在患有慢性阻塞性肺病的人中接受和坚持非侵入性正压通风:一个有基础的理论研究研究
Eleonora Volpato1,2, Paolo Innocente Banfi2, Francesco Pagnini1
1Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Frontiers in psychology
|August 21, 2023
概括
了解慢性阻塞性肺病 (COPD) 的非侵入性正压通风 (NPPV) 的患者经验是关键. 积极和消极的经历显著影响NPPV的接受和坚持,指导更好的护理策略.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 患者坚持性研究的研究.
- 质量健康研究 质量健康研究
背景情况:
- 非侵入性正压通风 (NPPV) 是慢性阻塞性肺病 (COPD) 的重要治疗方法.
- 然而,非最佳使用和患者拒绝NPPV是常见的挑战.
- 缺乏对NPPV适应模式的定性见解.
研究的目的:
- 在COPD患者中定性地探索适应NPPV的适应模式.
- 识别NPPV使用期间的核心特征和适应性挑战.
- 了解影响NPPV接受和坚持的因素.
主要方法:
- 采用了构造主义立足理论的方法.
- 通过对42名中度至重度COPD患者进行336次非结构化采访收集的数据.
- 使用开放,选择和理论编码阶段分析数据.
主要成果:
- 适应NPPV是一个非线性,动态的过程,有三个阶段:决定,尝试和使用.
- 患者的经验 (积极/消极),信仰,情绪和行为会影响接受和坚持.
- 观察到不同的接受率和坚持率.
结论:
- 这些发现揭示了NPPV的复杂患者旅程.
- 结果可以为制定有针对性的护理策略提供信息.
- 改进的策略可能会提高NPPV在COPD管理中的接受和坚持.
相关概念视频
Mechanical Ventilation III: Noninvasive Ventilation
149
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
149
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.0K
Mechanical Ventilation II: Invasive Ventilation
178
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
178
Mechanical Ventilation I: Indication and Settings
475
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
475
Ventilatory Modes
213
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
213


