延续性护理对慢性阻塞性肺疾病患者肺功能及生活质量的影响研究

Effect of continuity nursing on lung function and quality of life in patients with chronic obstructive pulmonary disease

目的探讨延续性护理对慢性阻塞性肺疾病患者肺功能及生活质量的影响。方法选择本院接诊的90例慢性阻塞性肺疾病患者,通过随机数表法分为观察组和对照组,各45例。对照组在住院期间及出院时进行健康教育,出院后不再进行任何干预;观察组在对照组基础上给予延续性护理。护理3个月后,评价护理效果。结果护理后,观察组动脉血氧分压[p(O2)]、动脉血二氧化碳分压[p(CO2)]均优于对照组(P<0.05);观察组1秒钟用力呼气容积(FEV1)、最大呼气中段平均流速(MMEF)、用力肺活量(FVC)高于对照组(P<0.05);观察组呼吸症状、疾病对生活影响优于对照组(P<0.05);观察组总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康结果均优于对照组(P<0.05)。结论在慢性阻塞性肺疾病患者中给予延续性护理,可有效促进肺功能的恢复,并改善生活质量,值得应用推广。

Objective To study the effect of continuity nursing on lung function and quality of life in patients with chronic obstructive pulmonary disease. Methods A total of 90 patients with chronic obstructive pulmonary disease in our hospital were randomly divided into observation and control groups,with 45 cases per group. The control group was given health education during hospitalization and at discharge,and the observation group was conducted continuity nursing. After 3 months of nursing,nursing outcomes were evaluated. Results After nursing,the arterial partial pressure of oxygen [p（ O2） ],arterial carbon dioxide partial pressure[p（ CO2） ]in the observation group were better than the control group（ P 〈0. 05）. The forced expiratory volume in one second（ FEV1）,mean flow velocity（ MMEF）,forced vital capacity（ FVC） in the observation group were higher than the control group（ P〈 0. 05）. St George＇s respiratory questionnaire（ SGRQ） score,and the respiratory symptoms in the observation group were better than the control group（ P〈 0. 05）. The general health,physiological function,physiological function,physical pain,vitality,social function,emotional function,mental health in the observation group were better than the control group（ P 〈0. 05）.Conclusion Continuity nursing in patients with chronic obstructive pulmonary diseases can effectively promote the recovery of pulmonary function,and improve the quality of life,so it is worth promotion.