循证护理在急性加重期支气管哮喘治疗中的应用价值  

The value of evidence-based nursing in the treatment of acute exacerbation bronchial asthma

作　　者：温慧敏[1] 庞剑[2] 饶金霞[1] 李建荣[1] WEN Hui-min;PANG Jian;RAO Jin-xia;LI Jian-rong(Department of Medical Outpatient,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China;Department of Respiratory Medicine,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院内科门诊,北京100730 [2]首都医科大学附属北京同仁医院呼吸内科,北京100730

出　　处：《川北医学院学报》2019年第6期813-815,共3页Journal of North Sichuan Medical College

摘　　要：目的:讨论循证护理干预对急性加重期支气管哮喘患者哮喘急性发作的控制作用,并评估护理质量及生命质量。方法:将100例急性加重期支气管哮喘患者分为对照组和研究组,每组各50例。对照组患者给予常规护理,研究组患者应用循证护理。评估两组护理前后哮喘症状评分、生命质量评分、哮喘知识评分,记录患者临床症状缓解时间、住院时间,比较两组患者护理依从性、护理满意度。结果:研究组护理后哮喘症状评分、临床症状缓解时间、住院时间分别为(5.20±0.95)分、(4.10±0.73)d和(8.06±1.18)d,评分低于对照组(9.57±0.91)分、(5.39±0.61)d和(9.47±1.20)d,差异有统计学意义(P<0.05);护理后,研究组生命质量评分、哮喘知识评分、护理依从性和护理满意度为(105.36±3.45)分、(86.59±5.14)分、(98.34±2.50)分和(99.02±1.32)分,高于对照组(92.61±3.71)分、(79.52±5.06)分、(93.62±2.31)分和(91.39±1.47)分,差异具有统计学意义(P<0.05)。结论:在积极治疗急性加重期支气管哮喘患者的基础上,应用给予循证护理干预,能够显著改善哮喘急性发作的临床症状,缩短患者好转时间,提高生命质量和护理质量。Objective:To discuss the control effect of evidence-based nursing intervention on acute attack of asthma in patients with acute exacerbation bronchial asthma,and to evaluate the quality of nursing and the quality of life.Methods:100 patients with acute exacerbation bronchial asthma were randomly divided into the control group and the study group,with 50 patients in each group.The control group received routine nursing care,and the study group received evidence-based nursing.The asthma symptom score,life quality score and asthma knowledge score were evaluated before and after nursing in the two groups.The clinical symptom relief time and hospitalization time were recorded.The nursing compliance and nursing satisfaction of the two groups were compared.Results:The asthma symptom score,clinical symptom relief time and hospitalization time in the study group were(5.20±0.95),(4.10±0.73)d and(8.06±1.18)d,respectively,which were lower than those in the control group(9.57±0.91),(5.39±0.61)d and(9.47±1.20)d,the differences were statistically significant(P<0.05).After nursing,the scores of life quality,asthma knowledge,nursing compliance and nursing satisfaction in the study group were(105.36±3.45),(86.59±5.14),(98.34±2.50)and(99.02±1.32),which was higher than those in the control group(92.61±3.71),(79.52±5.06),(93.62±2.31)and(91.39±1.47),with statistical significance(P<0.05).Conclusion:On the basis of active treatment of patients with acute exacerbation bronchial asthma,the application of evidence-based nursing intervention can significantly improve the clinical symptoms of acute attack of asthma,shorten the improvement time of patients,improve the quality of life and nursing quality.

关 键 词：循证护理 急性加重期支气管哮喘 护理质量 临床研究 

分 类 号：R473.5[医药卫生—护理学]