5A护理方法对肺源性心脏病患者戒烟成功率和肺功能的影响

Effects of 5A nursing on success rate of smoking cessation and pulmonary function in patients with pulmonary heart disease

目的:观察5A护理方法对肺源性心脏病患者戒烟成功率和肺功能的影响。方法:选取60例肺源性心脏病患者为研究对象,按随机数字表法分为对照组和观察组各30例,对照组采取常规护理,观察组在对照组的基础上实施5A护理,比较两组戒烟效果、尼古丁依赖程度及生命质量评分。结果:观察组近期戒烟成功率和远期戒烟成功率均高于对照组,差异有统计学意义(P<0.05);护理前,两组患者的尼古丁依赖评分比较,差异无统计学意义(P>0.05);护理后,两组患者的尼古丁依赖评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理前两组SF-36评分比较,差异无统计学意义(P>0.05);护理后两组SF-36评分均明显高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:对肺源性心脏病患者实施5A护理可提高患者戒烟成功率,降低患者对尼古丁的依赖程度,提高生命质量。

Objective: To observe effects of 5A nursing on success rate of smoking cessation and pulmonary function in patients with pulmonary heart disease. Methods: 60 patients with pulmonary heart disease were enrolled as the subjects. They were divided into control group(n=30) and observation group(n=30) according to the random number table method. The control group received routine nursing, while the observation group was given 5A nursing on the basis of that of the control group. The smoking cessation effects, nicotine dependence and quality of life were compared between the two groups. Results: The short-term and long-term success rates of smoking cessation in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Before the nursing, there was no significant difference in the nicotine dependence score between the two groups(P>0.05). However, the nicotine dependence scores of the two groups after the nursing were lower than those before the nursing, that of the observation group was lower than that of the control group, and the differences were statistically significant(P<0.05). There was no significant difference in the SF-36 score between the two groups before the nursing(P>0.05). The SF-36 scores of the two groups after the nursing were significantly higher than those before the nursing, that of the observation group was higher than that of the control group, and the differences were statistically significant(P<0.05). Conclusions: 5A nursing for the patients with pulmonary heart disease can improve the success rate of smoking cessation, reduce the nicotine dependence, and improve the quality of life.