基于奥马哈系统的整体护理在慢性阻塞性肺疾病急性发作期患者中的应用效果

Application Effect of Omaha System Based Integrated Nursing in the Patients of Acute Episode Chronic Occlusive Pulmonary Disease

目的探讨基于奥马哈系统所制定的整体护理方案在慢性阻塞性肺疾病急性发作期(acute episode chronic occlusive pulmonary disease,AECOPD)患者中的应用价值。方法便利选取2013年3月至2014年6月在富川县人民医院住院治疗的AECOPD患者120例,应用随机数字表法将其分为观察组和对照组各60例。对照组实施常规护理,观察组实施基于奥马哈系统的整体护理,比较两组患者的临床治疗相关效果及生活质量改善情况。结果除呼吸功能外,观察组患者出院后各护理问题的发生率均低于住院期间(P<0.05),且干预前后主要护理问题的认知-行为-状况得分差异有统计学意义(P<0.05);干预2周后,两组患者第1秒用力呼气量(forced expiratory volume in first second,FEV1)、FEV1占预计值百分比(FEV1percentage of expected value,FEV1%)及生活质量各维度评分均有显著提高(P<0.05),且观察组高于对照组(P<0.05);观察组住院时间短于对照组,住院费用少于对照组,出院后3个月内的再次入院率低于对照组,差异均有统计学意义(P<0.05)。结论基于奥马哈系统的整体护理可有效提高AECOPD患者的临床治疗效果及生活质量,对于降低疾病的复发率也有较好的效果。

Objective To study the application effect of Omaha system based integrated nursing in the pa-tients of acute phase of chronic obstructive pulmonary disease（AECOPD） .Methods By convenience sam-pling ,120 cases were selected and equally divided into observation group and control group .The control group received conventional nursing ,while the observation group were applied with Omaha system based integrated nursing .The clinical treatment effect and quality of life improvement were compared between two groups .Results Except for respiratory function ,the incidence rate of nursing problems after discharge in observation group was lower than it during hospitalization stays（P〈0 0.5） ,and there was statistical sig-nificance in the cognition-behavior-status of main nursing problems showed before intervention and after intervention（P〈 0 .05） .There were significantly improvement of the FEV1 ,FEV1% expected value and quality of life score after 2 weeks treatment ,and the indexes in observation group were higher than which in control group（P〈 0 .05） .The patients hospitalized time in observation group was significantly shorter than that of control group ,and the hospital cost was significantly lower than control group .Plus ,the read-mission rate after three months of discharge in observation group was lower than which in control group（P〈0 0.5） .Conclusion The Omaha system based integrated nursing can effectively improve the clinical treat-ment effect and quality of life in patients with AECOPD ,and also contribute in reducing the relapse rate .