AECOPD围出院期管理与随访指南的循证实践研究

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中图分类号：R473.56 文献标识码：A DOI： 10.3969/j .issn.1006-7256.2026.01.001 文章编号：1006-7256（2026）01-0001-07

Researchontheevidence-basedpracticeofguidelinesforperi-dischargemanagementandfolow-upofpatientswithacuteexacerbationof COPD

Cheng Guilin，Wang Tao，Qi Henan，et al （QiluHospital ofShandongUniversity，Jinan25oo12，China）

【Abstract】Objective：Toimplementevidence-basedpracticebasedotheguidelinesforperi-dischargemanagementandfolow-upof patients withacuteexacerbationofchroicobstructivepulmoarydisease（AECoPD）soastoensurethsientificandefectivealicationoftheguidelinsincliicalpractice.Methods：Anevidence-basedpracticetamsestablisdtoonstructeviewindicatoser valuatingealabilitfommedatiosfdelinalytromoigctosdtaclestoal plementationofteudelines，nduildastrategforhange.emplementatiorateofterviewidicatos，theowledgaitd practicelevelofdencebedpractieofedicalstaf，tdicationoplaneofOpatits，kowledgeatiude-practie elof pulmonaryhablitationandtesoreofealtrelatedkowledgelevelofpatientsrecomparedbeforeandaftertepactice.Results：Atotalof6medicalstaffand72patintswereicluded.Theiplementationrateof17indicatorsforreviewwassigniicantlyincreased after the evidence-based practice（ P<0.01 ），and there was no significant difference in the implementation rate of index 8 before and after the practice（ P=0.069 ）.The knowledge-attitude-practice level of evidence-based practice of medical staff was significantly improved after the practice（ P<0.001 ）. The medication compliance of patients was improved（ P<0.001 ），and their knowledge-atitude-practice of pulmonary rehabilitation was significantly improved（ P<0.001 ），the level of health-related knowledge was higher than that before practice（ P<0.001 ）. Conclusion：Theapplication of the guideline-based peri-discharge management and early folow-up nursing plan for AECOPDpatientsinclinicalpracticecanimprovethimplementatioateofreviewindicatorsadthelevelofknowledgeatitude-practice ofevidence-basedpacticeofdicalstafndectivelyimproveteedcationcoplance，televelofpumoaryhabliationoedgeand helevelofhealth-related knowledgeofpatientsafterdischarge，theself-managementabilityofpatientscanbeimproved.

【Key Words】COPD; Peri-discharge period;Follow-up;Evidence-based practice

慢性阻塞性肺疾病（COPD）是一种以持续性、进行性加重的气流受限为主要特征的异质性呼吸系统疾病[1]。（剩余9797字）