| 曹岚,唐瑶,魏颖,周丽娟.家庭访视联合电话随访干预模式对COPD-OSAHS病人使用家庭CPAP治疗的影响[J].上海护理,2018,18(8): |
| 家庭访视联合电话随访干预模式对COPD-OSAHS病人使用家庭CPAP治疗的影响 |
| The effect of home visit and telephone follow-up intervention on COPD-OSAHS patients treated with CPAP |
| DOI： |
| 中文关键词: COPD-OSAHS CPAP 家庭访视 电话随访 |
| 英文关键词:COPD-OSAHS CPAP Home visit Telephone follow-up |
| 基金项目:南京市医学科技发展 |
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| 中文摘要: |
| 目的 探讨家庭访视联合电话随访干预模式对慢性阻塞性肺疾病(COPD)合并阻塞性睡眠呼吸暂停低通气综合征(OSAHS)(重叠综合征,OS)病人使用家庭无创正压通气(CPAP)治疗的干预效果。方法 将59例入组患者分为实验组26例,对照组33例。对照组出院时进行常规宣教,实验组患者出院后进行随访,随访方式为电话随访与家庭访视相结合,随访时间为出院后一周进行家庭访视,后每个月进行一次电话随访,持续6个月。随访内容：指导患者良好的生活习惯；重点检查家庭氧疗使用情况,并强调各项注意事项等。在病人接受治疗后6个月进行呼吸机使用情况、多导睡眠监测及肺功能检查分析。结果 实验组病人对呼吸机的使用情况优于对照组,实验组呼吸暂停低通气指数(AHI)低于对照组,肺功能优于对照组。结论 家庭访视联合电话随访干预模式能有效提高COPD-OSAHS病人使用CPAP治疗的依从性,改善病人呼吸状态,提高生活质量。 |
| 英文摘要: |
| Objective To explore the family visit combined with telephone follow-up intervention on chronic obstructive pulmonary disease (COPD) patients with obstructive sleep apnea hypopnea syndrome (OSAHS) (overlap syndrome, OS) patients using home noninvasive positive pressure ventilation (CPAP) intervention effect. Methods 59 cases were divided into experimental group (n = 26) and control group (n = 33).The control group was given routine education, while the experimental group were followed up.Follow up was followed by telephone follow-up and family visit. The follow-up time was home visit a week after discharge, and a follow-up visit was performed every month for 6 months.Follow up: to guide the patient"s good habits; to focus on the use of oxygen therapy in the family, and to highlight the matters needing attention.Ventilator use, polysomnography and pulmonary function tests were performed 6 months after treatment.Results The experimental group was better than the control group,the apnea hypopnea index (AHI) of the experimental group was lower than that of the control group, and the lung function was better than that of the control group.Conclusion Home visit and telephone follow-up intervention can effectively improve the compliance of COPD-OSAHS patients with CPAP, improve the respiratory status and improve the quality of life. |
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