延续性护理干预对老年新型冠状病毒肺炎病人肺功能的影响

Effects of continuous nursing on the pulmonary function in the elderly patients with new coronavirus pneumonia

目的分析延续性护理对老年新型冠状病毒肺炎(COVID-19)病人肺功能康复的应用价值。方法选取火神山医院重症二科2020年2~3月收治的103例老年COVID-19病人,根据出院后是否接受延续性护理分为对照组与观察组,其中对照组51例,观察组52例。对照组给予常规护理,观察组在常规护理基础上接受延续性护理,保证病人出院后“肺功能”康复的延续。分析并比较2组病人接受不同护理干预2周后的肺功能情况,并比较2组满意度评分差异。结果出院前2组FEV1、FEV1%pred、最大通气量(MVV)差异无统计学意义,2周后观察组上述指标显著高于对照组,差异具有统计学意义(P<0.05);观察组出院满意度、随访满意度均高于对照组,差异具有统计学意义(P<0.05)。结论对老年COVID-19病人实施延续性护理,能够改善病人的肺功能,提高病人满意度。

Objective To analyze the application value of continuous nursing in the rehabilitation of pulmonary function in the elderly patients with new coronavirus pneumonia(COVID-19).Methods A total of 103 elderly patients with COVID-19 were selected from the ICU of HUOSHENSHAN Hospital from February to March 2020.The patients were divided into control group and observation group,with 51 cases in control group and 52 cases in observation group.Routine nursing was given to the control group,and continuous nursing was given to the observation group to ensure the continuity of pulmonary function rehabilitation after discharge.The pulmonary function such as forced expiratory volume in one second(FEV1),FEV1%pred,maximum ventilation volume(MVV)and the satisfaction score of the two groups before and two weeks after discharge were compared.Results Two weeks after discharge,the levels of FEV1,FEV1%and MVV in the observation group were significantly higher than those in the control group(P<0.05);The discharge satisfaction and follow-up satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusions Continuous nursing can improve the lung function and satisfaction of elderly patients with COVID-19.