慢性阻塞性肺疾病并发多器官功能衰竭患者的护理干预
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摘要
目的探讨慢性阻塞性肺疾病(COPD)并发多器官功能衰竭(MODS)的护理干预。方法临床纳入2016年5月～2018年5月期间本院收治62例COPD并发MODS患者作为研究对象,随机分为研究组、对照组,均为31例。对照组实施临床常规护理方案,在此基础上对研究组患者实施综合护理干预,分析对比两组患者出院后肺功能指标。另外,将护理前、后两组SAS、SDS评分进行比较,同时对比两组护理满意度。结果研究组患者FEV1、MMEF、PEF、FVC等指标与对照组相比均明显更高,P <0.05;两组SAS、SDS评分较护理前均明显降低,P <0.05;护理前研究组SAS、SDS评分与对照组相比无统计学差异,护理后研究组SAS、SDS评分均显著低于对照组,P <0.05;研究组患者护理满意度为96.77%,相较于对照组的83.87%明显更高,P <0.05。结论对COPD并发MODS患者而言,根据具体病情实施综合护理干预措施十分重要,对改善患者肺功能、消除负性情绪、提高护理满意度等方面均具有积极意义,具备临床实施意义与应用价值。
Objective To study the nursing interventions on chronic obstructive pulmonary disease(COPD) with multiple organ dysfunction syndrome(MODS). Methods 62 COPD patients with MODS treated in our hospital from May 2016 to May 2018 were selected and randomly divided into a study group and a control group, with 31 cases in each group. The control group adopted the conventional nursing care, while the study group further adopted the comprehensive nursing interventions. Lung function indexes after discharge were analyzed and compared between the two groups. In addition, SAS and SDS scores of the two groups before and after intervention and nursing satisfaction of the two groups were compared. Results The indicators of FEV1, MMEF, PEF and FVC in the study group were significantly higher than those in the control group(P < 0.05). SAS and SDS scores of the two groups were significantly lower than those before nursing(P < 0.05). There was no significant difference in SAS and SDS scores between the two groups(P > 0.05), but the SAS and SDS scores in the study group were significantly lower than those in the control group(P < 0.05). The nursing satisfaction of the patients in the study group was 96.77%, significantly higher than that of the control group(83.87%)(P < 0.05). Conclusion For patients with COPD with MODS, it is very important to implement comprehensive nursing intervention measures according to specific conditions, which has positive significance in improving patients' lung function, and eliminating negative emotions. The intervention helps to improve nursing satisfaction and other aspects, which has clinical significance and application value.
Objective To study the nursing interventions on chronic obstructive pulmonary disease(COPD) with multiple organ dysfunction syndrome(MODS). Methods 62 COPD patients with MODS treated in our hospital from May 2016 to May 2018 were selected and randomly divided into a study group and a control group, with 31 cases in each group. The control group adopted the conventional nursing care, while the study group further adopted the comprehensive nursing interventions. Lung function indexes after discharge were analyzed and compared between the two groups. In addition, SAS and SDS scores of the two groups before and after intervention and nursing satisfaction of the two groups were compared. Results The indicators of FEV1, MMEF, PEF and FVC in the study group were significantly higher than those in the control group(P < 0.05). SAS and SDS scores of the two groups were significantly lower than those before nursing(P < 0.05). There was no significant difference in SAS and SDS scores between the two groups(P > 0.05), but the SAS and SDS scores in the study group were significantly lower than those in the control group(P < 0.05). The nursing satisfaction of the patients in the study group was 96.77%, significantly higher than that of the control group(83.87%)(P < 0.05). Conclusion For patients with COPD with MODS, it is very important to implement comprehensive nursing intervention measures according to specific conditions, which has positive significance in improving patients' lung function, and eliminating negative emotions. The intervention helps to improve nursing satisfaction and other aspects, which has clinical significance and application value.
引文
[1]卢丹.无创正压通气治疗慢性阻塞性肺疾病合并呼吸衰竭患者护理综合干预的效果评价[J].中国医药导报,2015,12(28):151-155.
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[3]龙芙蓉,欧璐,苏飞,等.慢性阻塞性肺疾病急性发作期中医护理方案优化与实践研究[J].护士进修杂志,2016,31(13):1160-1162.
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[5]黄丽君,黄勍栋.延续护理模式在老年慢性阻塞性肺疾病患者中的应用[J].护理与康复,2015,14(3):233-235.
[6]杨宁梅,侯颖,王丽,等.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分析[J].中国医药导报,2016,13(1):172-175.
[7]孙淑芬.综合加强护理病房老年慢性阻塞性肺疾病急性加重期死亡因素分析[J].中国老年学杂志,2016,36(5):1139-1141.
