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CICARE护理沟通对急性支气管炎患者血清IL-10、IL-6、IL-4、IL-2水平及肺功能改善的影响

Effect of CICARE nursing communication on improvement of serum IL-10, IL-6, IL-4, IL-2 levels and lung function of patients with acute bronchitis.

作者信息

Jiang Yunqin, Xia Meili, Jiang Fanghui

机构信息

Outpatient Treatment Room, The First People's Hospital of Wenling, Wenling, China.

Rehabilitation Ward cum Outpatient Injection Room, Wenling Fifth People's Hospital, Wenling, China.

出版信息

Ann Thorac Med. 2025 Jul-Sep;20(3):183-190. doi: 10.4103/atm.atm_197_23. Epub 2024 Oct 15.

Abstract

OBJECTIVE

The objective of the study was to investigate the impact of CICARE communication nursing on the improvement of serum interleukin-10 (IL-10), interleukin-6 (IL-6), interleukin-4 (IL-4), and interleukin-2 (IL-2) and lung function in outpatients with acute bronchitis (AB).

METHODS

One hundred and twenty suffers with AB who are treated in the outpatient department during Revised to 2021 to March 2023 are chosen and grouped according to the time of admission and different nursing practices. The control group consists of 60 patients from March 2021 to March 2022 who receive routine outpatient care; the experimental group consists of 60 patients from April 2022 to March 2023, and CICARE communication nursing is implemented additionally. Before and after intervention, the cognitive level of self-care knowledge, the level of peripheral blood inflammatory factors, and the improvement of lung function are compared.

RESULTS

Before intervention, there were no remarkable differences in self-care knowledge cognition scores, peripheral blood inflammatory factors, and lung function levels between them ( > 0.05). After intervention, the cognitive scores of treatment coordination, medication method, daily attention, diet, and activity in experimental groups are superior to control group ( < 0.05). The levels of IL-10, IL-6, IL-4, and IL-2 in test groups are inferior to control group ( < 0.05). Forced vital capacity, forced expiratory volume in 1 s, maximum air volume, and peak flow rate in test groups are superior to control group ( < 0.05).

CONCLUSION

CICARE communication nursing can improve the cognition level of self-care knowledge of patients with AB, reduce the inflammatory response of the body, and promote the recovery of lung function.

摘要

目的

本研究旨在探讨关怀沟通护理(CICARE沟通护理)对改善急性支气管炎(AB)门诊患者血清白细胞介素-10(IL-10)、白细胞介素-6(IL-6)、白细胞介素-4(IL-4)、白细胞介素-2(IL-2)水平及肺功能的影响。

方法

选取2021年修订版至2023年3月期间在门诊接受治疗的120例AB患者,根据入院时间和不同护理方式进行分组。对照组由2021年3月至2022年3月期间接受常规门诊护理的60例患者组成;实验组由2022年4月至2023年3月期间的60例患者组成,额外实施CICARE沟通护理。干预前后,比较自我护理知识认知水平、外周血炎症因子水平及肺功能改善情况。

结果

干预前,两组患者在自我护理知识认知得分、外周血炎症因子及肺功能水平方面无显著差异(P>0.05)。干预后,实验组在治疗配合、用药方法、日常注意事项、饮食及活动方面的认知得分优于对照组(P<0.05)。实验组中IL-10、IL-6,、IL-4和IL-2水平低于对照组(P<0.05)。实验组的用力肺活量、第1秒用力呼气量、最大通气量及呼气峰流速优于对照组(P<0.05)。

结论

CICARE沟通护理可提高AB患者自我护理知识的认知水平,减轻机体炎症反应,促进肺功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b1/12333964/f27c620cf5ec/ATM-20-183-g002.jpg

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