摘要
目的:探讨专项护理干预在布地奈德雾化吸入治疗慢阻肺(COPD)患者中的应用效果。方法:选取医院2021年3月—2024年3月期间住院部收治的100例COPD患者,患者入院后均接受常规对症支持治疗,并予吸入用布地奈德混悬液雾化吸入治疗。依据随机数字表法分为对照组和观察组,各50例。对照组治疗期间接受常规护理,观察组接受专项护理干预,比较两组干预前、干预7 d结束的肺功能[用力肺活量(FVC)、呼气峰值流速(PEF)及第1秒用力呼气容积(FEV_(1))]、护理依从性(自制依从性调查表评估)、自护能力[自护能力测定量表(ESCA)]。结果:两组干预7 d结束的FVC、PEF及FEV_(1)水平均较干预前升高,且观察组高于对照组(P<0.05)。观察组护理依从性整体情况优于对照组,总依从率高于对照组(P<0.05)。两组干预后ESCA各维度评分较干预前升高,且观察组高于对照组(P<0.05)。结论:于COPD患者行布地奈德雾化吸入治疗期间施加专项护理,可进一步促进患者肺功能水平优化,增强其护理依从性及自护能力。
Objective:To explore the application effect of special nursing intervention for patients with chronic obstructive pulmonary disease during budesonide atomization inhalation treatment period.Methods:A total of 100 patients with COPD admitted to the inpatient department of the hospital from March 2021 to March 2024 were selected.After admission,all patients received routine symptomatic support treatment and inhaled budesonide suspension atomization inhalation treatment.According to the random number table method,they were divided into control group and observation group,with 50 patients in each group.The control group received routine nursing during treatment,and the observation group received special nursing intervention.The pulmonary function[forced vital capacity(FVC),peak expiratory flow(PEF)and forced expiratory volume in the first second(FEV_(1))],nursing compliance(self-made compliance questionnaire evaluation)and self-care ability[Exercise of Self-care Agency Scale(ESCA)]were compared between the two groups before intervention and at the end of 7 days of intervention.Results:The levels of FVC,PEF and FEV_(1)in the two groups at the end of 7 days of intervention were higher than those before intervention,and those in the observation group were higher than those in the control group(P<0.05).The overall nursing compliance of the observation group was better than that of the control group,and the total compliance rate was higher than that of the control group(P<0.05).After intervention,the scores of each dimension of ESCA in the two groups were higher than those before intervention,and those in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of special nursing during the treatment of budesonide atomization inhalation in patients with COPD can further promote the optimization of patients'lung function level and enhance their nursing compliance and self-care ability.
作者
余丛歌
高晓军
魏迎东
丁军红
YU Congge;GAO Xiaojun;WEI Yingdong;DING Junhong(Department of Respiratory Medicine,the First People's Hospital of Pingdingshan,Pingdingshan 467021,Henan,China)
出处
《中国药物滥用防治杂志》
CAS
2024年第7期1370-1374,共5页
Chinese Journal of Drug Abuse Prevention and Treatment
基金
河南省科技攻关项目(编号:20211524)。
关键词
慢性阻塞性肺疾病
布地奈德
雾化吸入
专项护理
肺功能
依从性
Chronic obstructive pulmonary disease
Budesonide
Nebulization inhalation
Special nursing
Lung function
Compliance
