Truesdell S
Division of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Detroit, MI, USA.
Medsurg Nurs. 2000 Aug;9(4):178-82.
The most disabling and frightening symptom experienced by patients with COPD is dyspnea. Even with the use of bronchodilators, the symptom may not be completely relieved. Patients often develop their own strategies for managing shortness of breath, including the use of a breathing technique called pursed-lip breathing. Although most nurses are familiar with this breathing technique, they often have difficulty assisting patients to use it during acute episodes of shortness of breath. A strategy is described which nurses can use to assist patients in implementing pursed-lip breathing effectively during episodes of acute dyspnea.
慢性阻塞性肺疾病(COPD)患者经历的最使人丧失能力且令人恐惧的症状是呼吸困难。即使使用支气管扩张剂,该症状也可能无法完全缓解。患者常常会自行制定应对呼吸急促的策略,包括采用一种名为缩唇呼吸的呼吸技巧。尽管大多数护士都熟知这种呼吸技巧,但在患者呼吸急促急性发作期间,他们往往难以协助患者运用该技巧。本文描述了一种策略,护士可利用该策略协助患者在急性呼吸困难发作期间有效实施缩唇呼吸。