基于肺通气功能状态护理方案的实践  

Application of function-based nursing program in patients with pulmonary ventilation dysfunction

作　　者：王乐[1] 刘扣英[2] 顾则娟[3] 朱金星[2] 陈长芳[2] 

机构地区：[1]南京医科大学护理学院,江苏南京210029 [2]南京医科大学第一附属医院呼吸内科,江苏南京210029 [3]南京医科大学第一附属医院护理部,江苏南京210029

出　　处：《护理学杂志》2015年第5期19-22,共4页

基　　金：江苏省"333工程"科研资助立项项目(苏人才办[2014]28号-340)

摘　　要：目的探讨基于肺通气功能状态的护理方案对肺通气功能障碍患者肺功能状态、运动耐力和心理状态的影响。方法将100例肺通气功能障碍患者,按照入院时间先后顺序分为对照组和观察组,每组各50例,对照组接受常规护理,观察组根据肺通气功能评定结果实施功能状态相关护理方案。在入院当天和出院当天评价和比较两组患者的肺功能状态、活动耐力和心理状态。结果两组患者干预前的通气功能障碍分级、呼吸困难评分、肺功能状况与呼吸困难问卷评分差异比较无统计学意义(均P>0.05)。干预后观察组呼吸困难评分、肺功能状况与呼吸困难问卷评分、医院焦虑抑郁量表评分显著低于对照组,6分钟步行距离显著长于对照组(均P<0.05)。结论基于肺通气功能状态实施护理方案可促进患者肺功能状态的恢复,增强患者的运动耐力,减轻焦虑抑郁心理。Objective To discuss the influence of a function-based nursing program on lung function,motor function,and psychological status of inpatients with ventilation dysfunction.Methods A total of 100 patients with ventilation dysfunction were selected and randomized into a control group and an experimental group according to the order of admission time,each of 50 cases.Patients in the control group were given conventional nursing intervention,while patients in the experimental group were given individualized and comprehensive nursing intervention based on their ventilation function.Motor function,activity tolerance and psychological status were evaluated and compared between the two groups on the day of admission and discharge.Results There was no significant difference in the ventilation dysfunction scores,Modified British Medical Research Council（MMRC）scores,and Pulmonary Functional Status and Dyspnea Questionnaire（PFSDQ-M）scores between the two groups on admission（P〉0.05 for all）.After the intervention,the scores of MMRC,PFEDQ-M and Hospital Anxiety And Depression Scale of the experimental group were significantly lower than the control group（P〈0.05 for all）,while the six minute walking distance in the former was significantly higher than the latter（P〈0.05）.Conclusion The nursing program based on the ventilation function could not only improve motor function and activity tolerance,but also relieve anxiety and depression of patients with pulmonary ventilation dysfunction.

关 键 词：肺通气功能障碍 护理方案 功能状态 活动耐力 心理状态 

分 类 号：R473.5[医药卫生—护理学]