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| Application Effect of Whole-Course Responsibility System Intervention Combined with Early Pulmonary Rehabilitation Training in Patients with AECOPD Complicated with Respiratory Failure |
| JIA Yawei, JIAO Xiaoqi, LOU Zhangju |
| Ward 2, Department of Respiratory and Critical Care Medicine, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou Henan 450000 |
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Abstract 【Objective】 To investigate the application effect of whole-course responsibility system intervention combined with early pulmonary rehabilitation training in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with respiratory failure. 【Methods】 A total of 100 patients with AECOPD complicated with respiratory failure admitted to our hospital from January 2022 to January 2025 were selected and divided into a control group and an observation group by random number table method, with 50 cases in each group. The control group received routine intervention, while the observation group received whole-course responsibility system intervention combined with early pulmonary rehabilitation training. Pulmonary function [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC], respiratory rate, exercise endurance [6-minute walking distance (6MWD)], respiratory function [St. George's Respiratory Questionnaire (SGRQ)] and quality of life [Generic Quality of Life Inventory-74 (GQOLI-74) score] were compared between the two groups. 【Results】 After intervention, FEV1, FVC and FEV1/FVC in the observation group were higher than those in the control group (P<0.05), respiratory rate was lower than that in the control group, and 6MWD was longer than that in the control group (P<0.05). Scores of respiratory symptoms, physical activity limitation and impact on daily living ability in the observation group were lower than those in the control group (P<0.05). Scores of psychological function, physical function, social function and material life in the observation group were higher than those in the control group (P<0.05). 【Conclusion】 Whole-course responsibility system intervention combined with early pulmonary rehabilitation training can significantly improve pulmonary function, exercise endurance and quality of life in patients with AECOPD complicated with respiratory failure, promote the recovery of respiratory function, and has high clinical application value.
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Received: 10 November 2025
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[1] 薛莉莎. 呼吸康复护理结合无缝隙护理对慢性阻塞性肺疾病患者肺功能的影响[J].河南医学研究,2025,34(10):1904-1907.
[2] 陈海燕,闫蕊,李博. 强化心理护理对慢性阻塞性肺疾病急性加重期呼吸衰竭患者心理弹性及治疗依从性的影响[J].国际护理学杂志,2025,44(5):898-902.
[3] 张洁,陶裕华. 肺康复训练联合综合护理干预在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果[J].中外医学研究,2024,22(5):69-73.
[4] 杨芳,王曼,赵敏华,等. 追踪方法学为指导的责任制护理在AECOPD合并呼吸衰竭气管插管患者中的应用[J].海南医学,2024,35(8):1180-1184.
[5] 李怡辉,曹慧. 进阶式早期肺康复训练应用于慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭中的临床效果观察[J].罕少疾病杂志,2025,32(4):40-43.
[6] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021年修订版)[J].中华结核和呼吸杂志,2021,44(3):170-205.
[7] 梁国玲,李彬,刘粉玲,等. 不同灸量的脐灸疗法对慢阻肺稳定期患者SGRQ评分及肺功能的影响[J].天津中医药大学学报,2021,40(4):467-471.
[8] 李小姣. 反馈式康复护理对卒中后偏瘫患者生活质量综合评定问卷-74评分的影响[J].山西医药杂志,2021,50(9):1579-1581.
[9] 戴乐萍,梅培培,许伟. 基于行为分阶段转变理论的护理干预方案在慢性阻塞性肺疾病稳定期患者中的应用[J].湖南师范大学学报(医学版),2025,22(2):173-177.
[10] 李景峰,张喜梅. 基于CPIS评分的呼吸康复护理结合萧氏双C护理在慢性阻塞性肺疾病伴肺部感染患者中的应用效果[J].河南医学研究,2025,34(9):1713-1717.
[11] 张贞,智喜荷,赵志敏,等. 预见性护理干预应用于慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的效果[J].医学临床研究,2025,42(1):141-144.
[12] 张娟,张会民,丁密,等. 基于目标策略的进阶式康复护理对重症肺炎伴呼吸衰竭机械通气患者康复效果的影响[J].新乡医学院学报,2025,42(5):420-425.
[13] 胡秋菊,牟敏,聂周莲. 无创呼吸机间歇正压通气技术联合早期肺康复训练在COPD合并呼吸衰竭治疗中的应用[J].山东医药,2023,63(23):58-61.
[14] 赵鑫,顾怡静,何龑. 全程责任制护理结合精细化干预在AECOPD合并呼吸衰竭患者中的应用[J].国际护理学杂志,2025,44(3):412-416.
[15] 陈洁,孔倩霞. 责任制整体护理联合预见性护理在COPD合并呼吸衰竭无创正压通气治疗中的运用研究[J].临床研究,2025,33(8):153-157. |
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2026, Vol. 43 
