Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure
ABSTRACT Background Chronic obstructive pulmonary disease (COPD) is a progressive heterogeneous pulmonary disorder with an increasing high prevalence, particularly in the older. The objective of this study is to assess the effect of noninvasive ventilation combined with simultaneous nebulization dur...
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Wiley
2025-02-01
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| Series: | The Clinical Respiratory Journal |
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| Online Access: | https://doi.org/10.1111/crj.70049 |
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| author | Jian Xiao Yan Wu Limei Wang Hong Zhou |
| author_facet | Jian Xiao Yan Wu Limei Wang Hong Zhou |
| author_sort | Jian Xiao |
| collection | DOAJ |
| description | ABSTRACT Background Chronic obstructive pulmonary disease (COPD) is a progressive heterogeneous pulmonary disorder with an increasing high prevalence, particularly in the older. The objective of this study is to assess the effect of noninvasive ventilation combined with simultaneous nebulization during precise pulmonary rehabilitation nursing intervention in COPD patients with chronic hypercapnic respiratory failure, compared to pulmonary rehabilitation nursing alone. Methods In total, 240 elderly COPD patients with chronic hypercapnic respiratory failure were randomized controlled into either a precise pulmonary rehabilitation nursing model group (control group) or noninvasive ventilation coupled with simultaneous nebulization during pulmonary rehabilitation nursing (intervention group). For our evaluation, we considered general information, pulmonary function, exercise endurance, mental health, blood gas, inflammation, COPD severity, life quality, and overall efficacy of subjects before and on the 5‐, 30‐, 90‐day intervention. Results The total effective rates were 95% and 77.5% in the intervention and control group, respectively. In detail, the intervention group showed statistically significant improvements in lung function, exercise endurance, psychological health, blood gas inflammation, overall severity, and quality of life outcomes, especially on the 90‐day intervention (p < 0.001). Conclusions The complex COPD patients with chronic hypercapnic respiratory failure may confer more gains from precise pulmonary rehabilitation nursing intervention combined with simultaneous inhalation therapy and noninvasive ventilation. |
| format | Article |
| id | doaj-art-2472c8c7dc3842918fda702d09d6670d |
| institution | DOAJ |
| issn | 1752-6981 1752-699X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
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| series | The Clinical Respiratory Journal |
| spelling | doaj-art-2472c8c7dc3842918fda702d09d6670d2025-08-20T03:11:26ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2025-02-01192n/an/a10.1111/crj.70049Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory FailureJian Xiao0Yan Wu1Limei Wang2Hong Zhou3Department of Endocrinology Chinese People's Liberation Army Western Theater Command General Hospital Chengdu Sichuan ChinaDepartment of Respiratory and Critical Care Medicine Chinese People's Liberation Army Western Theater Command General Hospital Chengdu Sichuan ChinaDepartment of Respiratory and Critical Care Medicine Chinese People's Liberation Army Western Theater Command General Hospital Chengdu Sichuan ChinaDepartment of Respiratory and Critical Care Medicine Chinese People's Liberation Army Western Theater Command General Hospital Chengdu Sichuan ChinaABSTRACT Background Chronic obstructive pulmonary disease (COPD) is a progressive heterogeneous pulmonary disorder with an increasing high prevalence, particularly in the older. The objective of this study is to assess the effect of noninvasive ventilation combined with simultaneous nebulization during precise pulmonary rehabilitation nursing intervention in COPD patients with chronic hypercapnic respiratory failure, compared to pulmonary rehabilitation nursing alone. Methods In total, 240 elderly COPD patients with chronic hypercapnic respiratory failure were randomized controlled into either a precise pulmonary rehabilitation nursing model group (control group) or noninvasive ventilation coupled with simultaneous nebulization during pulmonary rehabilitation nursing (intervention group). For our evaluation, we considered general information, pulmonary function, exercise endurance, mental health, blood gas, inflammation, COPD severity, life quality, and overall efficacy of subjects before and on the 5‐, 30‐, 90‐day intervention. Results The total effective rates were 95% and 77.5% in the intervention and control group, respectively. In detail, the intervention group showed statistically significant improvements in lung function, exercise endurance, psychological health, blood gas inflammation, overall severity, and quality of life outcomes, especially on the 90‐day intervention (p < 0.001). Conclusions The complex COPD patients with chronic hypercapnic respiratory failure may confer more gains from precise pulmonary rehabilitation nursing intervention combined with simultaneous inhalation therapy and noninvasive ventilation.https://doi.org/10.1111/crj.70049chronic hypercapnic respiratory failureCOPDinhalation therapynoninvasive ventilationpulmonary rehabilitation |
| spellingShingle | Jian Xiao Yan Wu Limei Wang Hong Zhou Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure The Clinical Respiratory Journal chronic hypercapnic respiratory failure COPD inhalation therapy noninvasive ventilation pulmonary rehabilitation |
| title | Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure |
| title_full | Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure |
| title_fullStr | Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure |
| title_full_unstemmed | Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure |
| title_short | Effect of Precise Pulmonary Rehabilitation Nursing Intervention Combined With Simultaneous Inhalation Therapy and Noninvasive Ventilation for Chronic Obstructive Pulmonary Disease Patients With Chronic Hypercapnic Respiratory Failure |
| title_sort | effect of precise pulmonary rehabilitation nursing intervention combined with simultaneous inhalation therapy and noninvasive ventilation for chronic obstructive pulmonary disease patients with chronic hypercapnic respiratory failure |
| topic | chronic hypercapnic respiratory failure COPD inhalation therapy noninvasive ventilation pulmonary rehabilitation |
| url | https://doi.org/10.1111/crj.70049 |
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