Application of the "5E+4C" rehabilitation nursing model based on MDT platform in respiratory rehabilitation of patients with acute exacerbation of chronic obstructive pulmonary disease in Enshi ethnic minority areas
基于MDT平台下的“5E+4C”康复护理模式在恩施少数民族地区慢性阻塞性肺疾病急性加重期患者呼吸康复中的应用

摘要

目的 探析恩施少数民族地区慢性阻塞性肺疾病（COPD）急性加重期患者呼吸康复中采取基于MDT平台下的“5E+4C”康复护理的效果。方法 将我院近2年内（2023年1月-2025年1月）收治的120例恩施少数民族地区慢性阻塞性肺疾病急性加重期患者按照护理方法差异分为参考组（常规护理；n=60）和实验组（基于MDT平台下的“5E+4C”康复护理；n=60）。2组效果验证方法为对比肺功能指标及血气指标。结果 肺功能、血气指标数据对比显示，护理后实验组均显优于参考组（P＜0.05）。结论 恩施少数民族地区COPD急性加重期患者呼吸康复中行基于MDT平台下的“5E+4C”康复护理可显著改善患者肺功能及血气指标，该护理模式可推广于临床。

Abstract

Objective To explore the effect of "5E+4C" rehabilitation nursing based on MDT platform in respiratory rehabilitation of patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) in ethnic minority areas of Enshi.
Methods 120 patients with acute exacerbation of chronic obstructive pulmonary disease in Enshi ethnic minority areas admitted to our hospital in the past 2 years (January 2023 January 2025) were divided into a reference group (conventional nursing; n=60) and an experimental group ("5E+4C" rehabilitation nursing based on MDT platform) according to differences in nursing methods; n=60）. The two methods for verifying the effectiveness are to compare lung function indicators and blood gas indicators.
Results The comparison of lung function and blood gas index data showed that the experimental group was significantly better than the reference group after nursing (P<0.05).
Conclusion   The "5E+4C" rehabilitation nursing based on MDT platform in respiratory rehabilitation of COPD patients with acute exacerbation in ethnic minority areas of Enshi can significantly improve patients' lung function and blood gas indicators. This nursing model can be promoted in clinical practice.