[8]赵辉,杨国峰.综合护理措施在硫酸沙丁胺醇气雾剂吸入治疗慢性阻塞性肺疾病中的作用[J].中国医科大学学报,2017,46(2):184-187.
[9]罗宜红,陈雪真,方丽芬,等.氧气雾化吸入与体外振动排痰护理在慢性阻塞性肺疾病急性期患者中的应用[J].护理实践与研究,2016,13(17):61-62,63.
[10]彭申梅,伍宇华,李静,等.延续性护理对慢性阻塞性肺疾病患者康复及生活质量的影响[J].国际护理学杂志,2018,37(1):13-18.
[11]张黎,杜星珍.延续性护理对慢性阻塞性肺疾病患者肺功能及生活质量的影响研究[J].实用临床医药杂志,2017,21(4):40-43.
[12]张红霞,张焱,陈惟隽,等.排痰护理在老年慢性阻塞性肺疾病急性加重期患者中的应用观察[J].老年医学与保健,2018,24(3):354-356.
[13]李师娟.危重症专职护理小组对COPD伴呼吸衰竭患者护理质量及预后的影响[J].齐鲁护理杂志,2015,21(17):1-3.
[14]史志雪,高霞,狄侃香,等.协同理论指导下全方位护理在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭无创呼吸机治疗患者中的应用效果[J].国际护理学杂志,2017,36(2):145-148.
[15]陈仕芬,罗晓洁,徐文斌,等.老年急性加重期慢性阻塞性肺疾病并发呼吸衰竭患者的优质护理干预[J].实用临床医药杂志,2018,22(4):31-33,41.
[16]谢媛,童慧芬,李凌云,等.认知行为干预护理改善老年慢性阻塞性肺疾病患者预后的效果分析[J].实用临床医药杂志,2017,21(8):34-38.
[2]吕建萍,丁淑芳,周志庆,等.多学科合作延续护理对慢性阻塞性肺疾病患者生命质量的影响[J].中国实用护理杂志,2015,31(22):1657-1661.
[3]龙芙蓉,欧璐,苏飞,等.慢性阻塞性肺疾病急性发作期中医护理方案优化与实践研究[J].护士进修杂志,2016,31(13):1160-1162.
[4]刘海棠,谢丽娟.多学科合作延续护理对慢性阻塞性肺疾病患者生命质量的影响[J].中国实用护理杂志,2016,32(10):737-742.
[5]黄丽君,黄勍栋.延续护理模式在老年慢性阻塞性肺疾病患者中的应用[J].护理与康复,2015,14(3):233-235.
[6]杨宁梅,侯颖,王丽,等.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分析[J].中国医药导报,2016,13(1):172-175.
[7]孙淑芬.综合加强护理病房老年慢性阻塞性肺疾病急性加重期死亡因素分析[J].中国老年学杂志,2016,36(5):1139-1141.
[8]赵辉,杨国峰.综合护理措施在硫酸沙丁胺醇气雾剂吸入治疗慢性阻塞性肺疾病中的作用[J].中国医科大学学报,2017,46(2):184-187.
[9]罗宜红,陈雪真,方丽芬,等.氧气雾化吸入与体外振动排痰护理在慢性阻塞性肺疾病急性期患者中的应用[J].护理实践与研究,2016,13(17):61-62,63.
[10]彭申梅,伍宇华,李静,等.延续性护理对慢性阻塞性肺疾病患者康复及生活质量的影响[J].国际护理学杂志,2018,37(1):13-18.
[11]张黎,杜星珍.延续性护理对慢性阻塞性肺疾病患者肺功能及生活质量的影响研究[J].实用临床医药杂志,2017,21(4):40-43.
[12]张红霞,张焱,陈惟隽,等.排痰护理在老年慢性阻塞性肺疾病急性加重期患者中的应用观察[J].老年医学与保健,2018,24(3):354-356.
[13]李师娟.危重症专职护理小组对COPD伴呼吸衰竭患者护理质量及预后的影响[J].齐鲁护理杂志,2015,21(17):1-3.
[14]史志雪,高霞,狄侃香,等.协同理论指导下全方位护理在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭无创呼吸机治疗患者中的应用效果[J].国际护理学杂志,2017,36(2):145-148.
[15]陈仕芬,罗晓洁,徐文斌,等.老年急性加重期慢性阻塞性肺疾病并发呼吸衰竭患者的优质护理干预[J].实用临床医药杂志,2018,22(4):31-33,41.
[16]谢媛,童慧芬,李凌云,等.认知行为干预护理改善老年慢性阻塞性肺疾病患者预后的效果分析[J].实用临床医药杂志,2017,21(8):34-38.