FeNO阶梯式护理干预在降低慢性阻塞性肺疾病气道炎症反应中的作用

Effect of FeNO step-wise nursing intervention in reducing chronic obstructive pulmonary disease airway inflammation

目的探讨呼出气一氧化氮(FeNO)阶梯式护理干预在降低慢性阻塞性肺疾病(COPD)气道炎症反应的应用效果。方法选取2019年2月至2021年2月九江市第一人民医院收治的60例COPD患者,按随机数字表法分为两组,每组各30例。对照组采用常规FeNO护理,观察组依照FeNO检测状态和结果采用个体化阶梯式护理干预,两组均干预3个月。比较两组的舒适度、FeNO值、肺功能、自我护理能力和护理满意度。结果观察组的自我护理能力测定量表(ESCA)评分、舒适度高于对照组,观察组干预后的FeNO低于对照组,第1秒用力呼气容积(FEV1)水平高于对照组,观察组的护理总满意度为93.33%,高于对照组的73.33%,差异均有统计学意义(P<0.05)。结论FeNO阶梯式护理干预能提高COPD患者舒适度及自我护理能力,改善患者肺功能,提升护理满意度。

Objective To explore the application effect of fractional exhaled nitric oxide(FeNO)step-by-step nursing intervention in reducing chronic obstructive pulmonary disease(COPD)airway inflammation.Methods A total of 60 COPD patients admitted to the First People′s Hospital of Jiujiang City from February 2019 to February 2021 were selected and divided into two groups according to the random number table method,30 cases in each group.The control group adopted conventional FeNO nursing measures,and the observation group adopted individualized stepwise nursing intervention according to the FeNO detection status and result data.Intervention for 3 months.The comfort level,FeNO value,lung function,self-care ability and nursing satisfaction were compared between the two groups.Results The self-care ability scale(ESCA)score and comfort level of the observation group were higher than those of the control group,FeNO after intervention was lower than that of the control group,the level of forced expiratory volume in 1 second(FEV1)was higher than that of the control group,the nursing total satisfaction was 93.33.%,higher than 73.33%in the control group,the differences were statistically significant(P<0.05).Conclusion FeNO stepped nursing intervention can improve the comfort and self-care ability of COPD patients,improve the lung function of patients,and increase nursing satisfaction.