集束化循证护理干预在支气管哮喘中的应用及对患者预后的影响

Application of evidence-based bundle care in bronchial asthma and its effect on prognosis of patients

目的探讨集束化循证护理干预用于支气管哮喘护理的可行性及对患者预后的影响。方法 80例支气管哮喘患者随机分为对照组和干预组,各40例。对照组常规护理,干预组实施集束化护理干预。对比2组干预前后哮喘治疗评估问卷(ATAQ)得分、焦虑自评表(SAS)评分和生活质量测定量表(EORTC QLQ-C30)得分。结果护理后干预组哮喘病情控制情况优于对照组(P<0.05);2组护理后焦虑症状较护理前改善,且干预组SAS评分低于对照组,差异有统计学意义(P<0.05);护理后干预组EORTC QLQ-C30评分优于对照组,差异有统计学意义(P<0.01)。结论集束化循证护理干预对哮喘病情的控制具有促进作用,能减轻患者的焦虑状态,提高生活质量。

Objective To investigate the feasibility of evidence -based bundle care in bron- chial asthma and its effect on prognosis of patients. Methods A total of 80 bronchial asthma patients were randomly divided into intervention group and control group, with evidence -based bundle care and conventional nursing, respectively. The scores of Asthma Therapy Assessment Questionnaire （ ATAQ）, Self - rating Anxiety Scale （SAS） and EORTC QLQ - c30 were evaluated before and after intervention. Results Asthma control in the intervention group was better than that in the controls （P 〈 0.05 ）. The SAS scores after intervention were improved in two groups and the intervention group received lower SAS score compared with the controls after nursing intervention （ P 〈 0.05 ）. And the intervention group had higher EORTC QLQ - C30 score than the controls after nursing intervention （P 〈 0.01 ）. Conclusion Evidence -based bundle nursing can improve the disease control, relieve anxiety status and improve quality of life in bronchial asthma patients.