综合护理在老年慢性阻塞性肺疾病急性加重期患者中的应用  

Application of Comprehensive Nursing in Elderly Patients with Acute Exacerbation of COPD

作　　者：马红梅 MA Hongmei(Department of Emergency,Dandong Central Hospital,Dandong 118000,China)

机构地区：[1]丹东市中心医院急诊科,辽宁丹东118000

出　　处：《中国医药指南》2022年第28期165-167,共3页Guide of China Medicine

摘　　要：目的 分析老年慢性阻塞性肺疾病急性加重期(AECOPD)患者临床护理需求,评价综合护理干预辅助的预后效果。方法 选择我院2019年5月至2020年5月的老年AECOPD疾病患者,总计110例。对症治疗基础上1∶1比例法分组护理,各55例。对照组老年患者采取常规护理,观察组老年AECOPD患者辅助综合护理干预,比较两组老年AECOPD患者的肺功能[第1秒用力呼气量(FEV1)、肺活量(FVC)、呼气峰值流速(PEF)]改善情况、护理满意度。结果 观察组护理总满意度(96.36%vs. 80.00%)明显高于对照组,P <0.05。护理干预后,观察组的FEV1[(2.10±0.50)L vs.(1.90±0.50)L]明显高于对照组,FVC[(3.90±0.45)L vs.(2.66±0.46)L]明显高于对照组,PEF[(5.17±0.55)L/s vs.(4.30±0.45)L/s]明显高于对照组,差异均有统计学意义,P均<0.05。结论 老年AECOPD患者治疗期间辅助综合护理干预有助于改善患者的肺功能状况,从而促进患者治疗预后,满足患者临床护理需求。Objective To analyze the clinical nursing needs of patients with acute exacerbation of chronic obstructive pulmonary disease in the elderly(AECOPD) and evaluate the prognostic effect of comprehensive nursing intervention assistance. Methods We selected 110 elderly patients with AECOPD disease from May 2019 to May 2020 in our hospital. On the basis of symptomatic treatment, the patients were divided into groups with a ratio of 1:1,each with 55 cases. Elderly patients in the control group took conventional nursing care, and the elderly patients in the observation group were assisted by comprehensive nursing interventions. The lung function [forced expiratory volume in one second,(FEV1), forced vital capacity(FVC), peak expiratory flow(PEF)] of the two groups of elderly AECOPD patients was compared and improved, and nursing satisfaction. Results The total nursing satisfaction of the observation group(96.36% vs. 80.00%) was significantly higher than that of the control group, P<0.05. After nursing intervention, the FEV1 [(2.10±0.50) L vs.(1.90±0.50) L] of the observation group was significantly higher than that of the control group, and the FVC [(3.90±0.45) L vs.(2.66±0.46) L] was significantly higher than the control group, PEF [(5.17±0.55) L/s vs.(4.30±0.45) L/s] was significantly higher than the control group, the difference was statistically significant, P<0.05. Conclusion Auxiliary comprehensive nursing intervention during treatment of elderly AECOPD patients can help improve the patient’s pulmonary function status, thereby promoting the prognosis of the patient’s treatment and meeting the clinical care needs of the patient.

关 键 词：综合护理干预 老年人 AECOPD 肺功能指标 护理满意度 

分 类 号：R473.5[医药卫生—护理学]