老年慢性阻塞性肺疾病患者的护理研究  

The influence of nursing intervention on lung function in elderly patients with chronic obstructive pulmonary disease and the quality of life

作　　者：刘月玲[1] 肖淑珺[1] 孙晓凤[2] 

机构地区：[1]江苏省泰州市人民医院老年科,225300 [2]江苏省泰州市人民医院肺功能室

出　　处：《国际护理学杂志》2015年第1期8-10,共3页international journal of nursing

摘　　要：目的分析护理干预对老年慢性阻塞性肺疾病（COPD）患者肺功能和生活质量的影响，为改善患者预后积累经验。方法选取老年科收治的146例老年COPD患者为研究对象，入院后按照抽签随机取样法将其分为对照组（73例）和观察组（73例）。对照组给予常规护理；观察组在对照组基础上给予护理干预措施。采用肺功能测量仪、生活质量量表，比较两组患者护理前后各项肺功能指标（FVC、FEV1、FEV1／FV、MMEF、PEF）及生活质量（日常生活、社会活动、抑郁心理、焦虑心理等）。结果护理前两组患者各项肺功能指标和QOL各项评分比较差异均无统计学意义（P〉0．05）。护理后观察组各肺功能指标均显著高于对照组（t1=4．75、P1=0．006，t2=5．43、P2=0．003，t3=13．5、P3=0．000，t4=1．95、P4=0．013，t5=2．27、P5=0．011）；除社会活动外（t2=0．726、P2=0．197），各QOL评分均较对照组显著下降（t1=5．71、P1=0．003，t3=6．38、P3=0．002，t4=7．49、P4=0．001，t5=4．26、P5=0．007）。结论护理干预能够延缓老年COPD患者肺功能下降的趋势，缓解其焦虑、抑郁等负面情绪，改善其生活质量，有助于改善患者预后。Objective To analyze the influence of nursing intervention on lung function in elderly patients with chronic obstructive pulmonary disease （COPD） and the quality of life, in order to improve the prognosis of patients with accumulation of experience Methods Totaled of 146 cases of elderly patients with COPD hospitalized from October 2009 to December 2013 were selected as the research objects, they were divided into control group （ n = 73 ） and observation group （ n = 73 ） after admission according to the randomly sampling method in the lottery . Control group was given routine nursing, observation group was given nursing intervention on the basis of control group. The lung function measurement instrument quality of life scale was used, the lung function indexes before and after the nursing （FVC, FEV1, FEV1/ FV, MMEF, PEF） and quality of life （daily life, social activities, depression, anxiety and so on ） of two groups were compared. Results The lung function indexes and the QOL scores of patients of two groups before nursing were compared, the differences both had no statistical significances （ P 〉 0.05 ） , The lung function indexes of observation group were obviously higher than those of control group （ t1 = 4.75, P1 =0.006, t2 =5.43,P2 =0.003, t3 =13.5, P3 =0.000, t4 =1.95, P4 =0.013, t5 =2.27, P5 =0.011）; Except social activity （t2 = 0. 726, P2 = 0. 197）, each QOL score of observation group was compared with the control group which was significantly decreased （t1 =5.71, P1 =0.003, t3 =6.38, P3 =0.002, t4 =7.49, P4 =0.001, t5 =4.26, P5 =0.007） .Conclusions Nursing interventioncan postpone the falling trend of lung function in patients with COPD, ease their anxiety, depression and other negative emotions, improve the quality of life and be good for improving the intervention of patients.

关 键 词：慢性阻塞性肺疾病 老年 护理干预 肺功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]