综合护理干预对慢性阻塞性肺疾病患者肺功能与负性情绪的影响

Effect of comprehensive nursing intervention on pulmonary function and negative emotion in patients with chronic obstructive pulmonary disease

目的探讨综合护理干预对慢性阻塞性肺疾病患者肺功能和负性情绪的影响。方法选取2015年1月至2017年5月我科收治的200例慢性阻塞性肺疾病患者作为研究对象,随机等分为试验组和对照组,对照组患者在住院期间给予常规治疗和护理;试验组在常规治疗及护理的基础上加用特定的综合护理干预措施。比较两组患者干预前后的肺功能、心理状态、生活质量、日常生活能力及步行距离。结果试验组患者干预后FEV1、FEV1%预测值、FEV1/FVC值均高于对照组(P<0.05);试验组患者干预后SAS,SDS评分均低于对照组(P<0.05);试验组患者干预后生活质量及日常生活能力评分均高于对照组(P<0.05);试验组患者干预后6 min步行距离长于对照组(P<0.05)。结论综合护理干预不仅能够改善患者肺功能,还能减轻患者抑郁及焦虑情绪,提高生活质量,取得较为可观的临床效果,值得进一步推广。

Objective To explore the effect of comprehensive nursing intervention on pulmonary function and negative emotion in patients with chronic obstructive pulmonary disease. Methods To select a total of 200 patients with chronic obstructive pulmonary disease treated in our department from January 2015 to May 2017 as subjects and they were randomly divided into experimental group and control group. Patients in the control group were given routine treatment and nursing during hospitalization. Patients in the experiment group were treated with specific comprehensive nursing interventions based on routine treatment and nursing. The lung function,mental status,quality of life,ability of daily living,and walking distance before and after intervention were compared between the two groups. Results After the intervention,the FEV1 and FEV1% predicted value as well as the FEV1/FVC value were higher in the experimental group than in the control group（ P〈0. 05）. The SAS and SDS scores of patients in the trial group were lower than those in the control group（ P〈0. 05）. The quality of life and daily living ability scores of patients in the experimental group were higher than those in the control group（ P〈0. 05）. Patients in the experimental group 6-minute walking distance longer than the control group after intervention（ P〈0. 05）. Conclusion The comprehensive nursing intervention can not only improve the lung function of the patient,but also reduce the depression and anxiety of the patient. In addition,it can improve the quality of life,and obtain more considerable clinical results. It is worth further promotion.