慢性阻塞性肺疾病急性加重期的护理管理
摘 要
慢性阻塞性肺疾病（COPD）急性加重期是导致患者病情恶化及死亡的重要原因，其护理管理对改善预后具有重要意义。本研究旨在探讨基于循证医学的个性化护理干预在COPD急性加重期患者中的应用效果。采用随机对照试验设计，选取2022年1月至2023年6月某三甲医院呼吸科收治的120例COPD急性加重期患者为研究对象，随机分为干预组和对照组各60例。对照组实施常规护理，干预组在常规护理基础上实施包括氧疗管理、呼吸道清理、营养支持、心理干预等在内的个性化护理方案。通过比较两组患者的血气分析指标、肺功能改善情况、住院时间及再入院率等指标评估干预效果。
关 键 词：慢性阻塞性肺疾病；急性加重期；个性化护理
Nursing management during the acute exacerbation of chronic obstructive pulmonary disease
ABSTRACT
The acute exacerbation of chronic obstructive pulmonary disease (COPD) is an important cause of disease deterioration and death, and its nursing management is of great significance to improving the prognosis. This study aims to investigate the effectiveness of EBM-based personalized nursing intervention in patients with acute exacerbation of COPD. Using a randomized controlled trial design, 120 patients with acute COPD in a hospital from January 2022 to June 2023 were selected as the study subjects, including 60 patients in the intervention group and the control group. The control group implemented routine care, and the intervention group implemented personalized care programs including oxygen therapy management, respiratory tract cleaning, nutritional support, and psychological intervention on the basis of routine care. The intervention effect was evaluated by comparing the blood gas analysis indicators, lung function improvement, length of hospital stay and readmission rate between the two groups.
Key words：Chronic obstructive pulmonary disease; acute exacerbation; personalized care
目 录
摘 要 IABSTRACT II
一、绪论 1
（一）研究背景 1
（二）研究现状 1
（三）研究方法与结构安排 1
二、慢性阻塞性肺疾病急性加重期的临床特征分析 2
（一）急性加重期的病理生理机制 2
（二）急性加重期的临床表现特点 2
（三）急性加重期的诊断标准与评估方法 2
三、慢性阻塞性肺疾病急性加重期的护理干预策略 4
（一）氧疗管理与呼吸支持技术 4
（二）药物治疗的护理配合要点 4
（三）并发症预防与营养支持方案 4
四、慢性阻塞性肺疾病急性加重期的护理质量管理体系构建 6
（一）护理质量评价指标体系的建立 6
（二）护理人员专业能力提升路径 6
五、结语 7
参考文献 8
谢辞 9
