综合护理干预对慢性阻塞性肺疾病患者预后的影响

The Effect of the Nursing Intervention on the Prognosis of Patients with Chronic Obstructive Pulmonary Disease

目的观察综合护理干预对慢性阻塞性肺疾病急性加重期(AECOPD)患者预后的影响。方法将在惠州市第三人民医院住院治疗的92例AECOPD患者随机分为研究组和对照组。对照组给予常规护理,研究组在常规护理基础上给予综合护理。将肺功能改善情况、呼吸衰竭发生率及患者满意率作为评价预后的主要指标。结果研究组患者满意率显著高于对照组(97.8%与86.9%,P<0.05);研究组呼吸衰竭发病率显著低于对照组(6.5%与32.6%,P<0.05);研究组肺功能改善程度显著优于对照组(P<0.05)。结论综合护理干预能有效降低AECOPD患者呼吸衰竭的发生率,并可改善患者肺功能,值得临床推广应用。

Objective To observe the influence of the nursing intervention on the incidence rate of complication of respiratory failure. Methods 92 patients were selected and randomly divided into research group and control group. The control group was given routine nursing care and the research group received comprehensive nursing intervention based on routine nursing. The satisfaction rate,incidence rate of respiratory failure and pulmonary function,compliance in two groups were compared respectively. Results The research group was significantly higher than control group in the satisfaction rate（ 97. 8% VS 86. 9%）,the research group was significantly lower than control group in the incidence rate of respiratory failure（ 6. 5% VS 32. 6%）. The research group was significantly higher than control group in the improved FEV1 and FEV1 / FVC. The differences were statistically significant（ P〈0. 05）. Conclusion The nursing intervention could effectively reduce the incidence rate of respiratory failure,improve pulmonary function. It was worth in clinical application.