风险意识护理在慢性阻塞性肺疾病中的应用效果

Application Effect of Risk-conscious Nursing in Chronic Obstructive Pulmonary Disease

目的:探讨风险意识护理在慢性阻塞性肺疾病中的应用效果。方法:选择2018年5月-2019年5月笔者所在医院收治的慢性阻塞性肺疾病患者106例,按入院时间先后分为对照组(n=53)和观察组(n=53),对照组给予常规护理,观察组给予风险意识护理,比较两组护理前后自我护理能力及心理健康状态,比较临床指标及临床疗效,比较不良事件发生情况、护理满意度及投诉率。结果:观察组护理后各项自我护理能力评分均高于对照组,差异均有统计学意义(P<0.05)。护理后两组SAS、SDS得分均低于护理前,且观察组SAS、SDS得分均低于对照组,差异均有统计学意义(P<0.05)。观察组护理后PaO2、PaCO2均优于对照组,观察组治疗总有效率(96.22%)高于对照组(83.02%),差异均有统计学意义(P<0.05)。观察组不良事件发生率(9.43%)低于对照组(28.30%),观察组护理总满意率(96.23%)高于对照组(84.91%),投诉率(0)低于对照组(16.98%),差异均有统计学意义(P<0.05)。结论:在慢性阻塞性肺疾病患者的临床护理中实施风险意识护理,能显著提高临床疗效,改善患者不良情绪,规避护理风险,提高患者护理满意度,具有临床推广应用意义。

Objective:To explore the effect of risk-conscious nursing in chronic obstructive pulmonary disease.Method:From May 2018 to May 2019,106 patients with chronic obstructive pulmonary disease treated in our hospital were selected and divided into the control group(n=53)and the observation group(n=53)according to the admission time.The control group was given routine nursing,and the observation group was given risk-conscious nursing.The self-care ability and mental health status before and after nursing were compared between the two groups,clinical indicators and clinical efficacy were compared,adverse event occurrence,nursing satisfaction and complaint rate were compared.Result:The score of self-care ability in the observation group was higher than that in the control group after nursing,the difference was statistically significant(P<0.05).After nursing,the SAS and SDS scores in the two groups were lower than those before nursing,and the SAS and SDS scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,both PaO2 and PaCO2 in the observation group were better than those in the control group.The total effective rate of treatment in the observation group(96.22%)was higher than that in the control group(83.02%),the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group(9.43%)was lower than that in the control group(28.30%),the total satisfaction rate of nursing care in the observation group(96.23%)was higher than that in the control group(84.91%),and the complaint rate(0)was lower than that in the control group(16.98%),the differences were statistically significant(P<0.05).Conclusion:The implementation of risk-conscious nursing in the clinical nursing of patients with chronic obstructive pulmonary disease can significantly improve the clinical efficacy,improve SAS,avoid the nursing risk,and increase the patients’nursing satisfaction,which has clinical application significance.