Effect of Advanced Pulmonary Rehabilitation Nursing under Ecash Concept on Patients with Acute Exacerbation of COPD

Liu Fumei; Wang Haibo; Guo Aqian

doi:10.3969/j.issn.1006-7256.2024.07.001

Abstract：Objective:To explore the application effect of advanced pulmonary rehabilitation nursing under the concept of eCASH on pa-tients with acute exacerbation of COPD.Method:A total of 87 patients with acute exacerbation of COPD received from May 1,2022 to Sep-tember 30,2023 were selected as the subjects of this study and randomly divided into control group and intervention group.In the control group,43 patients received routine pulmonary rehabilitation nursing measures,while in the intervention group,44 patients received ad-vanced pulmonary rehabilitation nursing measures under the CASH concept.Disease activity including diaphragm activity(DE),diaphragm thickening fraction(DTF),airway resistance(Raw),peak airway pressure(PIP),and airway plateau pressure(Pplat),clinical indicators and complications were compared between the two groups before and after intervention.Results:After 14 days of intervention,the DE and DTF in the intervention group were higher than those in the control group(P<0.01),while Raw,PIP,and Pplat were lower than those in the control group(P<0.01).The intervention group had shorter sedation time,mechanical ventilation time,and ICU stay time than the con-trol group(P<0.01),and higher muscle strength scores than the control group(P<0.01).The incidence of complications such as ventila-tor-associated pneumonia,delirium,accidental detachment of the duct,and ICU acquired weakness in the intervention group was lower than that in the control group(P<0.05).Conclusion:Advanced pulmonary rehabilitation nursing under the eCASH concept can effectively con-trol disease activity of patients with acute exacerbation of COPD,improve respiratory mechanics related indexes,shorten sedation stand-ards,mechanical ventilation and ICU stay time,improve muscle strength level,and prevent adverse events.