浅谈护理干预对尘肺病患者的影响

Effect of Nursing Intervention on Patients with Pneumoconiosis

目的:探究护理干预对尘肺患者的影响。方法:选取2011年3-10月在本院住院疗养的210例被诊断为尘肺的患者,按照随机数字表法将其分为干预组和对照组,每组各105例。对照组只给予常规的治疗及护理措施,干预组则在对照组的基础上采取院内、外连续约12个月的心理干预、生活指导、环境管理、营养支持及肺功能康复锻炼等全方位的多种护理干预。观察两组患者护理干预前后肺功能、动脉血气分析、生活质量评价及护理干预相关内容认知度,并做统计学分析。结果:干预组干预后FEV1、FEV1/FVC和Pa O2均明显高于干预前及对照组干预后,SGRQ评分明显低于干预前及对照组干预后,患者对于相关知识的认知度明显优于干预前及对照组干预后,差异均有统计学意义(P<0.05)。结论:对尘肺患者实施院内、外连续性的综合性护理干预,可减轻其临床症状,控制并发症的产生,避免肺功能的进一步损伤,对提高患者的活动耐力及生存信心有积极作用。

Objective： To investigate the effect of nursing intervention on patients with pneumoconiosis. Method： 210 patients who were diagnosed as pneumoconiosis admitted to our hospital from March 2011 to October 2011 were selected and divided into the intervention group and the control group according to the random number table method, 105 cases in each group.The control group was given routine treatment and nursing measures, the intervention group was given comprehensive nursing intervention in all directions in and outside the hospital, such as the psychological intervention, life guidance, environmental management, nutrition support, pulmonary function rehabilitation exercise and so on for over 12 months consecutively.The pulmonary function, arterial blood gas analysis, quality of life and cognition of nursing intervention related content were observed and statistically analyzed before and after nursing intervention between the two groups.Result： The FEV1, FEV1/FVC and PaO2 of the intervention group after intervention were significantly higher than before intervention and those of the control group after intervention, the SGRQ score of the intervention group after intervention was significantly lower than before intervention and that of the control group after intervention, the recognition of patients with relevant knowledge in the intervention group after intervention was significantly better than before intervention and that in the control group after intervention, the differences were statistically significant （P〈0.05） .Conclusion： The continuous comprehensive nursing intervention in and outside the hospital on the patients with pneumoconiosis can reduce the clinical symptoms, control the production of complications and avoid further damage to the lung function, it has positive effects on improving patients＇ activity endurance and survival confidence.