Chronic bronchitis is more common in the middle-aged and elderly, with repeated coughing, sputum, asthma as a typical symptom, reduce lung function at the same time, the patient's diet and sleep will have a certain negative impact on the patient, adding to the patient discomfort.
Today, we will focus on the care of chronic bronchitis in remission, to help ease the symptoms of wheezing and coughing, and to protect your lungs.
01
Psychology
The patient, due to the chronic recurrence of symptoms such as coughing, coughing and sputum, inevitably lose confidence in the treatment and recovery of the patient's quality of life declined substantially. For this reason, we need the cooperation of the patient's family, *** with the patient psychological comfort, popularize the knowledge of chronic bronchitis, so that the patient has a correct understanding of the disease, set up to overcome the confidence of the disease.
02
Quit Smoking
Research has shown that smoking has a close relationship with the occurrence of this disease, the longer the time of smoking, the more the smoke, the higher the prevalence of the disease. For patients with chronic bronchitis, on the one hand, they are required to quit smoking, and on the other hand, they have to avoid passive secondhand smoke.
Because tobacco contains tar, nicotine and cyanuric acid and other chemicals, can damage the airway epithelial cells, resulting in increased mucus secretion, mucosal congestion and edema, causing the patient's bronchial spasms, airflow restriction.
03
Effective Coughing
Learn how to cough effectively to expel phlegm. Take a deep breath and cough 2/3 of the way through the expiratory phase, and repeat this several times. Deep breathing can help to cough up small amounts of mucus from the bottom of the lungs, which helps the inflammation to dissipate and disappear.
For those who are unable to cough up sputum, you can ask your family members to help you knock on the back: flex your fingers, put your fingers together, Knock on the back of the patient's back with the empty palm, and tap the back of the patient from the bottom to the top, from the periphery to the center, and then knock on the back of the patient's back for 3-5 minutes.
04
Home oxygen
Families with the conditions can buy home oxygen machine , give long-term home oxygen therapy, can improve symptoms, relieve respiratory distress, and improve the quality of life.
Home oxygen therapy can improve symptoms and relieve breathing difficulties, thus improving the quality of life of patients. Strong> Respiratory muscle function exercise
Abdominal, lip-contracted breathing: The patient to take a standing position or sitting position, one hand on the chest, one hand on the abdomen, inhale through the nose, it is best to hold the breath for a few moments and then exhale; exhalation, the lips shrinking like a flute-like, slowly blowing, while the contraction of the abdomen, the expiration time should be More than the inhalation time, generally 2~3:1, can be carried out 2~3 times a day, each time 10~20 min.
Pressure chest breathing: two arms upward inhalation, two hands crossed, thumbs toward the back, the rest of the limbs pressed on the bottom of the ribs on both sides, the torso tilted forward to exhale, or two arms upward inhalation, both hands down, the torso tilted forward to exhale.
These are the first steps in the process.
Internally Nurturing: Take a seated position or lying down, jaw slightly downward, eyes slightly closed, thoughts focused, exclude distractions, natural breathing plus abdominal breathing, consciously slow down the breathing frequency. Chronic bronchitis is an irreversible organic change that cannot be cured, but active prevention and care, treatment can slow the progress of the disease and avoid complications. As chronic bronchitis patients are older and more likely to be at home after treatment, avoiding risk factors and predisposing factors is particularly important for disease control. References: [1] Song Chunhong. Community nursing experience of patients with chronic bronchitis[J]. Journal of Nursing Advancement,2017,32(5):433-434.DOI:10.16821/j.cnki.hsjx.2017.05.015.