综合护理干预对慢性阻塞性肺疾病患者健康行为和肺功能的影响

Effect of Comprehensive Nursing Intervention on Healthy Behavior and Pulmonary Function in Patients with Chronic Obstructive Pulmonary Disease

目的研究综合护理干预对慢性阻塞性肺疾病患者健康行为和肺功能的影响,以便为临床干预治疗工作提供科学的参考依据。方法对2018年1月至2019年1月到我院治疗的96例慢性阻塞性肺疾病患者随机分为观察组与对照组,均为48例,分别为两组患者通过常规护理(对照组)和综合护理(观察组)进行指导。对不同护理干预下的效果进行比较。结果①健康行为状况:干预后,观察组持续进行呼吸功能训练的患者46例(95.83%),存在吸烟的患者0例,存在身体锻炼的患者44例(91.67%),存在营养饮食的患者43例(89.58%);对照组持续进行呼吸功能训练的患者32例(66.67%),存在吸烟的患者11例(22.92%),存在身体锻炼的患者29例(60.42%),存在营养饮食的患者28例(58.33%),组间差异有统计学意义(P<0.05)。②肺功能指标:干预前,观察组的FEV1水平为(1.97±0.89)L,对照组为(1.96±0.91)L,差异无统计学意义(P>0.05);干预后,观察组FEV1水平为(2.38±0.81)L,对照组为(1.98±0.81)L,差异有统计学意义(P<0.05)。干预前,观察组的PEF水平为(5.11±0.75)L/s,对照组为(5.12±0.74)L/s,差异无统计学意义(P>0.05);干预后,观察组PEF水平为(5.96±1.71)L/s,对照组为(5.24±1.12)L/s,差异有统计学意义(P<0.05)。结论将护理随访工作应用在对慢性阻塞性肺疾病患者的护理中可以规范患者的健康行为,对改善患者的肺功能有重要价值。

Objective To study on the effects of nursing follow-up on the healthy behavior and lung function of chronic obstructive pulmonary disease(COPD).Methods Ninety-six patients with chronic obstructive pulmonary disease who came to our hospital for treatment from January 2018 to January 2019 were randomly divided into an observation group and a control group,both of which were 48 cases.The two groups of patients passed routine care(control group)guide with comprehensive nursing(observation group),and compare the effects of different nursing interventions.Results(1)Health behavior status:after the intervention,46 patients(95.83%)of the observation group continued to perform respiratory function training,0 patients were smoking,44 patients were exercising(91.67%),and 43 patients were nutritious diet(89.58%);in the control group,32 patients(66.67%)received continuous respiratory training,11 patients(22.92%)who smoked,29 patients(60.42%)who had physical exercise,and 28 patients who had a nutritious diet cases(58.33%),the difference between the groups was statistically significant(P<0.05).(2)Lung function indicators:before the intervention,the FEV1 level of the observation group was(1.97±0.89)L,and the control group was(1.96±0.91)L,the difference was not statistically significant(P>0.05);after the intervention,the FEV1 level of the observation group was(2.38±0.81)L,the control group was(1.98±0.81)L,the difference was statistically significant(P<0.05).Before the intervention,the PEF level of the observation group was(5.11±0.75)L/s and the control group was(5.12±0.74)L/s,the difference was not statistically significant(P>0.05);after the intervention,the PEF level of the observation group was(5.96±1.71)L/s,the control group was(5.24±1.12)L/s,the difference was statistically significant(P<0.05).Conclusion The application of nursing follow-up work in the care of patients with COPD can standardize the health behavior of patients,and has important value in improving the lung function of patients.