综合护理干预对慢性阻塞性肺疾病稳定期患者肺功能和生活质量的影响
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摘要
目的探讨综合护理干预对慢性阻塞性肺疾病(COPD)稳定期患者肺功能与生活质量的影响。方法选取2016年1月～2017年12月本院收治的443例COPD稳定期患者作为研究对象,按照入院先后顺序分为实验组(225例)和对照组(218例)。对照组采用常规护理干预,实验组采用综合护理干预,观察两组干预前后肺功能变化与生活质量。结果干预前两组肺活量(VC)、用力肺活量(FVC)、第1秒用力呼气容积(FEV_1)、最大呼气峰流量(PEF)指标值比较,差异无统计学意义(P>0.05);干预后,以上各指标均提高,实验组高于对照组,差异有统计学意义(P<0.05)。两组干预前生活质量评分比较,差异无统计学意义(P>0.05);干预后两组评分均降低,实验组低于对照组,差异有统计学意义(P<0.05)。结论 COPD稳定期患者采用综合护理干预,可有效改善肺功能与生活质量,值得推广。
Objective To investigate the effect of comprehensive nursing intervention on lung function and quality of life in patients with stable chronic obstructive pulmonary disease(COPD). Methods A total of 443 patients with stable COPD admitted to our hospital from January 2016 to December 2017 were selected as study subjects. They were divided into the experimental group(n=225) and the control group(n=218) according to the order of admission. The control group was used regular nursing intervention, while the experimental group was adopted comprehensive nursing intervention. The changes of lung function and quality of life before and after intervention were observed. Results There were no significant differences in the values of vital capacity(VC), forced vital capacity(FVC), forced expiratory volume in 1 s(FEV_1) and peak expiratory flow(PEF) between the two groups before intervention(P>0.05). After the intervention, the above indicators increased and the increase was higher in the experimental group than that of the control group, with statistical significance(P<0.05). Before the intervention, the quality of life scores were not statistically significant between the two groups(P>0.05). After the intervention, the scores in both groups were lower, and even lower in the experimental group, with statistical significance(P<0.05). Conclusion Patients with stable COPD, application of comprehensive nursing intervention can effectively improve lung function and quality of life, which is worthy of extend.
Objective To investigate the effect of comprehensive nursing intervention on lung function and quality of life in patients with stable chronic obstructive pulmonary disease(COPD). Methods A total of 443 patients with stable COPD admitted to our hospital from January 2016 to December 2017 were selected as study subjects. They were divided into the experimental group(n=225) and the control group(n=218) according to the order of admission. The control group was used regular nursing intervention, while the experimental group was adopted comprehensive nursing intervention. The changes of lung function and quality of life before and after intervention were observed. Results There were no significant differences in the values of vital capacity(VC), forced vital capacity(FVC), forced expiratory volume in 1 s(FEV_1) and peak expiratory flow(PEF) between the two groups before intervention(P>0.05). After the intervention, the above indicators increased and the increase was higher in the experimental group than that of the control group, with statistical significance(P<0.05). Before the intervention, the quality of life scores were not statistically significant between the two groups(P>0.05). After the intervention, the scores in both groups were lower, and even lower in the experimental group, with statistical significance(P<0.05). Conclusion Patients with stable COPD, application of comprehensive nursing intervention can effectively improve lung function and quality of life, which is worthy of extend.
引文
[1]李彤,张芬.综合康复干预对慢性阻塞性肺疾病稳定期患者生存质量的影响[J].临床研究,2018,26(11):190-191.
[2]陈一凡.连续护理干预对家庭无创正压通气的慢性阻塞性肺疾病病人病情的影响[J].全科护理,2018,16(27):3382-3384.
[3]刘淑英.综合性护理干预对慢性阻塞性肺疾病患者生活质量的影响[J].中医临床研究,2018,10(26):34-35.
[4]李永红.多学科团队延续护理干预对慢性阻塞性肺疾病(COPD)患者负性情绪、治疗依从性和生活质量的影响[J].中国健康心理学杂志,2018,26(11):1690-1693.
[5]于洁.综合护理干预在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的护理效果分析[J].国际护理学杂志,2016,35(16):2208-2210.
[6]常建萍,刘永德,王新绘.系统护理结合情志护理对慢性阻塞性肺疾病患者负面情绪及生命质量的影响[J].西部中医药,2018,31(8):140-142.
