综合性护理干预对慢性阻塞性肺疾病患者治疗依从性及复发的影响

Influence of comprehensive nursing intervention on treatment compliance and recurrence for patients with chronic obstructive pulmonary disease

目的探讨综合性护理干预对慢性阻塞性肺疾病患者治疗依从性及复发的影响。方法选取2012年12月~2014年12月在我院住院治疗的慢性阻塞性肺疾病90例,排除伴有严重心脑血管病变、严重肝肾功能不全及严重心肺功能衰竭者、语言沟通障碍者。所有患者随机分为干预组和对照组各45例,对照组实施常规随机对症护理,干预组着重实施综合性护理干预,比较两组治疗的完全依从率以及两组患者治疗前后生活质量的症状评分、活动能力、疾病影响、总评分,并对两组患者的平均住院时间、复发率进行对比。结果干预组的完全依从率达91.11%,显著高于对照组的77.78%,两组差异具有统计学意义（P〈0.05）。治疗前两组患者生活质量的症状评分、活动能力、疾病影响、总评分组间比较差异无统计学意义（P〉0.05）。干预后两组患者的患者生活质量的症状评分、活动能力、疾病影响、总评分分别较治疗前显著降低,且干预组患者生活质量的症状评分、活动能力、疾病影响、总评分均显著低于对照组,两组差异具有统计学意义（P〈0.05）。干预组的平均住院时间显著短于对照组（P〈0.05）。干预组半年内复发率显著低于对照组（P〈0.05）。结论在对症治疗慢性阻塞性肺疾病患者的过程中实施包括心理护理干预、用药指导、健康教育等综合性护理干预,有利于提高患者治疗的依从性,使其积极配合治疗和护理,同时缩短住院时间,降低复发率,从而提高患者的生活质量。

Objective To explore the influence of comprehensive nursing intervention on treatment compliance and recurrence for patients with chronic obstructive pulmonary disease. Methods 90 eases of chronic obstructive pulmonary disease From 2012 December to 2014 December in our hospital, exclude those with serious cardiovascular and cerebrovascular disease, severe liver and kidney dysfunction and the severity of heart failure, the language barrier. All patients were divided into intervention group and control group with 45 cases in each group, the control group received the routine nursing care intervention group randomly, focusing on the implementation of comprehensive nursing intervention, compare treatment compliance rate and quality of life score, disease activity and total score before and after treatment. Compare the average hospitalization time and recurrence rate of two groups. Results The full compliance of the intervention group was 91.11%, significantly higher than control group＇s 77.78%, the difference was significant（P〈 0.05）. Before treatment, the quality of life symptom score, activity, disease influence, the total score between the two groups, the difference was not significant （P〉0.05）. After the intervention, quality of life symptom score, activity, dis- ease influence and total scores of two groups were significantly lower than those before treatment, and quality of life scores, activity, disease influence and total scores the intervention group were significantly lower than control group, the difference was significant （P〈0.05）. The average length of stay of intervention group was significantly shorter than the control group, the difference was significant（P〈0.05）. The intervention group half year relapse rate was significantly lower than the control group, the difference was significant （P〈O.05）. Conclusion The implementation of psychological nursing intervention, including health education, medication guide, comprehensive nursing intervention in the treatment of patients with chronic obstructive pulmonary disease, improve patient adherence to treatment, to actively cooperate with the treatment and care, and at the same time, shorten the hospitalization time, reduce the recurrence rate, so as to improve the quality of life of patients.