基于循证支持的针对性护理对老年慢阻肺并心力衰竭患者SGRQ评分及生活质量的影响  

Effect of targeted nursing based on evidence-based support on SGRQ score and quality of life in elderly patients with COPD and heart failure

作　　者：朱海艳 ZHU Haiyan(Suqian Hospital,Nanjing Gulou Hospital Group,Suqian 223800,China)

机构地区：[1]南京鼓楼医院集团宿迁医院,江苏宿迁223800

出　　处：《当代医药论丛》2023年第6期184-186,共3页

基　　金：江苏省333高层次人才工程第二层次培养对象(中青年领军人才)项目(BRA2019078)。

摘　　要：目的:分析基于循证支持的针对性护理对老年慢性阻塞性肺疾病(慢阻肺)并心力衰竭患者圣乔治呼吸问卷(SGRQ)评分及生活质量的影响。方法:选取南京鼓楼医院集团宿迁医院2021年6月至2022年8月期间收治的老年慢阻肺并心力衰竭患者106例为研究对象,按随机数表法分为两组。其中对照组53例,给予常规护理;观察组53例,给予基于循证支持的针对性护理。对比两组护理前后的SGRQ评分及生活质量。结果:护理前,两组的SGRQ评分比较,差异无统计学意义(P>0.05)。护理后,两组SGRQ中的呼吸症状评分、活动受限评分和疾病影响评分均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05)。护理前,两组的基于中国文化改良明尼苏达心力衰竭生存质量量表(C-MLHF)评分比较,差异无统计学意义(P>0.05)。护理后,两组的C-MLHF评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:基于循证支持的针对性护理可改善老年慢阻肺并心力衰竭患者的SGRQ评分及生活质量,临床应用效果好。Objective:To analyze the effects of targeted care based on evidence-based support on St.George’s Respiratory Questionnaire(SGRQ)scores and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD)and heart failure.Methods:A total of 106 elderly patients with COPD and heart failure admitted to Suqian Hospital of Nanjing Gulou Hospital Group from June 2021 to August 2022 were selected as research objects and divided into two groups according to random number table method.Among them,53 cases in control group were given routine nursing;The observation group of 53 patients was given targeted nursing based on evidence-based support.SGRQ scores and quality of life before and after care were compared between the two groups.Results:Before nursing,there was no significant difference in SGRQ scores between the two groups(P>0.05).After nursing,respiratory symptom score,activity limitation score and disease impact score in 2 groups were lower than before nursing,and observation group was lower than control group,the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in the Chinese culture-modified Minnesota Heart Failure Quality of Life Scale(C-MLHF)scores between the two groups(P>0.05).After nursing,the C-MLHF scores of both groups were lower than before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusions:Targeted nursing based on evidence-based support can improve SGRQ score and quality of life in elderly patients with COPD and hea rt failure,and the clinical effect is good.

关 键 词：循证支持 针对性护理 慢性阻塞性肺疾病 心力衰竭 圣乔治呼吸问卷 生活质量 

分 类 号：R473[医药卫生—护理学]