护理干预在慢性阻塞性肺疾病患者中的效果

doi:10.3969/j.issn.1000-8535.2018.04.012

摘要/Abstract

摘要： 目的研究护理干预对慢性阻塞性肺疾病患者抑郁焦虑情绪的效果。方法选取2015年2月—2017年3月我院收治的慢性阻塞性肺疾病患者84例为观察对象。2015年2月—2016年2月入院患者42例为对照组,遵医嘱给予治疗,同时均予以常规慢性阻塞性肺疾病知识宣教。2016年3月—2017年3月入院患者42例为观察组在对照组基础上予以优质护理干预。分别比较干预前后两组患者抑郁、焦虑及干预前后肺功能变化、患者满意度、生活质量。结果干预后观察组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分分别为(20.05±5.24)分、(21.57±6.03)分,均低于对照组(28.57±5.29)分、(31.72±6.14)分,差异有统计学意义(P＜0.05)。干预后观察组FEV1水平(2.00±0.33)L,高于对照组的(1.68±0.25)L、观察组FEV1/FVC水平分别为(69.50±7.95)%,高于对照组的(65.18±8.43)%,差异有统计学意义(P＜0.05)。观察组患者满意度为95.24%(40/42),高于对照组的73.81%(31/42),差异有统计学意义(P＜0.05)。观察组患者各项SF-36评分均高于对照组,均P＜0.05差异有统计学意义。结论优质护理干预可缓解患者负性情绪,改善肺功能,提高满意度及生活质量。

关键词: 慢性阻塞性肺疾病, 优质护理, 焦虑, 抑郁

Abstract: Objective To study effects of nursing intervention in paitents with chronic obstructive pulmonary disease. Methods 84 patients with chronic obstructive pulmonary disease admitted to our hospital from February 2015 to March 2017 were selected as the observation objects. From February 2015 to February 2016, 42 patients admitted to the control group were treated with conventional therapy. From March 2016 to March 2017, 42 patients admitted to the hospital as the observation group were given quality nursing intervention on the basis of the control group. The depression, anxiety, lung function changes, patient satisfaction and quality of life before and after intervention were compared between the two groups before and after intervention. Results After the intervention, the SDS and SAS scores of the observation group were (20.05±5.24), (21.57±6.03), which were lowered than that of the control group (28.57±5.29), (31.72±6.14), the difference was statistical significance (P<0.05). After intervention, the level of FEV1 in the observation group (2+0.33) L was higher than that in the control group (1.68+0.25) L, and the FEV1/FVC level in the observation group was (69.50+7.95)%, which was higher than that in the control group (65.18+8.43)%,the difference was statistical significance (P<0.05). Satisfaction of patients in the observation group was 95.24% (40/42), higher than the control group 73.81% (31/42),the difference was statistical significance (P<0.05). The SF-36 scores of the observation group were higher than those of the control group, P<0.05, the difference was statistical significance. Conclusion High quality nursing intervention may effectively alleviate depression, anxiety and other negative emotions, improve lung function, satisfaction and quality of life.

Key words: Chronic obstructive pulmonary disease, High quality nursing intervention, Anxiety, Depression

郑翠环, 李婷, 张少珍, 魏彩红, 黄明生. 护理干预在慢性阻塞性肺疾病患者中的效果[J]. 广州医药, 2018, 49(4): 47-50.

ZHENG CuiHuan, LI Ting, ZHANG Shaozhen, WEI Caihong, HUANG Mingsheng. Effects of nursing intervention in patients with chronic obstructive pulmonary disease[J]. Guangzhou Medical Journal, 2018, 49(4): 47-50.

参考文献

[1] 李秀英,石振东,高颖,等.延续护理干预对慢性阻塞性肺疾病患者治疗依从性和生活质量的影响[J]. 中国现代医生,2017,55(6):157-159.
[2] 王宏俊.长效支气管舒张剂在慢性阻塞性肺疾病稳定期治疗中的应用进展[J]. 临床肺科杂志, 2017,22(7):1326-1330.
[3] 王烁,郭静,莫凡.探讨慢阻肺康复护理自我管理对患者肺功能及生活质量的影响[J]. 当代医学, 2017.23(26):147-149.
[4] 黄间娣.舒适护理在布地奈德联合氨溴索雾化吸入治疗慢阻肺急性发作患者中的作用[J]. 中国医药科学,2016,6(8):154-156.
[5] 阙利洁.认知行为干预对慢性阻塞性肺疾病患者治疗依从性和生活质量的影响[J]. 中西医结合护理(中英文),2017,3(2):124-127.
[6] 邱红梅,邓辛香,彭忠田.个性化护理措施在乙肝肝硬化失代偿患者药物治疗依从性的效果评价[J]. 实用医学杂志,2014,30(12):1999-2001.
[7] 郭雅楠,张婷雅,刘云凤,等.三主体双轨道交互式护理对老年慢性阻塞性肺疾病患者应用及效果评价[J]. 中华全科医学,2017,15(6):1079-1082.
[8] 王芳.聚焦解决模式对慢性阻塞性肺疾病患者自我管理能力的作用[J]. 当代医学, 2017,23(18):170-172.
[9] 冯惠春,黄静.心理护理干预对恶性肿瘤放疗患者的心理影响分析[J]. 中国现代医生,2014,52(23):78-80.
[10] 冯香珍.综合护理干预用于慢阻肺伴呼吸衰竭雾化吸入患者护理中的作用[J]. 中西医结合心血管病电子杂志,2017,5(9):59-60.
[11] 刘彩菊.延续性护理对慢阻肺患者肺功能及生活质量的影响效果分析[J]. 中国继续医学教育,2017,49(14):235-236.
[12] 杨胜兰,冯宁翰.有效干预措施对预防慢性阻塞性肺疾病患者医院感染的临床效果研究[J]. 中华医院感染学杂志,2014,24(14):3492-3494.
[14] 李军华,杨永静.优质护理干预对老年慢性阻塞性肺疾病患者的影响[J]. 中华肺部疾病杂志(电子版),2017,10(2):209-210.
[15] 郑秀琼,陈映琳,蔡博,等.延续性护理对慢阻肺患者戒烟情况及肺功能的影响[J]. 2017,17(7):1073-1075.