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不同剂量布地奈德雾化吸入治疗急性加重期COPD患者的护理分析 被引量:5

Analysis on the nursing of patients with acute exacerbation of COPD receiving different doses of atomized inhalation of Budesonide
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摘要 目的探讨不同剂量布地奈德雾化吸入治疗COPD患者的护理措施实施效果。方法拟选取80例急性加重期COPD患者为研究对象,按住院顺序进行分组研究,分为A组和B组,各40例。A组患者予2 mg/次布地奈德雾化吸入治疗,B组予1 mg/次布地奈德雾化吸入治疗,并在两组患者雾化治疗过程中实施护理措施。观察比较两组治疗后的临床疗效、肺功能指标变化、不良反应及护理前后治疗依从性和护理满意度。结果治疗后,A组患者总有效率为95.00%,显著高于B组的80.00%,差异具有统计学意义(χ~2=4.11,P<0.05)。治疗前,两组患者肺功能指标比较,差异无统计学意义(P>0.05)。治疗后两组肺功能指标均有明显改善,组间比较,A组肺功能指标改善明显较B组显著(P<0.05)。两组患者治疗期间不良反应率比较无统计学意义(P>0.05)。两组患者的护理前后治疗依从性比较,护理后的治疗依从性均明显高于护理前,差异具有统计学意义(P<0.05)。问卷调查结果发现,两组患者经过护理措施后,对护理服务满意率均≥95.00%,明显高于护理前,差异具有统计学意义(χ~2=7.31,4.11,P<0.05)。结论布地奈德雾化吸入治疗急性加重期COPD的临床疗效显著,且大剂量的临床疗效更显著,肺功能改善更明显,安全性良好;在治疗过程中应用护理干预措施,可提高患者治疗依从性和护理服务满意度。 Objective To investigate the effect of nursing measures for the patients with COPD treated with different doses of atomized inhalation of budesonide. Methods 80 patients with acute exacerbation of COPD were selected as study subjects. According to the order of admission, they were divided into group A and group B, with 40 cases in each group. Group A was given atomized inhalation of budesonide for 2 mg/dose, and group B was given atomized inhalation of budesonide for 1 mg/dose. The nursing measures were implemented during the atomized inhalation in both groups of patients. The clinical efficacy, changes in pulmonary function, adverse reactions, and treatment compliance and nursing satisfaction before and after treatment in both groups were observed and compared. Results After treatment, the total effective rate was 95.00% in group A, which was significantly higher than that of 80.00% in group B,the difference was statistically significant(x2=4.11, P〈0.05). Before treatment, there was no statistically significant differences in lung func- tion indexes between the two groups (P〉0.05). After treatment, the lung function indexes of the two groups were improved significantly. In comparison between groups, the improvement of lung function indexes in group A was significantly greater than that in group B(P〈0.05). There was no statistically significant differences in the adverse reaction rate between the two groups during treatment(P〉0.05). The treatment compliance before and after nursing care between the two groups of patients was compared, and the treatment compliance after nursing was significantly higher than that before nursing, and the difference was statistically significant (P〈0.05). Questionnaire survey results showed that after nursing measures for both groups, the satisfaction rate with nursing services reached ~〉95.00%, significantly higher than that before nursing care. The differences were statistically significant(x^2=7.31, 4.11, P〈0.05). Conclusion The clinical therapeutic effect of atomized inhalation of budesonide in the treatment of acute exacerbation of COPD is significant, and the clinical efficacy of large dose is more significant. The improvement of lung function is more obvious, and the safety is good; the application of nursing interventions during treatment can improve patients' treatment compliance and satisfaction with nursing services.
作者 房春花 钟京梅 罗育琴 叶少南 FANG Chunhua;ZHONG Jingmei;LUO Yuqin;YE Shaonan(Department of Emergency,Dongguan Shijie Hospital in Guangdong Province,Dongguan 523290,China;Department of Internal Medicine,Dongguan Shijie Hospital in Guangdong Province,Dongguan 523290,China)
出处 《中国现代医生》 2018年第18期148-151,共4页 China Modern Doctor
基金 广东省东莞市科技局医疗卫生一般项目(201750715011316)
关键词 COPD 布地奈德 雾化吸入 护理 COPD Budesonide Atomized inhalation Nursing
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