精细化护理在老年慢性阻塞性肺疾病加重期合并呼吸衰竭患者中的应用效果

The Application Effect of Refined Nursing Care in Elderly Patients with Chronic Obstructive Pulmonary Disease Ex⁃acerbation Combined with Respiratory Failure

目的:探讨精细化护理对老年慢性阻塞性肺疾病加重期合并呼吸衰竭患者的应用效果。方法:选取2022年1月—2023年2月珠海市人民医院收治的慢性阻塞性肺疾病加重期合并呼吸衰竭的老年患者150例为研究对象,随机分为对照组和观察组,各75例。对照组采用医院常规综合护理,观察组采用精细化护理。比较两组呼吸困难指数、心理状态、圣乔治呼吸疾病问卷(SGRQ)评分。结果:护理30 d后,两组改良呼吸困难指数量表评分均降低,观察组低于对照组,差异有统计学意义(P<0.05);两组焦虑自评量表、抑郁自评量表评分均降低,观察组低于对照组,差异有统计学意义(P<0.05);两组SGRQ评分均降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:精细化护理对老年慢性阻塞性疾病加重期合并呼吸衰竭患者的临床护理效果显著,可改善患者负性情绪、呼吸困难指数,提高生活质量。

Objective:To explore the application effect of refined nursing care in elderly patients with chronic obstructive pulmo⁃nary disease exacerbation combined with respiratory failure.Methods:One hundred and fifty cases of elderly patients with chronic obstructive pulmonary disease exacerbation combined with respiratory failure admitted to Zhuhai People's Hospital from January 2022 to February 2023 were selected as the study subjects,and were randomly divided into the control group and the observation group,seventy-five cases each.The control group adopted the hospital routine comprehensive nursing,and the observation group adopted refined nursing care.The dyspnea index,psychological state,and St.George's Respiratory Disease Questionnaire(SGRQ)score were compared between the two groups.Results:After 30 d of nursing care,the modified dyspnea index scale scores of both groups were reduced,and the observation group was lower than the control group,and the difference was statistically signifi⁃cant(P<0.05);Self-rating Anxiety Scale(SGRQ)and Self-rating Depression Scale(SDDS)scores were reduced in both groups,with the observation group lower than the control group,and the difference was statistically significant(P<0.05);SGRQ scores were reduced in both groups,and the observation group was lower than the control group,and the difference was statistically signif⁃icant(P<0.05).Conclusion:The clinical nursing effect of refined nursing care on elderly patients with COPD exacerbation com⁃bined with respiratory failure is remarkable,which can improve patients'negative emotions,dyspnea index,and improve the quali⁃ty of life.