连续护理干预在COPD患者治疗中的应用

Application of continuous nursing intervention in the treatment of patients with chronic obstructive pulmonary disease

目的 探讨连续护理干预在COPD患者治疗中的应用. 方法 选择COPD患者108例,采用随机数字表法分为干预组和对照组各59例,对照组采用常规护理,干预组在常规护理的基础上给予连续护理干预,比较两组患者的住院满意度、平均住院时间,采用生活事件量表（ LES）、社会支持评定量表和生活质量评分量表比较两组干预效果. 结果 干预组LES量表得分为（36. 3 ± 26. 8）分,低于对照组的（48. 9 ± 21. 5）分,社会支持总分为（40. 7 ± 8. 1）分,高于对照组的（35. 2 ± 8. 9）分,两组LES和社会支持得分比较,差异有统计学意义（t值分别为-2. 817,3. 511;P〈0. 01）;干预后干预组患者SF-36量表及各维度评分均高于对照组,差异有统计学意义（ t值分别为3. 757,4. 935,3. 526,2. 271,3. 694,3. 853, 2. 558,5. 725;P〈0. 05）;干预组患者住院满意度为96. 61%（57/59）,对照组为72. 88%（43/59）,差异有统计学意义（χ^2 =5. 983,P〈0. 01）;干预组平均住院时间为（8. 32 ± 0. 18） d,对照组为（20. 32 ± 0. 64） d,差异有统计学意义（t=15. 922,P〈0. 01）. 结论 连续护理干预对COPD患者的治疗有极大的促进作用,有助于提高患者的生活质量.

Objective To explore the application of continuous nursing intervention in the treatment of patients with COPD. Methods A total of 108 eases of COPD patients using a random number table were divided into intervention group and control group. A total of 59 cases in the control group received routine care, while the patients of the intervention group were given continuous nursing intervention based on routine care, then we analyzed two groups of patients hospitalized satisfaction degrees, the average length of stay, life Event Scale, Social Support Rating Scale and Quality of Life Rating Scale by using statistical methods. Results The score of LES scale acquired （36. 3 ± 26.8） lower than that of the control group（48.9 ±21.5 ）, while the total score of social support was （40. 7 ±8.1 ） higher than all those in the control group （ t = - 2.817, 3.511 ; P 〈 0. 01 ）. After intervention, the scores of SF-36 scale and each dimensions in the intervention group were higher than these of the control group （t =3.757, 4.935, 3.526, 2.271, 3.694, 3.853, 2.558, 5.725;P 〈0.05） ; the patient＇s satisfaction of hospitalization was 96.61% in the intervention group （57/59） while it was 72.88% in the control group （43/59） （x^2 = 5. 983, P 〈 0.01 ） ; but on the opposite trend, the days Of hospitalization was （8.32 ±0. 18） d in the intervention group and （20.32 ±0.64） d in the control group （t = 15. 922 ,P 〈0. 01 ）. Conclusions Continued nursing intervention promoted the cure of COPD and improved the quality of life of patients.