循证理念指导下的针对性护理在雾化吸入治疗慢性阻塞性肺疾病患者中的应用效果

Application effect of targeted nursing under the guidance of evidence-based concept in patients with chronic obstructive pulmonary disease treated by atomization inhalation

目的观察循证理念指导下的针对性护理在雾化吸入治疗慢性阻塞性肺疾病(简称慢阻肺)患者中的应用效果。方法选取本院2018年8月至2020年8月收治的100例慢阻肺患者,均给予雾化吸入治疗。将患者随机分为对照组与观察组,各50例。对照组采取常规护理,观察组在对照组基础上采取循证理念指导下的针对性护理。比较两组的干预效果。结果观察组的治疗总有效率显著高于对照组,咳嗽、憋喘、肺部啰音消失时间均显著短于对照组(P<0.05)。护理后,两组的FEV_(1)、FVC、FEV_(1)/FVC及PaO_(2)均升高,PaCO_(2)及SGRQ各维度评分均降低,且观察组优于对照组(P<0.05)。结论临床上采用雾化吸入治疗慢阻肺患者时,开展循证理念指导下的针对性护理可提升治疗效果,促进疾病康复,提高患者的生活质量。

Objective To observe the application effect of targeted nursing under the guidance of evidence-based concept in patients with chronic obstructive pulmonary disease treated by atomization inhalation.Methods One hundred patients with chronic obstructive pulmonary disease treated in our hospital from August 2018 to August 2020 were selected and given atomization inhalation treatment.The patients were randomly divided into control group and observation group,with 50 cases in each group.The control group took routine nursing,and the observation group took targeted nursing under the guidance of evidence-based concept on the basis of the control group.The intervention effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group,and the disappearance time of cough,wheezing and pulmonary rales were significantly shorter than those in the control group(P<0.05).After nursing,FEV_(1),FVC,FEV_(1)/FVC and PaO_(2) increased,PaCO_(2) and SGRQ scores decreased in the two groups,and those in the observation group were better than the control group(P<0.05).Conclusion For patients with chronic obstructive pulmonary disease treated by atomization inhalation clinically,targeted nursing under the guidance of evidence-based concept can improve the treatment effect,promote disease rehabilitation and improve the quality of life of patients.