整体护理在急性发作期慢性阻塞性肺疾病患者中的应用

Application of holistic nursing on patients with acute episode chronic occlusive pulmonary disease

目的探讨整体护理在急性发作期慢性阻塞性肺疾病(COPD)患者中的应用。方法选择2015年4月至2017年3月于本院诊治急性发作期COPD患者200例为研究对象,根据不同护理措施将其分为整体组和常规组,各100例。常规组给予常规护理,整体组在此基础上给予整体护理。比较两组患者的排痰效果、肺功能指标及心理状态情况。结果整体组患者的排痰总有效率高于常规组,差异具有统计学意义(P<0.05)。护理后,两组的FEV1及FEV1/FVC均高于护理前,且整体组高于常规组,差异具有统计学意义(P<0.05)。护理后,两组患者的SAS及SCL-90评分均低于护理前,且整体组低于常规组,差异具有统计学意义(P<0.05)。结论整体护理能有效改善急性发作期COPD患者肺功能,提高排痰效果,改善心理状态,值得临床进一步推广。

Objective To discuss the application of holistic nursing on patients with acute episode chronic occlusive pulmonary disease(COPD).Methods A total of 200 patients with acute episode COPD in our hospital from April 2015 to March 2017 were selected as the research objects and divided into whole group and routine group,with 100 cases in each group.The routine group was given routine nursing,and the whole group was given holistic nursing.The expectoration effect,lung function and psychological state of the two groups were compared.Results The total effective rate of sputum in the whole group was higher that in the routine group,the difference was statistically significant(P<0.05).After nursing,the FEV1 and FEV1/FVC of both groups were higher than those before nursing,and those of the whole group were higher than the routine group(P<0.05).After nursing,the scores of SAS and SCL-90 in both groups were lower than those before nursing,and those of the whole group were lower than the routine group(P<0.05).Conclusion Holistic nursing can improve the lung function of patients with acute episode COPD,which can increase the effect of expectoration,improve the mental state,and it is suitable for clinical popularization.