基于家庭赋权的护理干预结合同伴教育对慢性阻塞性肺疾病患者血气分析指标、疾病自我感受负担及主观幸福感的影响

Effects of nursing intervention based on family empowerment combined with peer education on blood gas analysis indexes,disease self-perceived burden and subjective well-being of patients with chronic obstructive pulmonary disease

目的探究基于家庭赋权的护理干预结合同伴教育在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选择2020年1月至2021年2月我院收治的140例COPD患者,根据护理方案将其分为对照组和观察组,各70例。对照组给予常规护理,观察组在对照组基础上给予基于家庭赋权的护理干预结合同伴教育。比较两组的干预效果。结果干预后,观察组的动脉血氧分压(PaO_(2))高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。干预后,观察组的家庭/经济负担、治疗负担、照护负担及情感负担评分均低于对照组(P<0.05)。干预后7、15、30 d,观察组的主观幸福感评分高于对照组(P<0.05)。结论基于家庭赋权的护理干预结合同伴教育用于COPD临床护理中,可缓解患者疾病自我感受负担,提高主观幸福感,促进血气分析指标恢复,值得推广。

Objective To explore the application effect of nursing intervention based on family empowerment combined with peer education in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 140 COPD patients admitted in our hospital from January 2020 to February 2021 were selected.According to the nursing plan,the patients were divided into control group and observation group,with 70 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on family empowerment combined with peer education on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the arterial partial pressure of oxygen(PaO_(2))in the observation group was higher than that in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group(P<0.05).After intervention,the scores of family or economic burden,treatment burden,care burden and emotional burden in the observation group were lower than those in the control group(P<0.05).At 7,15 and 30 d after intervention,the subjective well-being scores of the observation group were higher than those of the control group(P<0.05).Conclusion Nursing intervention based on family empowerment combined with peer education for COPD clinical nursing can alleviate the disease self-perceived burden,improve subjective well-being,and promote the recovery of blood gas analysis index.It is worth promoting.