对于末期慢性阻塞性肺病患者的家庭通风
Tim Raveling1,2, Heidi A Rantala3,4, Marieke L Duiverman1,2
1Department of Pulmonary Diseases and Home Mechanical Ventilation.
Current opinion in supportive and palliative care
|August 30, 2023
概括
慢性非侵入性通风 (NIV) 改善了末期慢性阻塞性肺病 (COPD) 患者的治疗结果. 本综述涵盖夜间NIV,运动NIV和高级COPD管理的多学科护理.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统护理 呼吸系统护理
背景情况:
- 慢性阻塞性肺病 (COPD) 管理正在发展.
- 非侵入性通风 (NIV) 越来越多地用于末期COPD.
- 先进的护理规划和多学科的方法至关重要.
研究的目的:
- 审查夜间NIV和运动期间NIV的证据,以治疗末期COPD.
- 讨论慢性NIV患者的多学科和先进的护理策略.
- 突出目前的复杂性和NIV中COPD的未来问题.
主要方法:
- 在COPD中对夜间NIV和运动NIV研究的文献综述.
- 关于在家或医院进行NIV启动的证据分析.
- 讨论多学科护理模式和预先护理规划.
主要成果:
- 夜间NIV增强了气体交换,生活质量和超性COPD的生存率.
- 在家启动慢性NIV是有效的,具有成本效益,并且可行.
- 运动期间的NIV可能会改善运动耐受性和呼吸障碍,而夜间的NIV不会解决运动引起的症状.
- 最佳的NIV应用和患者期望管理仍然很复杂.
结论:
- 慢性NIV是有效的最后阶段的COPD与持续高头.
- 最佳的NIV应用和患者期望管理是复杂的.
- 需要进一步的研究来完善对这些患者的护理.
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