Influence of severe COPD patients in ICU by transition nursing
LI Xuemei1 TIAN Zhihong2▲ TANG Yu1 ZHAO Liqiong1 CHEN Xiaohua1 YANG Fang1 NIE Chenghui1
1.Ward A of ICU, Nanchong Center Hospital, Sichuan Province, Nanchong 637000, China;
2.Lung Function Room, Nanchong Central Hospital, Sichuan Province, Nanchong 637000, China
Abstract：Objective To approach influence of severe COPD patients in ICU by transition nursing. Methods From June 2015 to June 2017, in ICU of Nanchong Center Hospital, the clinical data of 300 patients with severe COPD were retrospectively analyzed and divided into two groups by different nursing method, inclding routine nursing group (150 cases) and transition nursing group (150 cases). The clinical symptoms, lung function, living quality in two groups before and after intervention were detected, the incidence of return ICU, patients′ satisfaction of two groups were detected. Results Before intervention, the respiratory rate, heart rate, FEV1, FEV1/FVC, FEV1%, scores of general health, social function, body function, physiological functions, daily activity ability, physical discomfort, affective fluctuation and mental state score in two groups were compared, the differences were not statistically significant (P > 0.05). After intervention, the respiratory rate, heart rate in two groups were lower than before intervention, the above indicators in transition nursing group after intervention were lower than routine nursing group, the differences were statistically significant (P < 0.05); the FEV1, FEV1/FVC, FEV1%, and scores of general health, social function, body function, physiological functions, daily activity ability, physical discomfort, affective fluctuation, mental state score in two groups were higher than before intervention, the above indicators in transition nursing group were higher than routine nursing group, the differences were statistically significant (P < 0.05). The incidence of return ICU in transition nursing group was lower than routine nursing group, the patients′ satisfaction rate in transition nursing group was higher than routine nursing group, the differences were statistically significant (P < 0.05). Conclusion The application of transition nursing in severe COPD patients in ICU can improve respiratory rate, heart rate，increase lung function and living quality, decrease return ICU rate, which is worthy of clinical application.
2018, Vol. 15 
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