延续性护理干预对慢阻肺患者戒烟依从性及肺功能的影响研究

Research on Effect of Compliance of Quitting Smoking and Lung Function of Continuous Nursing Intervention on Patients with Chronic Obstructive Pulmonary Disease

目的旨在研究延续性护理干预对慢阻肺患者戒烟依从性及肺功能的影响,从而总结出最佳的护理干预方式,为今后临床护理提供参考依据。方法选取2013年1月—2015年1月来该院就诊的慢阻肺患者106例,分为观察组和对照组,其中对照组患者进行普通常规护理,观察组患者进行延续性护理干预,比较两组患者的出院时间、肺功能各项指标、戒烟成功率和护理满意程度。结果观察组患者出院时间为(28.04±3.52)d,明显优于对照组,(P<0.05);该次研究结果显示,观察组患者肺功能各项指标PaO_2、Pa CO2、FEV1、PEF分别为(7.55±1.38)k Pa、(5.33±0.15)k Pa、(64.33±14.29)%、(56.82±13.06)%,对照组对应数据为:(6.93±1.22)k Pa、(8.43±0.22)k Pa、(53.07±13.44)%、(48.72±11.74)%,观察组明显优于对照组,差异有统计学意义(P<0.05);且观察组患者戒烟成功率、总体护理满意程度分别高达51(96.23%)、51(96.23%),均明显高于对照组(P<0.05)。结论与普通常规护理相比,延续性护理干预对提升慢阻肺患者的戒烟成功率,改善患者的肺功能状况,促进患者慢阻肺疾病的缓解,帮助患者尽快恢复健康具有重要的意义。

Objective To research the effect of smoking compliance and lung function of continuous nursing intervention on patients with chronic obstructive pulmonary disease thus summarizing the best nursing intervention method and providing reference for the future clinical nursing. Methods 106 cases of patients with chronic obstructive pulmonary disease treated in our hospital from January 2013 to January 2015 were selected and divided into two groups, the control group adopted the common routine nursing, while the observation group adopted the continuous nursing intervention, and the discharge time, lung function various indicators, smoking success rate and nursing satisfactory degree were compared between the two groups. Results The discharge time in the observation group [（28.04±3.52）a] was obviously better that in the control group, and the research results showed that lung function various indicators such as PaO2, PaCO2, FEVI （%）, PEF（%） in the observation group were obviously better than those in the control group[（7.55±l.38）kPa, （5.33±0.15）kPa, （64.33±14.29）%, （56.82±13.06）% vs （6.93±1.22）kPa, （8.43±0.22）kPa, （53.07±13.44）%, （48.72±11.74）%1, and the differences had statistical significance （P〈0.05）, and the smoking quitting success rate and total nursing satisfactory degree in the observation group were respectively 51 （96.23%） and 51 （96.23%）, which were obviously higher than those in the control group（P〈0.05）. Conclusion The continuous nursing intervention is of important significance to improving the success rate of smoking quitting rate of patients with chronic obstructive pulmonary disease, improving the lung function of patients, promoting the relief of chronic obstructive pulmonary disease of patients and helping patients recover as soon as possible.