慢性阻塞性肺疾病的护理

Nursing of chronic obstructive pulmonary disease

目的:总结慢性阻塞性肺疾病护理经验,进一步提高护理质量。方法:2013年1-12月收治慢性阻塞性肺疾病患者220例,加强刚入院患者的护理、心理护理、生活方式干预、运动护理和呼吸道的护理。结果:患者经过护理后,饮食控制、运动疗法、药物疗法、自我监测方面明显提高,与护理前比较有统计学意义(P<0.05),患者在执行医嘱方面由原来的50.0%提高到96.8%;合理用药方面由原来的60.0%提高到97.7%;合理运动方面由原来的28.2%提高到97.3%;合理饮食方面由原来的28.2%提高到96.4%,护理前后比较有统计学意义(P<0.05),护理后患者第1秒用力呼气容积、6 min步行距离、肺功能评分明显增高,与护理前比较有统计学意义(P<0.05)。结论:加强刚入院患者的护理、心理护理、生活方式干预、运动护理和呼吸道的护理,可以明显提高患者的生活质量,提高患者的临床疗效。

Objective:To summary the nursing experience of chronic obstructive pulmonary disease,to further improve the quality of nursing.Methods:220 patients with chronic obstructive pulmonary disease were selected from January to December 2013,Strengthening nursing,psychological nursing,lifestyle intervention,exercise nursing and respiratory nursing of the just admitted patients.Results:The patients after nursing,diet control,exercise therapy,self monitoring drug therapy were significantly improved,and there was statistical significance compared with nursing before(P<0.05).Patients performed a clinical aspect from the original50.0% increased to 96.8%;rational drug use aspect increased from 60.0% increased to 97.7%;reasonable sports aspect from the original 28.2% increased to 97.3%;reasonable diet aspect from 28.2% increased to 96.4%,there was statistical significance compared with nursing before(P<0.05).The patients after nursing,the first 1 second forced expiratory volume,6 minutes walking distance,lung function scores were significantly increased,and there was statistical significance compared with nursing before(P<0.05).Conclusion:Strengthening nursing,psychological nursing,lifestyle intervention,exercise nursing and respiratory nursing of the just admitted patients can significantly improve the quality of life and improve clinical outcomes of the patients.