摘要
目的分析基于过渡期护理模式(TCM)的护理干预配合增强型体外反搏(EECP)治疗对慢性阻塞性肺疾病(COPD)并冠心病患者心肺功能及生活质量的影响。方法选取86例COPD并冠心病患者,均为该院2021年至2023年1月所收治;经随机数字表法将其分成两组,对照组与研究组各43例;对照组仅接受常规护理干预,研究组则在常规护理的基础上,为其提供基于TCM模式的护理干预配合EECP治疗,对两组的心肺功能、生活质量进行比较。结果与对照组护理后相比较,研究组的Peak VO_(2)、AT、峰值氧脉搏、LVEF、FEV_(1)、FEV_(1)%、FEV_(1)/FVC以及临床症状评分均明显更高(P<0.05),而社会影响、活动能力评分均明显更低(P<0.05)。结论为COPD并冠心病患者提供基于TCM模式的护理干预配合EECP治疗,不但能显著改善其心肺功能,而且也有效提升其生活质量,具有推广价值。
Objective To investigate the effect of transitional care model(TCM)-based nursing intervention com-bined with enhanced external counterpulsation(EECP)on cardiopulmonary function and quality of life in patients with chronic obstructive pulmonary disease(COPD)and coronary heart disease.Methods A total of 86 patients with COPD and coronary heart disease who were admitted to our hospital from 2021 to January 2023 were enrolled and divided into ex-perimental group and control group using a random number table,with 43 patients in each group.The patients in the con-trol group received routine nursing intervention alone,and those in the experimental group received TCM-based nursing in-tervention combined with EECP in addition to routine nursing.The two groups were compared in terms of cardiopulmonary function and quality of life.Results Compared with the control group after nursing,the experimental group had signifi-cantly higher Peak VO_(2),AT,peak oxygen pulse,LVEF,FEV_(1),FEV_(1)%,FEV_(1)/FVC,and clinical symptom score(P<0.05)and significantly lower scores of social impact and activity ability(P<0.05).Conclusion For patients with COPD and coronary heart disease,TCM-based nursing intervention combined with EECP can significantly improve cardiopulmonary function and quality of life,and therefore,it holds promise for clinical application.
作者
张丽君
曾建华
ZHANG Li-jun;ZENG Jian-hua(Longyan Hospital of Traditional Chinese Medicine Affiliated to Xiamen University,Longyan 364000,China)
出处
《心血管病防治知识(学术版)》
2024年第18期128-131,共4页
Prevention and Treatment of Cardiovascular Disease
关键词
过渡期护理模式
增强型体外反搏
慢性阻塞性肺疾病
冠心病
心肺功能
生活质量
Transitional care model
Enhanced external counterpulsation
Chronic obstructive pulmonary disease
Coronary heart disease
Cardiopulmonary function
Quality of life
