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題 名 | 鬆弛運動對慢性阻塞性肺疾病病患呼吸器脫離時呼吸困難及焦慮成效探討=Effect of Relaxation on Dyspnea and State Anxiety in Copd Patients during Weaning Ventilator |
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作 者 | 張玲華; 顧乃平; 吳清平; 伍志祥; | 書刊名 | 醫學研究 |
卷 期 | 18:2 1997.09[民86.09] |
頁 次 | 頁72-84 |
分類號 | 415.428 |
關鍵詞 | 慢性阻塞性肺疾病病患; 呼吸器脫離試驗; 呼吸困難; 焦慮; 漸進式肌肉鬆弛運動; Chronic obstructive pulmonary disease; Weaning ventilator; Dyspnea; Anxiety; Progressive muscular relaxing exercise; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究為準實驗性研究,目的在探討護理措施"漸進式肌肉鬆弛運動 "對慢性阻塞性肺疾病病患呼吸器脫離試驗過程中呼吸困難程度與焦慮程度的影 響。綜合九位病患的研究資料結果得到以下結論:(一)、病患於平常呼吸器使用 時,其呼吸困難程度及焦慮程度相對比較是屬於中低程度,此時病患一旦進行 呼吸器脫離試驗,其呼吸困難程度中的呼吸困難主觀感受會明顯增高、呼吸速 率亦加快、呼吸淺快指標亦會增高、呼吸輔助肌使用的情形亦較平常時為明顯, 此外,焦慮程度的得分亦較平常時明顯增高。(二)、在呼吸器脫離試驗過程中, 以"呼吸困難主觀感受達70分"做為病患呼吸困難可耐受程度的評估指標,是病 患生理能接受的安全範圍。(三)、呼吸器脫離試驗中,漸進式肌肉鬆弛運動的 提供執行,能有效緩解病患的呼吸困難主觀感受、呼吸速率、呼吸輔助肌的使 用、呼吸淺快指標及焦慮程度,並且病患在第一次接受執行漸進式肌肉鬆弛運 動時,其生理狀況即可達鬆弛狀態。(四)、呼吸器脫離試驗中,病患不論是以 何種壓力支持點來進行呼吸器脫離試驗,只要是在呼吸困難主觀感受77分的範 圍內,其所造成之不同程度的焦慮以及因心理焦慮所導致的呼吸困難,均可因 漸進式肌肉鬆弛運動的提供執行而抵消。 |
英文摘要 | The purpose of this quasi-experimental study is to explore the effect of "progressive muscular relaxing exercise" on dyspnea and state anxiety level with chronic obstructive pulmonary disease (COPD) patients during ventilator weaning process. Nine patients with COPD were studied in this research and the study finding were (1). Patients on mechanical ventilation had relatively mode-rate degree of dyspnea and anxiety level. However, the sensation of dyspnea, respiratory rate, rapid-shallow index, and use of accessory muscles increased significantly during ventilator weaning. Besides, significant increase in patient's anxiety level was noticed also. (2). It was physiologically acceptable and safe to use "Visual Analog Scale (VAS) < 70" as an indicator to evaluate patient's tolerance to dyspnea during ventilator weaning process. (3). Providing "progre-ssive muscular relaxing exercise" during ventilator weaning was able to relieve sensation of dyspnea, anxiety, decrease respiratory rate, rapid-shallow index, and frequency use of accessory muscles. Patients can get physiological relaxation even when they were taught to try "progressive muscular relaxing exercise" initially. (4). It was approved in this study that the anxiety level and sensation of dyspnea induced by anxiety can be relieved by "progressive muscular relaxing exercise" if the VAS was less than 77, no matter what kind pressure level of ventilator weaning was used. |
本系統中英文摘要資訊取自各篇刊載內容。