优化护理管理策略应用于慢性阻塞性肺疾病患者的效果  

Effect of optimization nursing management strategies in patients with chronic obstructive pulmonary disease

作　　者：黄丽英[1] 符岸秋[1] 

机构地区：[1]海南省农垦三亚医院护理部,海南三亚572000

出　　处：《实用临床医药杂志》2014年第8期4-7,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨优化护理管理策略应用于慢性阻塞性肺疾病患者的临床疗效。方法选取72例慢性阻塞性肺疾病患者作为研究对象,随机均分为实验组与对照组,对照组采用常规护理,实验组在常规护理的基础上实施优化护理,比较2组护理前后肺功能指标变化情况及不良反应发生率。结果护理前2组MVV、FEV1/FVC及FEV1%预期值比较差异均无统计学意义(P>0.05);相比于护理前,护理后2组MVV、FEV1/FVC及FEV1%预期值比较差异有统计学意义(P<0.05);护理后实验组MVV、FEV1/FVC及FEV1%预期值均较对照组改善明显,比较差异有统计学意义(P<0.05);实验组不良反应率发生率为5.56%,对照组为16.68%,2组差异有统计学意义(P<0.05)。结论采用优化护理管理策略护理慢性阻塞性肺疾病患者能显著改善肺功能指标,减少不良反应,值得在临床上进一步推广。Objective To investigate the clinical efficacy of optimizing nursing manage- ment strategies in patients with chronic obstructive pulmonary disease. Methods 72 patients with chronic obstructive pulmonary disease were randomly divided into experimental group and control group. The control group was received conventional nursing, and the experimental group was given optimizing nursing management strategies based on conventional nursing. Lung function and inci- dence of adverse reactions were compared before and after treatment. Results MVV, FEV1/ FVC and FEV1% before treatment in the two groups showed no significant difference （P〉 0.05）. Compared with treatment before, there was a significant difference according to the value of MVV, FEV1/FVC and FEV1% after treatment in the two groups （P 〈0.05）. MVV, FEV1 / FVC and FEVl % after nursing in the experimental group improved significantly compared with that in the control group, and the difference was significant （P 〈0.05）. The difference was sig- nificant since the rate of adverse reactions in experimental group and control group after treatment was 5.56 % and 16.68 % （P 〈0.05）. Conclusion The nursing management strategies can sig- nificantly improve lung function and reduce adverse reactions of patients with chronic obstructive pulmonary disease, so it is worthy of further promotion in clinical practice.

关 键 词：优化护理管理策略 常规护理 慢性阻塞性肺疾病 肺功能指标 

分 类 号：R473.5[医药卫生—护理学]