个体化系统性护理干预对支气管哮喘患者疾病控制效果的影响

Effects of Individualized Systematic Nursing Intervention on Disease Control of Bronchial Asthma Patients

目的探讨个体化系统性护理干预对支气管哮喘患者疾病控制效果的影响。方法选择70例2018年1月至2019年12月抚顺市新宾满族自治县第二人民医院收治的支气管哮喘患者,随机将其分成两组,对照组和观察组各35例。对照组采用常规护理干预,观察组采用个体化系统护理干预,比较两组患者护理前后的肺功能指标、疾病总控制率和自我护理能力。结果两组患者护理后的FEV_(1)、FEV_(1)/FVC和PEF均高于护理前,且观察组患者的FEV_(1)、FEV_(1)/FVC和PEF高于对照组,疾病总控制率高于对照组,对比组间差异有统计学意义(P<0.05)。两组护理后的SAS、SDS评分、自我护理能力评分均低于护理前,且观察组各评分低于对照组(P<0.05)。护理后,观察组的血气分析指标改善情况优于对照组(P<0.05),治疗依从性、生活质量评分与对照组比较,均显著更高(P<0.05)。结论支气管哮喘患者采用个体化系统性护理干预的疾病控制效率显著,能显著改善患者的肺功能,减轻患者负性情绪,增强患者依从性及自我护理能力,有效改善患者预后。

Objective To investigate the effect of individualized systematic nursing intervention on disease control of bronchial asthma patients.Methods A total of 70 patients with bronchial asthma treated in the second people's Hospital of Xinbin Manchu Autonomous County,Fushun City from January 2018 to December 2019 were randomly divided into two groups,35 in the control group and 35 in the observation group.Routine nursing intervention was used in the control group and individualized systematic nursing intervention was used in the observation group.The pulmonary function indexes,total disease control rate and self-care ability of the two groups were compared before and after nursing.Results The FEV_(1),FEV_(1)/FVC and PEF of the two groups after nursing were higher than those before nursing,and the FEV_(1),FEV_(1)/FVC and PEF of the observation group were higher than those of the control group,and the total disease control rate was higher than that of the control group.The difference between the control groups was significant(P<0.05).The scores of SAS,SDS and self-care ability of the two groups after nursing were lower than those before nursing,and the scores of the observation group were lower than those of the control group(P<0.05).After nursing,the improvement of blood gas analysis indexes in the observation group was better than that in the control group(P<0.05),and the treatment compliance rate and quality of life score were significantly higher than those in the control group(P<0.05).Conclusion The disease control efficiency of individualized systematic nursing intervention in patients with bronchial asthma is significant,which can significantly improve the lung function of patients,reduce the negative emotion of patients,enhance the compliance and self-care ability of patients,and effectively improve the prognosis of patients.