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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(1)
http://www.100md.com 2019年5月5日 《中国当代医药》 2019年第13期
     [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(FEV1)、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。

    [关键词]综合护理干预;慢性阻塞性肺疾病;肺功能;生活质量

    [中图分类号] R473.5 [文獻标识码] A [文章编号] 1674-4721(2019)5(a)-0198-03

    Effect of comprehensive nursing intervention on lung function and quality of life in patients with stable chronic obstructive pulmonary disease

    YE Hui-li

    Department of Emergency, Huizhou Third People′s Hospital, Guangdong Province, Huizhou 516001, China

    [Abstract] 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 (FEV1) 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.

    [Key words] Comprehensive nursing intervention; Chronic obstructive pulmonary disease; Lung function; Quality of life

    作为呼吸系统常见病,慢性阻塞性肺疾病(COPD)好发于老年群体,随着我国老龄化趋势的日趋深入及全球气候变化,COPD发病率逐年升高[1]。该病病因复杂,以咳嗽、咳痰、喘息、呼吸困难为主要症状,疾病反复发作、迁延不愈,严重降低患者生活质量。本研究将选取本院收治的443例COPD稳定期患者,实施综合护理干预,取得满意效果,现报道如下。, 百拇医药(叶慧丽)
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