延续性护理在慢性阻塞性肺疾病患者中的应用效果

Application effects of continuous nursing in patients with chronic obstructive pulmonary disease

目的:探讨延续性护理在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法:选取86例COPD患者为研究对象,采用随机数字表法分为对照组和研究组各43例。对照组接受常规护理,研究组在对照组基础上接受延续性护理。比较两组护理前后肺功能指标[呼气流速峰值(PEF)、最大中期呼气流速(MMEF)、第一秒用力呼气容积(FEV_(1))占用力肺活量(FVC)百分比(FEV_(1)/FVC)]、COPD评估测试(CAT)评分、用药依从率及再次住院率。结果:治疗后,研究组PEF、MMEF、FEV_(1)/FVC水平和用药依从率高于对照组,CAT评分及再次住院率低于对照组,差异均有统计学意义(P<0.05)。结论:延续性护理用于COPD患者中,可有效提高患者用药依从率,改善其肺功能指标水平,减轻患者呼吸困难程度,降低再次住院率。

Objective:To explore application effects of continuous nursing in patients with chronic obstructive pulmonary disease(COPD).Methods:86 COPD patients were selected and divided into control group and study group by using the random number table method,43 cases in each group.The control group received routine nursing,while the study group received continuous nursing on the basis of that of the control group.The lung function indicator levels[peak expiratory flow rate(PEF),maximum midexpiratory flow rate(MMEF),forced expiratory volume in one second(FEV_(1))and the ratio of forced expiratory volume in one second/forced vital capacity(FEV_(1)/FVC)],the COPD assessment test(CAT)score,the medication compliance and the readmission rate were compared between the two groups before and after the nursing.Results:After the treatment,the levels of PEF,MMEF and FEV_(1)/FVC in the study group were higher than those in the control group;the CAT score and the readmission rate were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:Continuous nursing for the COPD patients can effectively improve the patients’medication compliance,improve their lung function indicators,reduce the dyspnea degree and reduce the readmission rate.