The Role of Evidence-Based Nursing Concept Based on Vibration Sputum Removal Therapy in the Intervention of COPD Acute Phase

Wu Yazhi; Chen Xin; Wu Xiaofang

doi:10.3969/j.issn.1672-7185.2026.02.015

Abstract：Objective To explore the role of evidence-based nursing concepts based on vibration induced sputum removal therapy in the intervention of chronic obstructive pulmonary disease(COPD)in the acute phase.Methods A total of 92 patients with acute exacerbations of COPD admitted to Zherong County Hospital from January 2022 to December 2024 were enrolled as study subjects.They were divided into a control group(n=45)and an observation group(n=47).All patients accepted programmed vibration therapy for sputum clearance.The control group received conventional nursing care,while the observation group received evidence-based nursing care.The clinical symptom relief,indicators of blood gas analysis,pulmonary function,and inflammatory factor were compared between the two groups.Results Compared with the control group,the duration of fever,dyspnea,cough,sputum production,cyanosis,and wet rales of the observation group were shorter(P<0.05).The pH value,oxygen partial pressure,and oxygen saturation of the observation group were higher,while the carbon dioxide partial pressure of the observation group was lower(P<0.05).The forced vital capacity(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC,maximal voluntary ventilation,peak expiratory flow,and maximal midexpiratory flow of the observation group were higher(P<0.05).The serum amyloid A,C-reactive protein,fibrinogen,and procalcitonin of the observation group were lower(P<0.05).Conclusion For patients with acute COPD,evidence-based nursing based on vibration sputum removal therapy can alleviate clinical symptoms,improve acid-base balance,enhance lung function,and reduce inflammatory reactions.