (P＜0.05). Conclusion The hierarchical management of home oxygen therapy can reduce the number of acute attacks and hospitalizations of elderly patients with stable COPD, improve lung function and hypoxia, and reduce the content of blood carbon dioxide.
|
|
Received: 25 May 2020
|
|
|
|
| [1] |
崔嬿嬿，王晓东，崔凌涵.家庭养疗分级管理模式在老年COPD 院外护理中的应用[J].中华现代护理杂志，2019，25（28）：3588-3592.
|
| [2] |
李育莲，李红.慢性阻塞性肺疾病患者长期家庭氧疗护理的研究进展[J].中华护理杂志，2019，54（11）：1746-1751.
|
| [3] |
陈春节.睡眠呼吸监测结合肺功能、动脉血气分析对慢性缺氧性疾病家庭氧疗的评估意义[J].中国现代医学杂志，2019，29（21）：113-116.
|
| [4] |
Francesca C，Azeem M，Graham E，et al.Diagnosis of chronic obstructive pulmonary disease[J].Dtsch Arztebl Int（Chinese Edition），2016，19（6）：356-357.
|
| [5] |
席雪琴.对老年慢性阻塞性肺疾病患者进行长期家庭氧疗对其肺功能的影响[J].当代医药论丛，2019，17（21）：82-83.
|
| [6] |
张璇，陈耀鑫，曾畅，等.长期家庭氧疗联合肺康复训练在促进慢性阻塞性肺疾病患者康复中的效果分析[J].中国保健营养，2019，29（22）：300-301.
|
| [7] |
许娟，刘义兰，邓群.稳定期COPD 患者自我效能与家庭关怀度的相关性研究[J].上海护理，2018，18（11）：36-39.
|
| [8] |
管成艳.健康管理在家庭长期氧疗慢阻肺患者中的应用效果观察[J].中国保健营养，2018，28（34）：151.
|
| [9] |
李艳，张琼，张红，等.慢性阻塞性肺疾病患者长期家庭氧疗的临床效果观察[J].中外医学研究，2018，16（32）：21-22.
|
| [10] |
贾恩霞，刘伟，赵亚.家庭氧疗对农村肺心病患者预后及生活质量的影响[J].实用临床医药杂志，2018，22（1）：136-138，142.
|
| [11] |
陈冲，徐倩，施春娜，等.COPD 俱乐部健康教育模式对慢性阻塞性肺疾病患者自我管理能力及生活质量的影响[J].中国现代医生，2019，57（33）：160-164.
|
| [12] |
李利琼，余筠怡，刘旺菊，等.呼吸功能锻炼在改善老年慢性阻塞性肺疾病患者肺功能及提高生活质量中的作用[J].中国医药科学，2019，9（5）：206-208.
|
| [13] |
陈丽芳，黄莉莎，李俊华，等.COPD 患者采取家庭中心慢病管理的临床价值[J].中国卫生产业，2019，16（10）：114-116.
|
| [14] |
彭春.稳定期慢性阻塞性肺疾病患者血清脂联素水平、肺功能、CAT 评分与营养状况的相关性分析[J].中国处方药，2019，17（7）：1-3.
|
| [15] |
范林英.慢阻肺康复护理自我管理对患者肺功能及生活质量的影响[J].实用临床护理学电子杂志，2019，4（40）：2，14.
|
|
|
|