[7]费菁.个性化护理干预对慢性阻塞性肺疾病伴抑郁焦虑患者治疗依从性和生活质量的影响[J].中外医学研究,2018,16(22):53-54.
[8]何玥.肠内营养及综合护理干预对慢性阻塞性肺疾病患者营养状况、肺功能及生活质量的影响[J].中国疗养医学,2018,27(2):180-182.
[9]杨静.优质护理干预在老年慢性阻塞性肺疾病患者中的应用价值[J].深圳中西医结合杂志,2016,26(18):173-174.
[10]陈世英,黄贵琴,刘仲书,等.护理干预对慢性阻塞性肺疾病患者焦虑抑郁状况及生活质量的影响[J].国际精神病学杂志,2016,43(4):759-761.
[11]王意.综合护理干预在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用观察[J].慢性病学杂志,2016,17(7):780-782.
[12]黄彩霞.慢性阻塞性肺疾病患者缓解期护理过程中实施护理干预对康复的影响[J].中国医药科学,2016,6(13):116-118.
[13]杨凯桂.综合护理干预对慢性阻塞性肺疾病稳定期肺功能和生活的质量影响[J].深圳中西医结合杂志,2016,26(5):162-163.
[14]万诚,肖波.中西医综合干预对慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响[J].新中医,2015,47(8):50-52.
[15]汪海燕.综合护理干预对慢性阻塞性肺疾病康复期患者肺功能和生活质量的影响[J].齐鲁护理杂志,2015,21(11):49-50.
[16]张弛.康复护理团队干预对老年慢性阻塞性肺病(COPD)稳定期疗效分析[J].黑龙江医药,2018,31(5):1154-1155.
[2]陈一凡.连续护理干预对家庭无创正压通气的慢性阻塞性肺疾病病人病情的影响[J].全科护理,2018,16(27):3382-3384.
[3]刘淑英.综合性护理干预对慢性阻塞性肺疾病患者生活质量的影响[J].中医临床研究,2018,10(26):34-35.
[4]李永红.多学科团队延续护理干预对慢性阻塞性肺疾病(COPD)患者负性情绪、治疗依从性和生活质量的影响[J].中国健康心理学杂志,2018,26(11):1690-1693.
[5]于洁.综合护理干预在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的护理效果分析[J].国际护理学杂志,2016,35(16):2208-2210.
[6]常建萍,刘永德,王新绘.系统护理结合情志护理对慢性阻塞性肺疾病患者负面情绪及生命质量的影响[J].西部中医药,2018,31(8):140-142.
[7]费菁.个性化护理干预对慢性阻塞性肺疾病伴抑郁焦虑患者治疗依从性和生活质量的影响[J].中外医学研究,2018,16(22):53-54.
[8]何玥.肠内营养及综合护理干预对慢性阻塞性肺疾病患者营养状况、肺功能及生活质量的影响[J].中国疗养医学,2018,27(2):180-182.
[9]杨静.优质护理干预在老年慢性阻塞性肺疾病患者中的应用价值[J].深圳中西医结合杂志,2016,26(18):173-174.
[10]陈世英,黄贵琴,刘仲书,等.护理干预对慢性阻塞性肺疾病患者焦虑抑郁状况及生活质量的影响[J].国际精神病学杂志,2016,43(4):759-761.
[11]王意.综合护理干预在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用观察[J].慢性病学杂志,2016,17(7):780-782.
[12]黄彩霞.慢性阻塞性肺疾病患者缓解期护理过程中实施护理干预对康复的影响[J].中国医药科学,2016,6(13):116-118.
[13]杨凯桂.综合护理干预对慢性阻塞性肺疾病稳定期肺功能和生活的质量影响[J].深圳中西医结合杂志,2016,26(5):162-163.
[14]万诚,肖波.中西医综合干预对慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响[J].新中医,2015,47(8):50-52.
[15]汪海燕.综合护理干预对慢性阻塞性肺疾病康复期患者肺功能和生活质量的影响[J].齐鲁护理杂志,2015,21(11):49-50.
[16]张弛.康复护理团队干预对老年慢性阻塞性肺病(COPD)稳定期疗效分析[J].黑龙江医药,2018,31(5):1154-1155.