[摘要]目的探究護(hù)理干預(yù)對(duì)于COPD急性期患者預(yù)后的影響。方法將該院呼吸內(nèi)科自2009年2月—2014年11月收治的84例慢性阻塞性肺疾?。–OPD）患者隨機(jī)分為觀察組和對(duì)照組，對(duì)照組實(shí)施常規(guī)護(hù)理措施，觀察組在對(duì)照組的基礎(chǔ)上實(shí)施護(hù)理干預(yù)，包括心理干預(yù)、飲食干預(yù)、行為干預(yù)及呼吸功能康復(fù)訓(xùn)練等，3月后分析兩組患者的肺功能變化情況及血?dú)庵笜?biāo)。結(jié)果觀察組患者的肺功能改善情況明顯優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；血?dú)庵笜?biāo)方面，觀察組患者的PaO 2、PaCO 2及SaO 2改善情況明顯優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論護(hù)理干預(yù)可有效改善患者的肺功能情況及血?dú)馇闆r，有利于患者生活質(zhì)量的提高，值得推廣。

[作者簡(jiǎn)介]耿會(huì)學(xué)（1972.8-），女，山東青陽(yáng)鎮(zhèn)人，本科，主管護(hù)師，研究方向：內(nèi)科護(hù)理。

The Influence of Nursing Intervention on the Prognosis of Patients with COPD

GENG Hui-xue

Department of Internal Medicine, Shandong Zouping County Haosheng Town Health Center, Zouping, Shandong Province, 256219 China

[Abstract] Objective To explore the effects of nursing intervention on the prognosis of patients with acute phase of COPD. Methods 84 patients with COPD admitted in the Department of Respiratory Medicine of our hospital were randomly divided into the observation group and the control group. The control group were treated by the conventional nursing and the observation group were treated by nursing intervention, including psychological intervention, diet intervention, behavioral intervention and respiratory function rehabilitation training on the basis of conventional nursing. And the lung function and blood gas index of the two groups 3 months later were analyzed. Results Compared with the control group, the lung function of the observation group was improved more obviously with statistically significant difference (P<0.05). In terms of blood gas indicators, the PaO 2, PaCO 2and SaO 2was much better in the observation group than that in the control group, respectively with statistically significant difference (P<0.05). Conclusion The nursing intervention can effectively improve the lung function and blood gas of the patients, which is conducive to the improvement of the quality of life of the patients, so it is worthy of promotion

[Key words] COPD; Nursing intervention; Lung function; Blood gas analysis

慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)為臨床常見(jiàn)呼吸系統(tǒng)疾病,由慢性支氣管炎和(或)肺氣腫等引起,以氣流受阻為主要特征,以反復(fù)咳嗽、咯痰及呼吸困難為主要癥狀氣道阻塞呈進(jìn)行性加重,多不可逆,常能夠伴有氣道高反應(yīng)性 [1]。COPD纏綿難愈，容易并發(fā)慢性肺源性心臟病，嚴(yán)重危害中老年人的身心健康，直接影響其生活質(zhì)量。如何有效改善患者的肺功能及血?dú)馇闆r，提高其生活質(zhì)量已經(jīng)越來(lái)越被醫(yī)學(xué)界所重視。該研究在2009年2月—2014年11月分析護(hù)理干預(yù)對(duì)COPD患者生存狀態(tài)的影響，以尋求提高其生活質(zhì)量合理護(hù)理措施，現(xiàn)報(bào)道如下。

1　資料與標(biāo)準(zhǔn)

1.1　一般資料

84例患者均是該院呼吸內(nèi)科自2009年2月—2014年11月收治的病人，其中觀察組42例，男性25例，女性17例，年齡在53～81歲之間，平均年齡（64.9±4.3）歲，病程在9～31年之間，平均病程（15.7±5.1）年；對(duì)照組42例，男性27例，女性15例，年齡在51～79歲之間，平均年齡（65.1±4.5）歲，病程在11～29年之間，平均病程（15.4±4.9）年。兩組患者在性別、年齡及病程方面無(wú)明顯差異性，存在可比性。

1.2　診斷標(biāo)準(zhǔn)

COPD診斷標(biāo)準(zhǔn)參考中華醫(yī)學(xué)會(huì)制定的《慢性阻塞性肺疾病診治指南》 [2]。

1.3　納入標(biāo)準(zhǔn)

臨床診斷符合相關(guān)標(biāo)準(zhǔn)者；自愿參與該研究并簽署知情同意書(shū)者；言語(yǔ)交流自如，神志清晰者；1.4排除標(biāo)準(zhǔn)

氣胸患者；胸部腫瘤患者；嚴(yán)重肝腎功能障礙者；重度心、肺