目标式护理用于慢性阻塞性肺疾病急性加重期的价值

The Value of Targeted Nursing for Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的探讨目标式护理对慢性阻塞性肺疾病急性加重期患者运动耐量及呼吸功能的影响。方法将2016年2月—2018年3月收治的84例急性加重期慢性阻塞性肺疾病患者以随机数字表法分组,观察组与对照组各42例,对照组患者接受常规护理,观察组在对照组基础上加用目标式护理,对两组患者干预前后运动耐量、呼吸功能、护理满意度进行观察。结果两组干预前的6 min步行距离差异无统计学意义(P> 0.05),干预后,观察组患者6 min步行距离较对照组长(P <0.05);两组干预前的呼吸功能指标差异无统计学意义(P> 0.05),观察组干预后的呼吸功能指标均优于对照组(P <0.05);观察组护理满意度为95.24%,较对照组78.57%高(P <0.05)。结论目标式护理可有效提高急性加重期慢性阻塞性肺疾病患者运动耐量,也能改善其呼吸功能,提高护理满意度。

Objective To investigate the effects of targeted nursing on exercise tolerance and respiratory function in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods 84 patients with acute exacerbation of chronic obstructive pulmonary disease who were admitted from February 2016 and March 2018 were grouped by random number table.There were 42 cases in the observation group and the control group,patients in the control group received routine care,the observation group added targeted care to the control group.The exercise tolerance,respiratory function and nursing satisfaction of the two groups were observed before and after intervention.Results There was no significant difference in the 6-min walking distance between the two groups before intervention(P>0.05).After the intervention,the walking distance of the observation group was significantly longer than that of the control group(P<0.05).There were no significant differences in respiratory function indexes between the two groups before intervention(P>0.05).The respiratory function indexes of the observation group were better than those of the control group(P<0.05).The nursing satisfaction of the observation group was 95.24%,which was significantly higher than that of the control group 78.57%(P<0.05).Conclusion Targeted care can effectively improve exercise tolerance in patients with acute exacerbation of chronic obstructive pulmonary disease,improve their respiratory function,and improve nursing satisfaction.