个体化护理应用于特发性肺间质纤维化患者的临床效果
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摘要
目的探究个体化护理应用于特发性肺间质纤维化(IPF)患者的临床效果。方法对2017年6月至2018年6月本院收治的52例IPF患者进行回顾性研究,按照病例号奇偶数将其分为对照组和试验组,每组26例。对照组采用常规护理干预,试验组采用个体化护理干预,比较两组的护理效果、护理满意度、护理前、后血气分析指标水平、生活质量改善情况及平均住院时间。结果试验组的护理总有效率为96.15%,显著高于对照组的73.08%(P<0.05);试验组的护理满意度为96.15%,显著高于对照组的76.92%(P<0.05);护理后,试验组PaO2及PaCO2水平均优于对照组(P<0.05);护理后,试验组SF-36评分显著高于对照组(P<0.05);试验组的平均住院时间为(16.25±2.52)d,显著短于对照组的(20.21±2.14)d(P<0.05)。结论对IPF患者开展积极有效的个体化护理干预,可显著提高患者的护理满意度及护理效果,同时改善其生活质量,缩短平均住院时间,值得临床推广应用。
Objective To investigate the clinical effect of individualized nursing in patients with idiopathic pulmonary fibrosis(IPF). Methods Fifty-two patients with IPF admitted in our hospital from June 2017 to June 2018 were retrospectively studied. According to the odd and even number of cases, the patients were divided into control group and experimental group, with 26 cases in each group. Routine nursing intervention was used in the control group, and individualized nursing intervention was used in the experimental group. The nursing effect, nursing satisfaction, levels of blood gas analysis indexes, improvement of quality of life before and after nursing and average hospitalization time were compared between the two groups. Results The total effective rate of nursing in the experimental group was 96.15%, which was significantly higher than 73.08% in the control group(P<0.05). The nursing satisfaction of the experimental group was96.15%, which was significantly higher than 76.92% of the control group(P<0.05). After nursing, the levels of PaO2 and PaCO2 in the experimental group were better than those in the control group(P<0.05). After nursing, the scores of SF-36 in the experimental group was significantly higher than that in the control group(P<0.05). The average hospitalization time of the experimental group was(16.25 ±2.52) days, which was significantly shorter than(20.21 ±2.14) days of the control group(P <0.05). Conclusion Active and effective individualized nursing intervention for IPF patients can significantly improve patients' nursing satisfaction, nursing effect and quality of life and it can shorten the average length of hospital stay, which is worthy of clinical promotion and application.
Objective To investigate the clinical effect of individualized nursing in patients with idiopathic pulmonary fibrosis(IPF). Methods Fifty-two patients with IPF admitted in our hospital from June 2017 to June 2018 were retrospectively studied. According to the odd and even number of cases, the patients were divided into control group and experimental group, with 26 cases in each group. Routine nursing intervention was used in the control group, and individualized nursing intervention was used in the experimental group. The nursing effect, nursing satisfaction, levels of blood gas analysis indexes, improvement of quality of life before and after nursing and average hospitalization time were compared between the two groups. Results The total effective rate of nursing in the experimental group was 96.15%, which was significantly higher than 73.08% in the control group(P<0.05). The nursing satisfaction of the experimental group was96.15%, which was significantly higher than 76.92% of the control group(P<0.05). After nursing, the levels of PaO2 and PaCO2 in the experimental group were better than those in the control group(P<0.05). After nursing, the scores of SF-36 in the experimental group was significantly higher than that in the control group(P<0.05). The average hospitalization time of the experimental group was(16.25 ±2.52) days, which was significantly shorter than(20.21 ±2.14) days of the control group(P <0.05). Conclusion Active and effective individualized nursing intervention for IPF patients can significantly improve patients' nursing satisfaction, nursing effect and quality of life and it can shorten the average length of hospital stay, which is worthy of clinical promotion and application.
引文
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[7]SHADI FARZIN G,MELANIE C,JENNIFER P,et al.Feasibility and parent satisfaction of a physical therapy intervention program for children with acute lymphoblastic leukemia in the first 6 months of medical treatment[J].Pediatr Blood Cancer,2015,56(5):799-804.
[8]王建凤,朱勤.甲泼尼龙联合环磷酰胺冲击治疗皮肌炎合并肺间质纤维化的护理[J].全科护理,2012,10(4):289-290.
[9]崔学芬,吕英.雾化吸入布地奈德联合大剂量乙酰半胱氨酸治疗特发性肺间质纤维化的护理[J].现代医药卫生,2013,29(1):124-125.
[10]钱雪芬.结缔组织病合并肺间质纤维化患者的护理[J].江苏医药,2013,39(8):989-990.
[2]王冬云.整体化心理护理模式对特发性肺间质纤维化患者生活质量的影响[J].齐鲁护理杂志,2016,22(9):18-20.
[3]中华医学会呼吸病学分会间质性肺疾病学组.特发性肺纤维化诊断和治疗中国专家共识[J].中华结核和呼吸杂志,2016,39(6):427-432.
[4]刘玉红.系统性红斑狼疮并发肺间质纤维化的护理[J].中外健康文摘,2012,9(27):311.
[5]COTTIN V,DISTLER O,J魻RG HW DISTLER,et al.P068 design of a randomized,placebo-controlled clinical trial of nintedanib in patients with systemic sclerosis-associated interstitial lung disease(SEN-SCISTM)[J].Clin Exp Rheumatol,2017,106(4):75-81.
[6]鲁玉桂,蔡小林.1例肺癌继发肺间质纤维化患者的抢救及护理经验总结[J].卫生职业教育,2012,30(2):145-147.
[7]SHADI FARZIN G,MELANIE C,JENNIFER P,et al.Feasibility and parent satisfaction of a physical therapy intervention program for children with acute lymphoblastic leukemia in the first 6 months of medical treatment[J].Pediatr Blood Cancer,2015,56(5):799-804.
[8]王建凤,朱勤.甲泼尼龙联合环磷酰胺冲击治疗皮肌炎合并肺间质纤维化的护理[J].全科护理,2012,10(4):289-290.
[9]崔学芬,吕英.雾化吸入布地奈德联合大剂量乙酰半胱氨酸治疗特发性肺间质纤维化的护理[J].现代医药卫生,2013,29(1):124-125.
[10]钱雪芬.结缔组织病合并肺间质纤维化患者的护理[J].江苏医药,2013,39(8):989-990.