摘要
目的探究综合评估护理对老年慢性阻塞性肺疾病患者康复过程及肺功能的影响。方法选取南通市第六人民医院2019年4月至2022年4月收治的92例老年慢性阻塞性肺疾病患者作为研究对象,按照数字表法随机分成2组,每组各46例,对照组采用常规护理措施,观察组应用老年综合评估护理,对比2组患者干预前后生命质量、肺功能水平及自我管理能力。结果干预前,观察组和对照组患者圣乔治呼吸问卷量表(St George’s breath questionnaire,SGRQ)、各肺功能指标、自我管理能力量表比较,差异均无统计学意义(P>0.05);干预后,观察组患者SGRQ、用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积与用力肺活量比值(forced expiratory volume/forced vital capacity,FEV1/FVC)、最大通气量(maximum ventilation volume,MVV)、肺一氧化碳弥散量(diffusion volume of carbon monoxide,DLCO)均高于对照组(P<0.05)。对照组患者自我管理能力量表中认知管理评分(疾病知识认知、情绪认知)和行为管理评分(控制诱因、饮食、疾病监测)均比观察组低(P<0.05)。结论老年慢性阻塞性肺疾病患者采用老年综合评估护理,可有效改善其生命质量,提高肺功能,增强自我管理能力。
Objective To explore the effects of comprehensive evaluation and nursing on the rehabilitation and lung function of elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 92 elderly COPD patients admitted to Sixth People’s Hospital of Nantong from April 2019 to April 2022 were divided into two groups according to the random number table,with 46 patients in each group.The control group adopted routine nursing and the observation group received comprehensive evaluation and nursing.The quality of life,lung function and self⁃management ability of the two groups were compared.Results There was no significant difference in each parameter between the two groups before the intervention(P>0.05).After the intervention,the SGRQ,the forced vital capacity(FVC),the ratio of forced expiratory volume in one second to vital capacity(FEV1/FVC),the maximum ventilation volume(MVV)and the diffusion volume of carbon monoxide(DLCO)in the observation group were significantly higher than those in the control group(P<0.05).The scores of cognitive management(disease knowledge cognition,emotional cognition)and behavioral management(control of inducement,diet,disease monitoring)in the control group were significantly lower than those in the observation group(P<0.05).Conclusion The comprehensive evaluation and nursing for the elderly COPD patients can effectively improve their quality of life and lung function and enhance their self⁃management ability.
作者
张焱梅
潘甜甜
於雯雯
曹静
王烨楠
吴静静
谢小敏
Zhang Yanmei;Pan Tiantian;Yu Wenwen;Cao Jing;Wang Yenan;Wu Jingjing;Xie Xiaomin(Respiratory Department,Sixth People’s Hospital of Nantong,Nantong 226000,China)
出处
《海军医学杂志》
2024年第2期204-208,共5页
Journal of Navy Medicine
基金
江苏省333高层次人才工程项目(BRA2019078)。
关键词
老年综合评估
护理
慢性阻塞性肺疾病
康复过程
肺功能
Comprehensive geriatric assessment
Nursing
Chronic obstructive pulmonary disease
Rehabilitation
Pulmonary function
