针对性康复护理对慢阻肺呼吸衰竭患者的康复效果评价  

Evaluation of rehabilitation effect of targeted rehabilitation nursing on patients with chronic obstructive pulmonary disease respiratory failure

作　　者：王静[1] 侯保珍 WANG Jing;HOU Bao-zhen(Jining Hospital of Traditional Chinese Medicine,Jining 272000,China)

机构地区：[1]济宁市中医院,272000

出　　处：《中国实用医药》2021年第16期188-191,共4页China Practical Medicine

摘　　要：目的分析慢性阻塞性肺疾病(慢阻肺)呼吸衰竭护理中针对性康复护理的应用价值。方法82例慢阻肺呼吸衰竭患者,随机分为研究组和对照组,每组41例。对照组实施常规护理干预,研究组在常规护理干预基础上实施针对性康复护理。比较两组患者干预前后肺功能指标、生命质量以及护理满意度。结果干预后,两组患者第1秒用力呼气容积(FEV1)、呼气峰值流速(PEF)、一秒用力呼气容积/用力肺活量(FEV1/FVC)水平均有所改善,且研究组FEV1、PEF、FEV1/FVC水平分别为(2.92±0.50)L、(6.83±1.43)L/s、(67.38±6.78)%,优于对照组的(3.51±0.68)L、(6.01±1.35)L/s、(62.36±6.12)%,差异均具有统计学意义(P<0.05)。干预后,两组患者生理、心理、环境、社会关系评分以及总分均高于干预前,且研究组高于对照组,差异均具有统计学意义(P<0.05)。研究组患者护理满意度95.12%高于对照组的80.49%,差异具有统计学意义(χ2=4.100,P=0.043<0.05)。结论对慢阻肺呼吸衰竭患者实施常规护理干预基础上的针对性康复护理能够有效改善患者护理功能,提高生存质量,促进患者快速康复,因此可在临床进行较大范围推广。Objective To analyze the practical value of rehabilitation effect of targeted rehabilitation nursing on patients with chronic obstructive pulmonary disease respiratory failure.Methods A total of 82 patients with chronic obstructive pulmonary disease respiratory failure were randomly divided into research group and control group,with 41 cases in each group.The control group received conventional nursing intervention,and the research group received targeted rehabilitation nursing based on the conventional nursing intervention.The pulmonary function indexes and quality of life before and after intervention,and nursing satisfaction were compared between the two groups.Results After the intervention,the levels of forced expiratory volume in the first second(FEV1),peak expiratory flow rate(PEF),FEV1/forced vital capacity(FEV1/FVC)of the two groups were improved;the levels of FEV1(2.92±0.50)L,PEF(6.83±1.43)L/s,FEV1/FVC(67.38±6.78)%of the research group were better than(3.51±0.68)L,(6.01±1.35)L/s,(62.36±6.12)%of the control group.All the difference was statistically significant(P<0.05).After intervention,the physical,psychological,environmental,social relationship scores and total scores of the two groups were higher than those before intervention,and the research group was higher than the control group.All the difference was statistically significant(P<0.05).The nursing satisfaction rate 95.12%of the research group was higher than 80.49%of the control group,and the difference was statistically significant(χ^(2)=4.100,P=0.043<0.05).Conclusion Targeted rehabilitation nursing on the basis of conventional nursing intervention can effectively improve the nursing function of patients,improve the quality of life,and promote the rapid recovery of patients,so it can be widely promoted in clinic.

关 键 词：针对性康复护理 慢性阻塞性肺疾病呼吸衰竭 康复效果 

分 类 号：R473.5[医药卫生—护理学]