全程无缝隙护理在顽固性慢性支气管炎中的应用效果

Application effect of whole-course seamless nursing in patients with refractory chronic bronchitis

目的探讨顽固性慢性支气管炎患者治疗期间实施全程无缝隙护理的效果。方法选取2019年7月至2020年2月在解放军联勤保障部队第九六〇医院诊治的顽固性慢性支气管炎患者88例作为研究对象,采用随机数字表法分为观察组和对照组,每组44例。对照组行常规护理,观察组行全程无缝隙干预,两组护理干预均实施至患者出院。评估两组患者健康行为、护理满意度及生活质量改善情况。结果观察组干预后健康行为(健康饮食、遵医嘱用药、情绪调控、适度运动)所占比例均高于对照组,差异均有统计学意义(P<0.01)。观察组护理技能、健康教育、服务热情、关爱与沟通及病区管理满意度评分均高于对照组,差异均有统计学意义(P<0.01)。干预前,两组患者生活质量评分比较,差异均无统计学意义(P>0.05);观察组干预后生活质量(QOL)指数心理状况、躯体症状、自理能力、社会关系评分均高于对照组,差异均有统计学意义(P<0.01)。结论顽固性慢性支气管炎患者治疗期间同时给予全程无缝隙干预,可明显改善患者的不良行为习惯,养成健康行为,提升护理满意度,促进患者生活质量得到更理想改善。

Objective To evaluate the effect of whole-course seamless intervention on refractory chronic bronchitis patients during treatment.Methods From July 2019 to February 2020,a total of 88 patients with refractory chronic bronchitis were selected in 960 Hospital of PLA and divided into two groups using a random number table.The control group(n=44)received routine nursing cooperation during the treatment,while the observation group(n=44)received seamless intervention throughout the treatment.Nursing interventions were carried out in both groups until the patients were discharged.The improvements of health behavior,nursing satisfaction and life quality of patients were observed.Results The proportion of healthy behavior(healthy diet,medication,emotion regulation and moderate exercise)in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.01).The scores of nursing skill,health education,service enthusiasm,care and communication,and satisfaction of ward management in the observation group were higher than those in the control group(P<0.01).The quality of life scores of psychological status,physical symptoms,self-care ability,and social relationship in the observation group were significantly higher than those in the control group(all P<0.01).Conclusion Patients with refractory chronic bronchitis should be treated with whole-course seamless intervention which could obviously improve the health behavior of patients,the degree of nursing satisfaction,and the quality of life of patients.