延续性护理干预对慢阻肺患者肺功能及生活质量的影响研究

Effect of Continuous Nursing Intervention on Pulmonary Function and Quality of Life in Patients with COPD

目的探究慢阻肺患者接受延续性护理干预对其肺功能以及生活质量的影响。方法将该院收治的慢阻肺患者100例以双盲法进行随机分组,时间为2018年1月—2019年1月,对照组中,实施常规护理干预;实验组中,则实施延续性护理干预,分析2组慢阻肺患者护理干预的结果。结果实验组慢阻肺患者干预后的FEV1、MME、PEF、FVC等肺功能指标水平均高于对照组(FEV1相比,t=8.782,P=0.001;MME相比,t=11.535,P=0.001;PEF相比,t=3.266,P=0.002;FVC相比,t=16.621,P=0.001);实验组生活质量评分相较于对照组明显更高(信仰领域t=7.329;独立情况t=7.978;环境领域t=9.239;社会情感t=12.669;心理状况t=8.214;生理状况t=5.869,P=0.001);实验组护理总满意率(94.00%),相较于对照组护理总满意率(74.00%),明显更高,差异有统计学意义(χ2=7.440,P=0.006<0.05)。结论慢阻肺患者接受延续性护理干预,可更好促进其肺功能的改善以及生活质量的提高,且可增加其对护理服务的满意度,意义重大。

Objective To explore the effect of continuous nursing intervention on pulmonary function and quality of life in patients with COPD.Methods A total of 100 patients with COPD were randomly divided into two groups by double-blind method from January 2018 to January 2019.In the control group,conventional nursing intervention was implemented,and in the experimental group,continuous nursing intervention was implemented.Analysis the results of nursing interventions for 2 groups of COPD patients.Results The levels of pulmonary function indexes such as FEV1,MME,PEF,and FVC in the COPD patients in the experimental group were higher than those in the control group(compared with FEV1,t=8.782,P=0.001,compared with MME,t=11.535,P=0.001;compared with PEF,t=3.266,P=0.002;compared to FVC,t=16.621,P=0.001);the quality of life score of the experimental group was significantly higher than that of the control group(in the field of belief t=7.329,in the independent case t=7.978,in the environmental field t=9.239,in social affection t=12.669,in psychological state t=8.214,in physiological state t=5.869,P=0.001);the total satisfaction rate of nursing care(94.00%)was significantly higher than that of the control group(74.00%),and the difference was statistically significant(χ2=7.440,P=0.006<0.05).Conclusion COPD patients receiving continuous nursing intervention can better promote the improvement of their lung function and quality of life,and can increase their satisfaction with nursing services,which is of great significance.