临床路径护理干预对COPD急性加重期患者呼吸功能及不良心理情绪的影响

Effect of Clinical Pathway Nursing Intervention on Respiratory Function and Adverse Psychological Emotions in Patients with Acute Exacerbation of COPD

目的探讨临床路径护理干预对COPD急性加重期患者呼吸功能及不良心理情绪的影响。方法选取2018年8月-2019年8月我院收治的92例COPD急性加重期患者,按入院顺序分为对照组和观察组,各46例。对照组常规护理,观察组实施临床路径护理干预。观察比较两组患者呼吸功能,不良心理情绪及护理满意度。结果护理前两组呼吸功能各指标差异无统计学意义(P>0.05)。护理后观察组FEV1、FVC及FEV1/FVC优于对照组(P<0.05)。护理前两组情绪差异无统计学意义(P>0.05)。护理后观察组SAS、SDS评分低于对照组(P<0.05)。对照组护理满意率为67.39%,观察组为89.13%,对照组低于观察组(P<0.05)。结论临床路径护理干预可有效缓解COPD急性加重期患者临床症状,改善其呼吸功能,焦虑抑郁等负性情绪得到缓解,患者对其满意度更高,值得临床推荐。

Objective To investigate the effect of clinical pathway nursing intervention on respiratory function and adverse psychological emotions in patients with acute exacerbation of COPD.Methods 92 patients with acute exacerbation of COPD admitted to our hospital from August 2018 to August 2019 were enrolled,and divided into two groups according to the admission order,each with 46 cases.Control group received routine nursing,while observation group received clinical pathway nursing intervention.The respiratory function,adverse psychological emotions and nursing satisfaction of the two groups were observed and compared.Results The respiratory function related indexes including FEV1,FVC and FEV1/FVC had no difference between groups before nursing(P>0.05),which were better in observation group than in control group after nursing(P<0.05).SAS and SDS scores had no difference between groups before nursing(P<0.05),which were lower in observation group than in control group after nursing(P>0.05).The nursing satisfaction rate of control group was lower than that of observation group(67.39%vs 89.13%,P<0.05).Conclusion Clinical pathway nursing intervention for patients with acute exacerbation of COPD can effectively alleviate the clinical symptoms,improve respiratory function,and relieve adverse psychological emotions such as anxiety and depression,which obtains high satisfaction degree,and is worthy of recommendation.