摘要
目的观察评价延续性护理(Continuous care,CC)对慢性阻塞性肺疾病(COPD)患者的康复依从性、肺功能(Pulmonary function,PF)及生活质量(QOL)的应用效果。方法 选择2015年5月至2017年10月本院收治的慢性阻塞性肺疾病(COPD)患者122例,按照数字表法随机分为两组,各61例。对照组给予常规基础性护理;观察组在对照组基础上实施延续性护理干预,并比较两组出院后的临床效果。结果 护理后,观察组PaO2、FEV1、PEF指标分别为(76.85±5.54)mmHg、(68.19±16.72)%、(65.87±13.92)%,均显著高于对照组,而PaCO2指标(41.94±3.39)mmHg,显著低于对照组,差异均有统计学意义(均P<0.05);护理前,两组患者QOL水平评分比较,差异均无统计学意义(均P>0.05);护理后,观察组食欲、睡眠状态、精神状态、躯体感觉及健康感觉评分分别为(78.37±19.25)分、(81.07±16.51)分、(66.37±19.75)分、(72.71±16.28)分、(89.01±4.83)分,均显著高于对照组,差异均有统计学意义(均P<0.05);观察组护理满意度96.72%,明显高于对照组80.33%,差异有统计学意义(P<0.05)。结论 延续性护理(CC)对慢性阻塞性肺疾病(COPD)患者能够显著改善肺功能各项指标,有效提高了QOL水平及护理满意度,值得临床护理大力推广应用。
Objective To evaluate the effect of continuous care on rehabilitation compliance, pulmonary function, and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 122 patients with COPD admitted to our hospital from May, 2015 to October, 2017 were randomly divided into a control group and an observation group according to the digital table method, 61 for each group. The control group were given routine basic nursing;in addition, the observation group underwent continuous nursing intervention. The clinical effects of the two groups after discharge were compared. Results After the nursing care, the PaO2, FEV1, PEF, and PaCO2 were (76.85±5.54) mmHg,(68.19±16.72)%,(65.87±13.92)%, and (41.94±3.39) mmHg in the observation group, which were significantly better than those in the control group (all P < 0.05). There were no statistical differences in the QOL scores between the two groups before the nursing care (all P > 0.05). After the nursing intervention, the scores of appetite, sleep state, mental state, physical sensation, and health were (78.37±19.25),(81.07±16.51),(66.37±19.75),(72.71±16.28), and (89.01±4.83) in the observation group, which were significantly higher than those in the control group (all P < 0.05). The satisfaction 96.72% in the observation group, and 80.33% in the control group (P < 0.05). Conclusion Continuing care for patients with COPD can significantly improve their lung function, quality of life, and nursing satisfaction, so it is worth for popularization and application in clinical nursing.
作者
陈卓莲
陈冰凌
林伟嫦
彭燕飞
黎妙开
梁柳娟
Chen Zhuolian;Chen Bingling;Lin Weichang;Peng Yanfei;Li Miaokai;Liang Liujuan(Department of Emergency, Luoding People's Hospital, Luoding 527200,China)
出处
《国际医药卫生导报》
2019年第16期2666-2669,共4页
International Medicine and Health Guidance News
基金
云浮市医学科学技术研究基金(2013B42).
关键词
慢性阻塞性肺疾病
延续性护理
肺功能
生活质量
Chronic obstructive pulmonary disease
Continuous care
Lung function
Quality of life
