慢性肺气肿患者采用康复护理的效果观察

Observation on the Effect of Rehabilitation Nursing for Patients with Chronic Emphysema

目的研究康复护理运用于慢性肺气肿患者中的效果。方法选择2019年9月—2020年5月该院收治的96例慢性肺气肿患者为观察对象,按随机双盲法分成两组,每组48例。研究组采用康复护理,对照组采用常规护理。对比两组护理前后的通气指标、舒适度、焦虑自评量表(SAS)和生活质量(QOL)评分,对比两组护理效果、住院时长及依从性。结果护理前,比较两组的PaO_(2)、PaCO_(2),组间差异无统计学意义(P>0.05);护理后,研究组的PaO_(2)高于对照组,PaCO_(2)低于对照组,组间差异有统计学意义(P<0.05)。护理前,比较两组的舒适度评分、SAS评分,组间差异无统计学意义(P>0.05);护理后,研究组的舒适度评分高于对照组,SAS评分低于对照组,住院时长短于对照组,组间差异有统计学意义(P<0.05)。研究组的护理总有效率为93.75%,高于对照组的77.08%,差异有统计学意义(P<0.05)。研究组各方面的依从性均高于对照组,组间差异有统计学意义(P<0.05)。护理前,比较两组的各项QOL评分,组间差异无统计学意义(P>0.05);护理后,研究组的各项QOL评分均高于对照组,组间差异有统计学意义(P<0.05)。结论将康复护理运用于慢性肺气肿患者的效果突出,可缩短住院时长,提升舒适程度,并增强通气能力,提高依从性,改善生存质量,促进病情快速康复。

Objective To study the effect of rehabilitation nursing in patients with chronic emphysema.Methods From September 2019 to May 2020,96 patients with chronic emphysema admitted to the hospital were selected as the observation objects,and they were divided into two groups according to the random double-blind method,with 48 cases in each group.The study group used rehabilitation nursing and the control group used conventional nursing.The ventilation index,comfort level,anxiety self-assessment scale(SAS)and quality of life(QOL)scores were compared between the groups before and after nursing,and the effects of nursing,length of hospital stay and compliance were compared between the groups.Results Before nursing,comparing the PaO_(2) and PaCO_(2) of the two groups,there were no statistically significant differences(P>0.05);after nursing,the PaO_(2) of the study group was higher than that of the control group,while the PaCO_(2) of the study group was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,there were no statistically significant differences between the groups when comparing the comfort level score and SAS score(P>0.05);after nursing,the comfort level score of the study group was higher than that of the control group,while the SAS score of the study group was lower than that of the control group,and the length of hospital stay of the study group was shorter than that of the control group,and the differences between the groups were statistically significant(P<0.05).The total effective rate of the study group was 93.75%,which was higher than 77.08%of the control group,and the difference was statistically significant(P<0.05).The compliances in all aspects in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,the QOL scores of the two groups were not statistically significant(P>0.05);after nursing,the QOL scores of the study group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of rehabilitation nursing to patients with chronic emphysema has an outstanding effect,which can shorten the length of hospital stay, improve comfort, increase ventilation, improve compliance, improve quality of life, and promote rapid recovery from the disease.