慢性阻塞性肺疾病肺康复护理方法和效果

Method and Effect of Pulmonary Rehabilitation Nursing in Patients with Chronic Obstructive Pulmonary Disease

目的分析慢性阻塞性肺疾病的特点,评价肺康复护理方法和效果,以促进患者康复,为患者康复工作开展提供参考。方法选取2020年10月至2021年10月收治的患者,从中选取慢性阻塞性肺疾病患者为研究对象,符合研究条件者70例。采用随机方式进行分组,即对照组与试验组。将其中35例实施康复护理的患者作为试验组,其余35例实施常规护理的患者作为对照组。对比两组慢性阻塞性肺疾病患者的护理效果,观察患者康复护理前后动脉血氧分压分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))动脉血气分析结果以及第1秒用力呼气容积(FEV_(1))、最大呼气中段流速(MMEF)、用力肺活量(FVC)肺功能指标水平、生活质量评分及舒适度评分、情绪状况评分、护理满意度情况。结果两组患者康复护理前动脉血气分析检查结果以及肺功能指标结果对比,差异无统计学意义(P>0.05);康复护理后,试验组PaO_(2)、PaCO_(2)、以及FEV_(1)、MMEF、FVC肺功能指标明显优于对照组,差异有统计学意义(P<0.05);试验组患者护理后的生活质量评分高于对照组,差异有统计学意义(P<0.05);试验组患者舒适度评分为(92.36±3.32)分,对照组为(76.36±3.36)分,差异有统计学意义(P<0.05);焦虑自评量表(SAS)、抑郁自评量表(SDS)情绪评分比较,试验组患者康复护理后的情绪评分更低,P<0.05;另外,调查慢性阻塞性肺疾病患者的护理满意度情况,试验组患者的满意度明显高于对照组(P<0.05)。结论针对慢性阻塞性肺疾病患者实施康复护理科,可提高护理质量,改善患者的肺功能与血气分析指标,有助于患者快速康复,提升患者的生活质量,满足患者的护理需求,具有推行应用价值。

Objective Analysis of the characteristics of chronic obstructive pulmonary disease,evaluate the methods and effects of lung rehabilitation care,to promote the recovery of patients,and provide a reference for patient rehabilitation work.Methods Selected patients who were treated from October 2020 to October 2021,and 70 patients with chronic obstructive pulmonary disease were selected as research objects,and 70 cases of research conditions were met.Pay in a random way,that is,the control group and the experimental group,35 of these patients who practical rehabilitation were used as the experimental group,and the remaining 35 patients with conventional care were used as a control group.Compared with the nursing effect of two groups of patients with slow pulmonary patients,observing patients with arterial partial pressure of oxygen(PaO_(2)),arterial blood dioxide division(PCO_(2))arterial blood gas analysis results as well as first and forth,forced expiratory volume in one second(FEV_(1)),maximal mid-expitory flow curve(MMEF),forced vital capacity(FVC)lung functional index,life quality,quality of life.Scores and comfort scores,emotional status scores,nursing satisfaction.Results There was no significant difference in the results of arterial blood gas analysis and pulmonary function indexes between the two groups before rehabilitation nursing(P>0.05).Compared with the control group,the difference was statistically significant(P<0.05).The quality of life score of the patients in the experimental group after nursing was higher than that in the control group,and the difference was statistically significant(P<0.05).The comfort score of patients in the experimental group was(92.36±3.32)points,and that in the control group was(76.36±3.36)points,and the difference was statistically significant(P<0.05).Comparing the emotional scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the emotional scores of experimental group patients after rehabilitation nursing were lower,P<0.05;in addition,the survey The nursing satisfaction of patients with COPD was significantly higher in the experimental group than in the control group(P<0.05).Conclusion The implementation of the rehabilitation care department for patients with chronic obstructive pulmonary disease can improve the quality of nursing,improve the patient's lung function and blood gas analysis indicators,help patients to recover quickly,improve the quality of life of patients,meet the patient's care needs,and have the application of application applications.value.