The application of county-level ICU stepwise early pulmonary rehabilitation based on the 4E model in patients with AECOPD
基于4E模式的县域ICU阶梯式早期肺康复在AECOPD患者中的应用

摘要

目的 将基于4E模式的县域ICU阶梯式早期肺康复用于AECOPD患者中，对其应用价值进行探究。 方法 选取2025.4~10本院ICU收治的AECOPD患者，随机分组，对照组49例行常规护理，观察组50例行基于4E模式的县域ICU阶梯式早期肺康复，对两组干预结果进行比较。结果 干预前，两组FEV1、FVC、6MWT比较，不具显著差异（P>0.05），干预后，观察组各指标水平更高（P<0.05）；干预前，两组CAT、Borg评分比较，不具显著差异（P>0.05），干预后，观察组各评分更低（P<0.05）；两组护理满意度比较，观察组94.00%更高（P<0.05）。结论 对ICU收治的AECOPD患者来说，实施基于4E模式的县域ICU阶梯式早期肺康复可改善患者肺功能，提高运动耐受，改善病情，缓解呼吸困难症状，还可提高护理满意度，具有较高应用价值。

Abstract

Objective To explore the application value of the stepwise early pulmonary rehabilitation in county-level ICUs based on the 4E model in patients with AECOPD.
Methods AECOPD patients admitted to the ICU of our hospital from April to October 2025 were selected and randomly grouped. 49 patients in the control group received routine care, and 50 patients in the observation group received stepwise early pulmonary rehabilitation in the county-level ICU based on the 4E model. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in FEV1, FVC and 6MWT between the two groups (P>0.05). After the intervention, the levels of each index in the observation group were higher (P<0.05). Before the intervention, there was no significant difference in the CAT and Borg scores between the two groups (P>0.05). After the intervention, the scores of each group in the observation group were lower (P<0.05). The comparison of nursing satisfaction between the two groups showed that 94.00% was higher in the observation group (P<0.05).
Conclusion   For AECOPD patients admitted to the ICU, the implementation of the county-level ICU stepwise early pulmonary rehabilitation based on the 4E model can improve the lung function of patients, enhance exercise tolerance, improve the condition, relieve dyspnea symptoms, and also increase nursing satisfaction, which has high application value.