护理干预对慢性阻塞性肺疾病患者稳定期家庭氧疗依从性的影响

Effect of nursing intervention on the compliance of family oxygen therapy of COPD patients in stable phase

目的探讨慢性阻塞性肺疾病（COPD）患者稳定期采取护理干预措施对家庭氧疗依从性的影响。方法采用自行设计的问卷，对56例COPD患者进行调查，分析影响家庭氧疗依从性的相关因素，给予针对性护理干预，内容包括：疾病知识的宣教，吸氧舒适护理及吸氧指导，心理及家庭支持干预等，6个月后对56例患者再进行问卷调查，了解家庭氧疗依从性情况。结果COPD患者不能进行规范氧疗的原因前3位为对全面氧疗知识缺乏（94．4％）、吸氧影响活动（69．9％）及长期吸氧产生依赖性（67．9％）。护理干预前后患者对稳定期家庭氧疗的认知比较，差异具有统计学意义瓴。值分别为17．80，34．29，12．32，6．89，26．80；P〈0．01）；同时患者在稳定期家庭氧疗的人数及氧疗时间的差异也具有统计学意义（r值分别为6．34，6．61，15．09；P〈0．01）。结论针对性的护理干预，能提高COPD患者稳定期家庭氧疗的依从性，延缓了COPD的病程进展，提高其生活质量。

Objective To explore the effects of nursing intervention on the compliance of family oxygen therapy of COPD patients in stable phase. Methods Totals of 56 patients with COPD patients were investigated with the self-designed questionnaire. Analyzed related factors of family oxygen compliance, and gave the nursing intervention including propaganda on disease knowledge, nursing and guidance about oxygen inhalation, interventions of psychological and family support. Then, observed the compliance of family oxygen therapy after six months. Results The important related factor of non-standards oxygen therapy of COPD patients were lacking the comprehensive knowledge （94.4%）, oxygen therapy influencing activities （69.9%）, dependence for long time oxygen therapy （67.9%）. Before and after the invention,significantly difference was found in the cognition of patients,patients number of oxygen therapy,and therapy time （ X2 =17.80,34.29,12.32,6.89, 26.80,6.34,6.61,15.09 ,respectively;P 〈0.01 ）. Conclusions Effective nursing intervention can improve the compliance of family oxygen degree of patients with COPD, and improve their quality of life.