Volume 23 Issue 6
Jun.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(6): 1076-1080
DONG Sizhen, ZHU Jianjun, LU Yaer. Application of emergency green channel optimization combined with multidisciplinary collaborative nursing in the treatment of patients with acute exacerbation of COPD and respiratory failure[J]. Chinese Journal of General Practice, 2025, 23(6): 1076-1080. doi: 10.16766/j.cnki.issn.1674-4152.004068
Citation: DONG Sizhen, ZHU Jianjun, LU Yaer. Application of emergency green channel optimization combined with multidisciplinary collaborative nursing in the treatment of patients with acute exacerbation of COPD and respiratory failure[J]. Chinese Journal of General Practice, 2025, 23(6): 1076-1080. doi: 10.16766/j.cnki.issn.1674-4152.004068
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Application of emergency green channel optimization combined with multidisciplinary collaborative nursing in the treatment of patients with acute exacerbation of COPD and respiratory failure

doi: 10.16766/j.cnki.issn.1674-4152.004068

  • Emergency Department, the Second People's Hospital of Yuhang District, Hangzhou, Zhejiang 311121, China

Funds:

 2024XY019

  • Received Date: 2024-08-17
    Available Online: 2025-09-04
    Abstract
  •   Objective  To explore the application of emergency green channel optimization combined with multidisciplinary collaborative nursing in the treatment of critically ill patients with acute COPD exacerbation (AECOPD) and respiratory failure, which can be life-threatening if not treated in time, so as to provide theoretical reference for improving the survival rate and emergency nursing level of critically ill patients.  Methods  A total of 101 patients with AECOPD and respiratory failure who were treated in the emergency department of the Second People's Hospital of Yuhang District, Hangzhou City from January 2022 to December 2023 were selected as the research subjects. According to the order of admission, 50 patients treated from January 2022 to December 2022 were recorded as the control group Group, implement emergency nursing intervention in the traditional mode; From January 2023 to December 2023, 51 patients treated were recorded as the observation group and implemented the optimization of the emergency green channel combined with multidisciplinary collaborative nursing intervention. The rescue effects, blood gas indicators, nursing quality and the nursing satisfaction of patients' families were compared between the two groups.  Results  The time of venous channel establishment, auxiliary examination, treatment plan determination, rescue intervention, and emergency stay in the observation group were all shorter than those in the control group (P < 0.05). The success rate of rescue was 98.04% (50/51), which was higher than that of the control group [84.00% (42/50), P < 0.05], and the accident rate was 1.96% (1/51), which was slightly lower than that of the control group [14.00% (7/50), P>0.05]. Arterial partial oxygen pressure (PaO2), oxygenation index (PaO2/FiO2), and blood oxygen saturation (SaO2) were higher than those in the control group (P < 0.05). The scores of all dimensions of nursing quality were higher than those of the control group (P < 0.05). The nursing satisfaction of family members was higher than that of the control group (P < 0.05).  Conclusion  Emergency green channel optimization combined with multidisciplinary collaborative nursing can shorten the hospital rescue response time of patients with AECOPD and respiratory failure, improve the treatment effect, improve blood gas index and nursing quality, and enhance the nursing satisfaction of family members.

     

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