家庭延续性护理在COPD患者中的临床应用

Clinical Application of Family Continuous Nursing Care to COPD Patients

目的:探讨家庭延续性护理在慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)患者中的临床应用。方法:将120例COPD患者随机分为观察组、对照组各60例。对照组给予常规护理,观察组在对照组常规护理基础上给予家庭延续性护理,比较2组患者干预后肺功能、6分钟步行试验指标及生活质量。结果:干预后1秒用力呼气容积(FEV_1)、最大呼气流量(FVC)观察组大于对照组(P<0.05)。与对照组相比,观察组干预后6分钟步行路程较长、脉搏较慢、血氧饱和度较高、Borg评分较低(P<0.05)。CAT评分2组干预后均明显降低(P<0.05),观察组降低更明显(P<0.05)。结论:家庭延续性护理可改善COPD患者的肺功能和生活质量,并增加运动耐受力。

Objective： To discuss clinical application of family continuousnursing to the patients with chronic obstructive pulmonary disease （COPD）. Methods： All 120 patients were randomized into the observation group and the control group, 60 cases each group. The control group accepted routine care, and the observation group family continuousnursing, pulmonary function, six minutes walking test index and quality of life of both groups were compared after the intervention. Results： The observation group was larger than the control group in forced expiratory volume in one second and maximum expiratory flow volume （/9〈0.05）. Compared with the control group, the distance in six minutes walking test was long, the pulse was slow, and blood oxygen saturation was higher and Borg scale was lower of the observation group after the intervention （P〈0.05）. CAT scales of both groups decreased obviously in both groups after the intervention （P〈0.05）, the decrease of the observation group was more significant （P〈0.05）. Conclusion： Family continuousnursing could improve pulmonary function and quality of life of COPD patients, and increase exercise tolerance.