优化护理对慢阻肺患者肺功能及满意度的影响

Effects of optimal nursing on pulmonary function and satisfaction degree of patients with chronic obstructive pulmonary disease

目的探讨优化护理策略对慢阻肺患者肺功能及护理满意度的影响,为构建优质护理方案提供依据。方法选择78例慢阻肺患者为研究对象,随机分为试验组与对照组,每组39例。对照组给予常规干预策略,实验组在常规干预基础上对患者实施优化护理策略。比较2组护理干预前后肺功能指标变化,包括1 s用力呼气容积/用力肺活量(FEV1/FVC)、最大自主通气量(MVV)及1 s用力呼气容积(FEV1)预期值,比较2组不良反应情况以及患者的护理满意度。结果护理前2组FEV1/FVC、MVV及FEV1%比较差异无统计意义(P> 0. 05);干预后,2组以上肺功能指标均有改善,且试验组较对照组改善情况更为明显(P <0. 05);试验组不良反应发生率显著低于对照组(P <0. 05);试验组患者护理满意度明显高于对照组(P <0. 05)。结论对于慢阻肺患者实施优化护理策略,可以明显改善其肺功能,降低不良反应发生率,提高护理满意度,具有临床推广价值。

Objective To investigate the effects of optimal nursing on pulmonary function and satisfaction degree of patients with chronic obstructive pulmonary disease （COPD）,so as to provide a basis for the construction of high quality nursing scheme. Methods A total of 78 cases patients with COPD were randomly divided into experimental group （ n =39） and control group （ n =39）. The patients in control group were treated by conventional nursing intervention,however,the patients in experimental group,on the basis of control group, were treated by optimal nursing. The changes of lung function indexes including forced expiratory volume/FVC （FEV1/FVC）, maximal voluntary ventilation （MVV）, forced expiratory volume （FEV1） expected value,and the incidence of adverse reactions and nursing satisfaction degree were observed and compared between the two groups. Results Before nursing,there were no significant differences in FEV1/FVC, MVV and FEV1% between two groups （ P 〉0.05）.After nursing intervention,the lung function indexes mentioned above were improved in both groups,moreover, the improvement degree in experimental group was more significant than that in control group （ P 〈0.05）.In addition the incidence of adverse reactions in experimental group was significantly lower than that in control group （ P 〈0.05）,and the nursing satisfaction degree in experimental group was significantly higher than that in control group （P〈0.05）. Conclusion For patients with chronic obstructive pulmonary disease, the implementation of optimized nursing strategy can significantly improve lung function of patients, reduce the incidence of adverse reactions and improve nursing satisfaction degree,therefor, it is worthy of clinical popularization.