护理风险管理联合情志调护在老年重症慢性阻塞性肺疾病临床护理中的应用

Application of nursing risk management combined with emotional adjustment in clinical nursing of elderly patients with severe chronic obstructive pulmonary disease

目的探讨护理风险管理联合情志调护在老年重症慢性阻塞性肺疾病患者临床护理中的应用效果.方法将84例老年重症慢性阻塞性肺疾病患者按建档顺序分为两组,每组42例.两组均予以常规护理干预,在此基础上观察组予以护理风险管理联合情志调护,观察7d.于干预前后采用焦虑自评量表、抑郁自评量表评定焦虑抑郁情绪,干预后采用简化舒适度调查表、自制护理质量问卷及纽卡斯尔护理服务满意度量表评定护理舒适度、护理质量及护理满意度,统计不良事件发生状况.结果干预后两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01).干预后观察组简化舒适度调查表的生理、心理、社会、环境维度分及护理满意率显著高于对照组(P<0.01),护理质量显著优于对照组(P<0.05),不良事件发生率显著低于对照组(P<0.05).结论护理风险管理联合情志调护可显著改善老年重症慢性阻塞性肺疾病患者的焦虑抑郁情绪,提高护理舒适度、护理质量及护理满意度,降低不良事件发生率.

Objective To explore the application effect of nursing risk management combined with emotional adjustment in clinical nursing of elderly patients with severe chronic obstructive pulmonary disease.Methods 84 elderly patients with severe chronic obstructive pulmonary disease were divided into two groups according to the order of filing,with 42 patients in each group.The control group was given routine nursing intervention,and on this basis,the observation group implemented emotional care combined with nursing risk management for 7 d.Before and after the intervention,SAS and SDS were used to evaluate the anxiety and depression.After the intervention,GCQ,self-made nursing quality questionnaire and NSNS were used to evaluate the nursing comfort,nursing quality and nursing satisfaction.The adverse event situation was analyzed.Results After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After intervention,the physical,psychological,social,and environmental dimensions of GCQ in the observation group were significantly higher than those in the control group(P<0.01).The quality of care was significantly better than that in the control group(P<0.05).The incidence of adverse events was significantly lower than that of the control group(P<0.05).Conclusions Emotional care combined with nursing risk management can significantly improve the psychological state,improve the care comfort and quality of care in elderly patients with severe chronic obstructive pulmonary disease,and can significantly reduce the incidence of adverse events.