老年慢性支气管炎护理中采用优质化护理的应用效果  

Application of High-quality Nursing in Elderly Patients with Chronic Bronchitis

作　　者：刘畅 LIU Chang(Fourth People's Hospital of Liaoyang,Liaoyang 111000,China)

机构地区：[1]辽阳市第四人民医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第3期6-10,共5页Guide of China Medicine

摘　　要：目的通过对比简列数据,探讨将优质化护理应用于老年慢性支气管炎护理中产生的临床效果,并验证此项护理模式的有效性、安全性。方法将2018年1月至2020年1月作为本次研究时段,选取该时间段内我院就诊的60例老年慢性支气管炎患者进行研究。在随机数字表法分组下,按人数均分为对照组和试验组,每组30例。给予对照组常规护理,给予试验组优质化护理。比较两组护理效果。将相关数据予以统计分析并做总结性报告。结果①与对照组相比,试验组气促、肺啰音、咳嗽、喘息、咳痰症状改善时间更短,差异具有统计学意义(P<0.05)。②试验组、对照组患者护理前VC、MBC比较差异不大(P>0.05);试验组患者护理后的VC、MBC水平相较于护理前及对照组更高,差异具有统计学意义(P<0.05)。③试验组、对照组患者护理前PaO_(2)、PaCO_(2)、SpO_(2)、WBC比较差异不大(P>0.05);试验组患者护理后的PaO_(2)、SpO_(2)相较于护理前及对照组更高,PaCO_(2)、WBC相较于护理前及对照组更低,差异具有统计学意义(P<0.05)。④观察组、对照组患者的生活质量各维度评分比较差异不大(P>0.05);试验组患者干预后的生理功能评分、生理职能评分、活力功能评分、精神健康评分、社会功能评分均较于护理前及对照组更高,差异具有统计学意义(P<0.05)。⑤两组护理有效率比较,试验组较对照组更高,差异具有统计学意义(χ^(2)=6.005,P=0.017)。⑥两组护理满意度比较,试验组较对照组更高,差异具有统计学意义(χ^(2)=6.548,P=0.011)。结论将精细化、针对性强的优质化护理应用于老年慢性支气管炎护理中,其效果确切,能有效改善临床症状表现,减少并发症。另外,其护理效果较为理想且安全性较高,可在提升护理质量的同时提升有助于肺功能提升。同时患者对护理工作满意度较高,提倡推广,建议临床广泛应用。Objective To explore the clinical effect of applying high-quality nursing to the nursing of elderly chronic bronchitis,and to verify the effectiveness and safety of this nursing model.Methods Taking January 2018 to January 2020 as the study period,60 elderly patients with chronic bronchitis treated in our hospital during this period were selected for study.Under the random number table grouping method,they were divided into control group and experimental group,with 30 cases in each group.Routine nursing was given to the control group and high-quality nursing was given to the experimental group.The nursing effects of the two groups were compared.Make statistical analysis of relevant data and make a summary report.Results(1)Compared with the control group,the improvement time of shortness of breath,pulmonary rales,cough,wheezing and chanting phlegm symptoms in the experimental group was shorter,and the difference was statistically significant(P<0.05).(2)There was little difference in VC and MBC between the experimental group and the control group before nursing(P>0.05);the levels of VC and MBC in the experimental group after nursing were higher than those before nursing and the control group,and the difference was statistically significant(P<0.05).(3)PaO_(2),PaCO_(2),SpO_(2) There was no significant difference in WBC(P>0.05);the PaO_(2) and SpO_(2) of patients in the experimental group after nursing were higher than those before nursing and the control group,and the PaO_(2) and WBC were lower than those before nursing and the control group(P<0.05).(4)There was no significant difference in the scores of all dimensions of quality of life between the observation group and the control group(P>0.05);the scores of physiological function,physiological function,vitality function,mental health and social function in the experimental group after intervention were higher than those before nursing and the control group,and the difference was statistically significant(P<0.05).(5)The effective rate of nursing in the experimental

关 键 词：优质化护理 老年慢性支气管炎 护理干预 肺功能 

分 类 号：R473.5[医药卫生—护理学]