护理风险管理对慢性阻塞性肺疾病急性加重期患者预后的影响

Effect of nursing risk management on prognosis of patients with acute exacerbation of chronic obstructive pulmonary disease

目的分析护理风险管理对慢性阻塞性肺疾病急性加重期(AECOPD)患者预后的影响。方法选取2019年1月至2020年12月我院收治的80例AECOPD患者为研究对象,根据随机数字表法将其分为对照组和观察组,各40例。对照组给予常规护理,观察组给予护理风险管理。比较两组干预效果。结果护理后,观察组的用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/FVC、动脉血氧分压(PaO_(2))高于对照组(P<0.05)。护理后,观察组动脉二氧化碳分压(PaCO_(2))、碱剩余(BE)、慢性阻塞性肺疾病患者自我评估测试(CAT)和圣乔治医院呼吸问题调查问卷(SGRQ)评分、并发症总发生率低于对照组(P<0.05)。结论护理风险管理能有效改善AECOPD患者的肺功能和血气指标,降低相关并发症发生率,缓解临床症状,改善预后。

Objective To analyze the effect of nursing risk management on prognosis of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods Eighty patients with AECOPD admitted in our hospital from January 2019 to December 2020 were selected as study objects,and the patients were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given nursing risk management.The intervention effects of the two groups were compared.Results After nursing,the forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),FEV_(1)/FVC and arterial partial pressure of oxygen(PaO_(2))in the observation group were higher than those in the control group(P<0.05).After nursing,the arterial carbon dioxide pressure(PaCO_(2)),base excess(BE),the scores of chronic obstructive pulmonary disease assessment test(CAT)and St.George's hospital respiratory questionnaire(SGRQ)and the total incidence of complications in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing risk management can effectively improve pulmonary function and blood gas indexes in patients with AECOPD,reduce the incidence of complications,relieve clinical symptoms and improve prognosis.