预见性护理在布地奈德雾化吸入治疗慢阻肺患者过程中的应用价值

Application Value of Predictive Nursing in Patients with Chronic Obstructive Pulmonary Disease Treated by Budesonide Aerosol Inhalation

目的:探讨预见性护理在布地奈德雾化吸入治疗慢阻肺患者过程中的应用价值。方法:选择2019年8月—2021年8月我院收治的慢阻肺患者80例,以随机数字表法分为研究组与对照组,各40例。两组患者均在常规治疗基础上给予布地奈德雾化吸入治疗,按照组同步开展常规护理,研究组加强预见性护理干预,比较两组症状消失时间、血气指标、不良反应发生率、健康知识掌握度及依从性。结果:研究组健康知识掌握度及依从性均高于对照组,差异有统计学意义(P<0.05);研究组咳嗽消失、啰音消失以及喘憋消失所用时间均短于对照组,差异有统计学意义(P<0.05);研究组动脉血氧分压(PaO_(2))、pH水平高于对照组,动脉二氧化碳分压(PaCO_(2))水平低于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论:预见性护理可提升慢阻肺布地奈德雾化吸入治疗患者的健康知识掌握度及依从性,快速缓解临床症状,改善血气指标,降低治疗后不良反应发生风险。

Objective:To explore the application value of predictive nursing in budesonide aerosol inhalation in the treatment of patients with chronic obstructive pulmonary disease.Methods:A total of 80 patients with COPD admitted to our hospital from August 2019 to August 2021 were selected and randomly divided into study group and control group,with 40 cases in each group.Both groups were treated with budesonide aerosol inhalation on the basis of conventional treatment.The control group was given routine nursing at the same time,and the study group was given predictive nursing intervention.The disappearance time of symptoms,blood gas index,incidence of adverse reactions,mastery of health knowledge and compliance were compared between the two groups.Results:The mastery and compliance of health knowledge in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The disappearance time of cough,rales and wheezing in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The arterial partial pressure of oxygen(PaO_(2))and pH in the study group were higher than those in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 2.50%,which was lower than 20.00% in the control group,and the difference was statistically significant(P<0.05).Conclusion:Predictive nursing can improve the mastery of health knowledge and compliance of patients with COPD treated by budesonide atomization inhalation,rapidly relieve clinical symptoms,improve blood gas indexes,and reduce the risk of adverse reactions after treatment.