摘要
[目的]探讨专科延续性护理在重叠综合征病人治疗中的效果。[方法]选取我院52例重叠综合征病人为研究对象,在知情同意基础上按照数字表法随机分为观察组和对照组,每组26例。住院期间两组均按照呼吸内科护理常规进行护理,出院后对照组进行常规出院指导和健康宣教,观察组在对照组基础上,制定个体化专科延续性护理方案;出院时和随访6个月后,以视觉模拟评分法(VAS)进行呼吸困难程度评分,以90项症状自评量表(SCL-90)进行心理状态评分,采用多导睡眠监测仪(PSG)检测呼吸暂停低通气指数(AHI)、最长呼吸暂停时间和睡眠期最低血氧饱和度,采用肺功能机检测用力肺活量(FVC)、一秒钟用力呼气容积(FEV_1)、一秒率(FEV_1/FVC)及最大通气量(MVV)。[结果]出院6个月,VAS评分观察组与本组出院时、与对照组同期比较均明显降低(P<0.05),SCL-90评分观察组与本组出院时比较明显降低(P<0.05);呼吸暂停低通气指数(AHI)、最长呼吸暂停时间、睡眠期最低血氧饱观察组与本组出院时和与同期对照组比较均显著好转(P<0.05);对照组FVC、FEV_1与出院时比较差异无统计学意义(P>0.05),而FEV_1/FVC和MVV有明显改善(P<0.05),观察组FEV_1、FEV_1/FVC及MVV与本组出院时和与同期对照组比较均有显著改善(P<0.05)。[结论]专科延续性护理能够有效缓解重叠综合征病人病情的严重程度,改善病人的生存质量。
Objective:To explore the application effect of specialist continuous nursing in the treatment of patients with overlapping syndrome.Methods:A total of 52 patients with overlapping syndrome in our hospital were selected as the study subjects.On the basis of informed consent,they were randomly divided into observation group and control group according to the digital table method.Two groups of patients received routine nursing care during the hospital stay.After discharge,the patients in control group received routine discharge guidance and health education,while the patients in observation group received the individualized specialist continuous care scheme and follow up after 6 months.The Visual Analogue Scale(VAS)was used to assess the respiratory difficulty;the psychological status score was performed on The Symptom Checklist 90(SCL 90);Polysomnography(PSG)was used to detect apnea hypopnea index(AHI),maximum apnea time and minimum oxygen saturation during sleep.Pulmonary function machine was used to detect forced vital capacity(FVC),1 second forced expiratory volume(FEV 1),one second rate(FEV 1/FVC),and maximum air volume(MVV).Results:Six months after discharge,the VAS score in observation group was significantly reduced compared with that at the discharge time and that in control group(P<0.05).The SCL 90 score in observation group was significantly reduced compared with that at the discharge time(P<0.05).There was statistically significant improvements in the AHI,the longest apnea time,and the lowest oxygen saturation of blood during sleep in observation group compared with that in control group at the discharge time(P<0.05).There was no statistically significant difference in FVC and FEV 1 in control group compared with t hat at the discharge time(P>0.05),while FEV 1/FVC and MVV were significantly improved(P<0.05).In observation group,FEV 1,FEV 1/FVC and MVV were improved significantly compared with that at the discharge time and that in control group(P<0.05).Conclusions:specialist continuous nursing could effe
作者
夏广惠
唐瑶
曹岚
薛静
Xia Guanghui;Tang Yao;Cao Lan(Nanjing Chest Hospital,Medical School of Southeast University,Jiangsu 210029 China)
出处
《护理研究》
北大核心
2018年第20期3240-3243,共4页
Chinese Nursing Research
基金
南京市医学科技发展项目
编号:YKK15168
