程序化护理对慢性支气管炎合并肺气肿患者康复和护理满意度的影响

Effect of programmed nursing on the satisfaction of rehabilitation and nursing of patients with chronic bronchitis compicated with emphysema

目的探讨程序化护理对慢性支气管炎合并肺气肿患者康复和护理满意度的影响。方法回顾性分析2019年4月至2020年4月我院100例慢性支气管炎合并肺气肿患者的各项临床资料,按不同的护理方式将其分为两组,每组各50例。即应用常规护理的患者设为对照组,应用程序化护理的患者设为观察组。评估两组肺功能、焦虑情绪与护理满意度。结果护理前,两组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)与FEV1/FVC水平较接近(P>0.05);护理后,两组以上三项指标水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理前,两组汉密尔顿焦虑量表(HAMA)评分基本一致(P>0.05);护理后,两组HAMA评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后,观察组护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论对慢性支气管炎合并肺气肿患者实施程序化护理,可促进患者肺功能的提升、焦虑情绪的改善以及护理满意度的提高。

Objective To explore the effect of programmed nursing on the rehabilitation and nursing satisfaction of patients with chronic bronchitis and emphysema.Methods The clinical data of 100 patients with chronic bronchitis and emphysema in our hospital from April 2019 to April 2020 were retrospectively analyzed.They were divided into two groups according to different nursing methods,with 50 cases in each group.The patients receiving routine care were selected as the control group,and those who were given programmed care were selected as the observation group.The lung function,anxiety and nursing satisfaction were evaluated in both groups.Results Before nursing,the forced expiratory volume in the first second(FEV1),forced vital capacity(FVC)and FEV1/FVC levels were close in both groups(P>0.05);after nursing,the levels of the above three indicators in both groups were higher than those before nursing,and the observation group was higher than that in the control group,with significant difference(P<0.05).Before nursing,the Hamilton Anxiety Scale(HAMA)scores in both groups were basically the same(P>0.05);after nursing,the HAMA scores in both groups were lower than those before nursing,and the observation group was lower than that in the control group,with significant difference(P<0.05).After nursing,the total satisfaction in the observation group was higher than that in the control group,with significant difference(P<0.05).Conclusion The implementation of programmed nursing in patients with chronic bronchitis and emphysema can promote the improvement of patients′lung function,the improvement of anxiety and the improvement of nursing satisfaction.