已发表论文
慢性阻塞性肺病的电子健康档案和护理管理的改善
Abstract: This paper identifies evolving trends in the diagnosis and treatment of
chronic obstructive pulmonary disease (COPD), and recommends the integration of
nursing strategies in COPD management via widespread implementation of
electronic health records. COPD is a complex lung disease with diverse origins,
both physical and behavioral, manifested in a wide range of symptoms that
further increase the patient’s risk for comorbidities. Early diagnosis and
effective management of COPD require monitoring of a dizzying array of COPD
symptoms over extended periods of time, and nurses are especially well
positioned to manage potential progressions of COPD, as frontline health care
providers who obtain, record, and organize patient data. Developments in
medical technology greatly aid nursing management of COPD, from the deployment
of spirometry as a diagnostic tool at the family practice level to newly
approved treatment options, including non-nicotine pharmacotherapies that
reduce the cravings associated with tobacco withdrawal. Among new medical technologies,
electronic health records have proven particularly advantageous in the
management of COPD, enabling providers to gather, maintain, and reference more
patient data than has ever been possible before. Thus, consistent and
widespread implementation of electronic health records facilitates the
coordination of diverse treatment strategies, resulting in increased positive
health outcomes for patients with COPD.
Keywords: COPD, epidemiology,
risk factors, pathology, comorbidities, exacerbations, management