刍议慢性阻塞性肺疾病护理干预中应用健康教育的效果

Discussion on the Effectiveness of Applying Health Education in Nursing Interventions for Chronic Obstructive Pulmonary Disease

目的研究慢性阻塞性肺疾病护理干预中应用健康教育的效果。方法选取云霄县和平乡卫生院患者60例作为研究样本,选取时间为2020年5月至2022年12月,所有患者经诊断均为慢性阻塞性肺疾病,采用随机抽签法分组,对照组(30例)和观察组(30例)。对照组采用常规护理干预,观察组采用健康教育+常规护理干预,比较两组护理效果。结果干预后观察组各项健康教育评分(疾病知识、危险因素、疾病治疗)均高于对照组(P<0.05);总满意度高于对照组(P<0.05);最大通气量、用力肺活量、第1秒用力呼气容积各项肺功能高于对照组(P<0.05);m MRC量表评分低于对照组(P<0.05);依从性量表评分高于对照组(P<0.05);自我感受负担(家庭负担、治疗负担、照护负担、情感负担)评分低于对照组(P<0.05);生活质量(症状、活动能力、疾病影响)评分低于对照组(P<0.05);不良反应总发生率(口干咽干、心率增快、恶心呕吐、失眠头痛)低于对照组,对比结果差异显著(P<0.05)。结论慢性阻塞性肺疾病护理干预中应用健康教育的效果显著优于常规护理干预,因此健康教育+常规护理干预更具推广价值。

Objective Study the effect of applying health education in nursing interventions for chronic obstructive pulmonary disease.Method Sixty patients from the Heping Township Health Center in Yunxiao County were selected as research samples from May 2020 to December 2022.All patients were diagnosed with chronic obstructive pulmonary disease and randomly divided into a control group(30 cases)and an observation group(30 cases).The control group received routine nursing intervention,while the observation group received health education and routine nursing intervention.The nursing effects of the two groups were compared.Result After intervention,the observation group showed a significant increase in disease knowledge,risk factors,and disease treatment health education scores compared to the control group(P<0.05);The overall satisfaction was significantly higher than that of the control group and the control group(P<0.05);The maximum ventilation capacity,forced vital capacity,and forced expiratory volume in the first second were significantly increased compared to the control group(P<0.05);The score of the breathing difficulty mMRC scale decreased significantly compared to the control group(P<0.05);The score of the compliance scale was higher than that of the control group(P<0.05);The score of self perceived burden(family burden,treatment burden,care burden,emotional burden)was lower than that of the control group(P<0.05);The scores of symptoms,activity ability,and disease affecting quality of life were significantly reduced compared to the control group(P<0.05);The total incidence of adverse reactions such as dry mouth and throat,increased heart rate,nausea and vomiting,insomnia and headache was significantly reduced compared to the control group(P<0.05).Conclusions The effect of applying health education in nursing interventions for chronic obstructive pulmonary disease is significantly better than that of routine nursing interventions,so health education combined with routine nursing interventions has more promotional value.