循证护理对慢性阻塞性肺疾病患者雾化吸入治疗中的效果

Effect of Evidence-based Nursing on Nebulizing Inhalation in Patients with Chronic Obstructive Pulmonary Disease

目的探讨循证护理对慢性阻塞性肺疾病患者雾化吸入治疗中的效果。方法方便选取该院于2018年5月-2019年5月收治的64例慢性阻塞性肺疾病患者,依据随机数字表法分为2组,每组32例,对照组给予传统护理,观察组则在此基础上,开展循证护理,对比两组心理健康水平、肺功能及雾化吸入水平。结果观察组痰鸣音消失时间(4.53±1.32)d、感染控制时间(5.09±1.34)d及有效排痰时间(3.22±1.52)d均显著短于对照组的(5.62±1.05)d、(7.16±1.08)d、(5.09±1.24)d,两组雾化吸入水平比较差异有统计学意义(t=4.500、4.680、3.750,P<0.05)。观察组患者干预后的SAS、SDS评分分别为(40.12±4.15)分、(42.16±2.20)分,均低于对照组的(55.47±4.51)分、(61.55±2.70)分,两组心理情况比较差异有统计学意义(t=3.670、7.240,P<0.05)。结论针对慢性阻塞性肺疾病患者,在其雾化吸入治疗过程中,通过开展循证护理干预,能调节心理状态,提高其雾化吸入水平,临床应用价值突出。

Objective To explore the effect of evidence-based nursing on nebulization inhalation in patients with chronic obstructive pulmonary disease. Methods 64 patients with chronic obstructive pulmonary disease treated in the hospital from May 2018 to May 2019 were convenientlly selected and divided into two groups according to the random number table method. Each group had 32 patients. The control group was given traditional care. The observation group was based on this,evidence-based nursing was carried out to compare the mental health level, lung function, and aerosolized inhalation level between the two groups. Results The disappearance time of sputum sounds(4.53±1.32) d, infection control time(5.09±1.34)d, and effective sputum excretion time(3.22±1.52) d in the observation group were significantly shorter than those in the control group(5.62±1.05)d,(7.16±1.08)d,(5.09±1.24)d, there was a statistically significant difference in the level of aerosol inhalation between the two groups(t=4.500, 4.680, 3.750, P<0.05). The SAS and SDS scores of the observation group after the intervention were(40.12±4.15)points and(42.16±2.20)points, respectively, which were lower than the control group’s(55.47±4.51) points and(61.55±2.70)points. The psychological conditions of the two groups were compared. The difference was statistically significant(t=3.670, 7.240, P<0.05). Conclusion For patients with chronic obstructive pulmonary disease,in the course of nebulizing inhalation therapy, the development of evidence-based nursing intervention can regulate the psychological state and improve the level of nebulizing inhalation, which has outstanding clinical application value.