延续性护理联合营养指导干预对慢性支气管炎患者免疫功能及肺功能的影响

Effects of continuous nursing combined with nutritional guidance intervention on immune function and pulmonary function in patients with chronic bronchitis

目的探讨延续性护理联合营养指导干预对慢性支气管炎(CB)患者免疫功能及肺功能的影响。方法选取我院2020年5月至2022年5月收治的150例CB患者作为研究对象,应用随机数字表法将其分为对照组与观察组,各75例。对照组实施常规护理,观察组在常规护理基础上增加延续性护理联合营养指导干预。比较两组护理前、后的免疫功能、肺功能、自我保健能力及生活质量。结果护理后,两组的CD4^(+)、CD3^(+)及CD4^(+)/CD8^(+)均升高,且观察组高于对照组(P<0.05)。护理后,两组的第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)及FEV_(1)/FVC均升高,且观察组高于对照组(P<0.05)。护理后,两组的自我保健能力、简明生活质量量表(SF-36)评分均升高,且观察组高于对照组(P<0.05)。结论延续性护理联合营养指导干预能够增强CB患者的自我保健能力,改善免疫功能与肺功能,提升患者生活质量,值得临床推广。

Objective To explore the effects of continuous nursing combined with nutritional guidance intervention on immune function and pulmonary function in patients with chronic bronchitis(CB).Methods A total of 150 CB patients admitted in our hospital from May 2020 to May 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 75 cases in each group.The control group was given routine nursing,and the observation group was given continuous nursing combined with nutritional guidance intervention on the basis of routine nursing.The immune function,pulmonary function,self-care ability and quality of life of the two groups before and after nursing were compared.Results After nursing,the CD4^(+),CD3^(+)and CD4^(+)/CD8^(+)in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After nursing,the forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After nursing,the scores of self-care ability and the 36-Items Short Form Health Survey(SF-36)in the two groups increased,and those in the observation group were higher than the control group(P<0.05).Conclusion Continuous nursing combined with nutritional guidance intervention can enhance the self-care ability of CB patients,improve immune function and pulmonary function,and elevate the quality of life of patients,which is worthy of clinical promotion.