综合护理管理模式在慢性阻塞性肺疾病伴心力衰竭护理中的应用效果  

Application Effect of Comprehensive Nursing Management Model in Nursing of Chronic Obstructive Pulmonary Disease with Heart Failure

作　　者：张丽苹 ZHANG Liping(Fengchun Community Health Service Center,The Ninth People's Hospital of Zhengzhou,Zhengzhou Henan 450000,China)

机构地区：[1]郑州市第九人民医院冯春社区卫生服务中心,河南郑州450000

出　　处：《临床研究》2023年第2期158-162,共5页Clinical Research

摘　　要：目的 分析综合护理管理模式在慢性阻塞性肺疾病伴心力衰竭护理中的应用效果。方法 围绕郑州市第九人民医院2021年1月至2021年12月期间收治的100例慢性阻塞性肺疾病伴心力衰竭患者展开研究,并以随机数字表法为分组依据,将其分为对照组(N=50)及试验组(N=50),对照组采取常规护理,试验组采取综合护理管理,比较两组护理前后肺功能指标、心功能指标、6 min步行实验距离、生活质量评分波动情况及护理满意度。结果 护理前两组患者肺功能指标对比,差异无统计学意义(P>0.05),护理后试验组用力肺活量、呼气流量峰值、1 s用力吸气容积均大于对照组,差异有统计学意义(P<0.05)。护理前两组心功能指标对比,差异无统计学意义(P>0.05),护理后试验组心输出量、左室射血分数、每搏输出量均高于对照组,差异有统计学意义(P<0.05)。护理前两组6 min步行试验结果对比,差异无统计学意义(P>0.05),护理后试验组步行距离长于对照组,差异有统计学意义(P<0.05)。护理前两组生活质量评分对比,差异无统计学意义(P>0.05),护理后试验组生理、躯体、心理、总体健康四个维度生活质量评分均高于对照组,差异有统计学意义(P<0.05)。试验组满意度评分显著高于对照组,差异有统计学意义(P<0.05)。结论 对慢性阻塞性肺疾病伴心力衰竭患者实施综合护理管理模式,可显著改善患者心肺功能,提升患者生活质量。Objective To analyze the effect of comprehensive nursing management mode in chronic obstructive pulmonary disease with heart failure. Methods A total of 100 patients with the chronic obstructive pulmonary disease with heart failure admitted to Zhengzhou Ninth People’s Hospital from January 2021 to December 2021 were studied. Based on the random number table method, they were divided into a control group(N=50) and an experimental group(N=50). The control group received routine nursing, and the experimental group received comprehensive nursing management. The lung function index,cardiac function index, the experimental distance of 6 min walking, the fluctuation of life quality score, and the nursing satisfaction before and after nursing were compared between the two groups. Results There was no statistical significance in the comparison of pulmonary function indexes between the two groups before nursing(P>0.05). After nursing, forced vital capacity, peak expiratory flow, and forced inspiratory volume at 1 s of the experimental group were all greater than those of the control group, with statistical significance(P<0.05). There was no statistical significance in the comparison of cardiac function indexes between the two groups before nursing(P>0.05). After nursing, cardiac output left ventricular ejection fraction and stroke output of the experimental group was higher than those of the control group, with statistical significance(P<0.05). The comparison of 6 min walking test results between the two groups before nursing showed no statistical significance(P>0.05). After nursing, the walking distance of the experimental group was longer than that of the control group,and the difference was statistically significant(P<0.05). There was no statistical significance in the quality of life scores of the two groups before nursing(P>0.05), and the quality of life scores of the physiological, physical, psychological, and overall health of the experimental group was higher than those of the control group after nursing, with st

关 键 词：综合护理管理模式 慢性阻塞性肺疾病 心力衰竭 应用效果 

分 类 号：R473.5[医药卫生—护理学]