循证护理在慢性阻塞性肺疾病并轻中度慢性呼吸衰竭长期家庭氧疗患者中的应用效果

Application effect of evidence-based nursing on chronic obstructive pulmonary disease following long home oxygen therapy patients

目的探讨循证护理在慢性阻塞性肺疾病(COPD)并轻中度慢性呼吸衰竭长期家庭氧疗(LTOT)患者中的应用效果。方法选取徐州市贾汪区人民医院2015年2月—2017年2月收治的COPD并轻中度慢性呼吸衰竭LTOT患者68例,随机分为对照组与观察组,各34例。对照组患者采用常规护理,观察组患者在对照组基础上实施循证护理。比较两组患者治疗依从性、并发症发生情况及护理满意度。结果入院时,两组患者治疗依从性比较,差异无统计学意义(P>0.05);出院时及出院后6个月,观察组患者治疗依从性均优于对照组(P<0.05)。观察组患者并发症发生率低于对照组,护理满意度高于对照组(P<0.05)。结论循证护理在COPD并轻中度慢性呼吸衰竭LTOT患者中的应用效果良好,其可有效提高患者治疗依从性和护理满意度,改善患者预后。

Objective To investigate the application effect of evidence-based nursing on COPD following LTOT patients.Methods A total of 68 cases of COPD LTOT patients were selected from February 2015 to February 2017 in Xuzhou Jiawang District People＇s Hospital,which were randomly divided into control group and observation group,34 cases in each group.The control group was given routine nursing,and the observation group was given evidence-based nursing based on control group.The treatment compliance,complications and nursing satisfaction were compared between the two groups.Results Admission to hospotial,no significant difference of treatment compliance was found between the two groups（P〉0.05）;at discharge and after discharge of 6 months,the treatment compliance in observation group were better than control group（P〈0.05）.The observation group of complications rate was lower than control group,nursing satisfaction was higher than control group（P〈0.05）.Conclusion Evidence-based nursing has good application effect in COPD LTOT patients,it can obviously promote the treatment compliance of patients,promote nursing satisfaction,and improve prognosis of patients.