基于奥马哈理论的护理模式对慢性阻塞性肺疾病患者肺功能及细菌感染率的影响  

Effect of nursing model based on Omaha theory on pulmonary function and bacterial infection rate in COPD patients

作　　者：李志华[1] 崔琼[2] 倪晓琴[3] LI Zhihua;CUI Qiong;NI Xiaoqin(Department of Geriatric Respiratory Medicine,the Affiliated Hospital of Yan′an University,Yan′an,Shaanxi 716000,China)

机构地区：[1]延安大学附属医院老年呼吸内科,陕西延安716000 [2]延安大学附属医院综合内科二,陕西延安716000 [3]延安大学附属医院呼吸内科,陕西延安716000

出　　处：《中国微生态学杂志》2019年第10期1178-1182,共5页Chinese Journal of Microecology

摘　　要：目的探讨基于奥马哈理论的护理模式对慢性阻塞性肺疾病(COPD)患者肺功能、症状控制、细菌感染率及生活质量的影响。方法选取2018年1月至2019年1月我院收治的134例COPD患者,采用随机数字表法将研究对象分为观察组(n=69)与对照组(n=65),对两组患者住院期间肺功能、症状控制情况、细菌感染率、睡眠情况以及生活质量进行评估和分析。结果观察组患者肺功能情况优于入院时(P<0.05)。两组患者泌尿系统感染发生率最高,其次为褥疮创面感染和口腔感染。观察组患者泌尿系感染的发生率低于对照组(P<0.05)。两组患者干预后PSQI量表评分和CAT评分均低于入院前,且观察组患者总分低于对照组(均P<0.05)。干预后观察组患者SF-36评分均高于对照组(均P<0.05)。结论在基于奥马哈理论的护理模式下,COPD患者的肺功能得到加强,继发感染的发生减少,生活质量得到提高。Objective To explore the effect of nursing mode based on Omaha theory on pulmonary function,symptom control,bacterial infection rate and quality of life in COPD patients.Methods A total of 134 COPD patients admitted to our hospital from January 2018to January 2019were divided into the observation group(n=69)or control group(n=65)using random number table method.The pulmonary function,symptom control,bacterial infection rate,sleep status and quality of life of the two groups were evaluated and analyzed during hospitalization.Results The pulmonary function in the observation group was better than that on admission(P<0.05).The incidence of urinary tract infection was the highest in both groups,followed by bedsore infection and oral infection.The incidence of urinary tract infection in the observation group was lower than that in the control group(P<0.05).After intervention,the PSQI scale score and CAT score in both groups decreased compared with those before admission,and the total score in the observation group was lower(P<0.05).After intervention,sf-36scores in the observation group were higher than those in the control group(P<0.05).Conclusion Under the nursing mode based on Omaha theory,patients′lung function is strengthened,the incidence of secondary infection is reduced,and the quality of life is improved.

关 键 词：慢性阻塞性肺疾病 奥马哈理论 护理模式 临床研究 

分 类 号：R473.5[医药卫生—护理学]