整体护理干预在慢性支气管炎合并肺气肿患者中的应用观察  

Application of Holistic Nursing Intervention in Patients with Chronic Bronchitis Complicated with Emphysema

作　　者：郑美青 ZHENH Meiqing(Jingu Health Center of Anxi County,Quanzhou 362403,China)

机构地区：[1]泉州市安溪县金谷卫生院,福建泉州362403

出　　处：《中国医药指南》2023年第33期167-169,共3页Guide of China Medicine

摘　　要：目的观察整体护理干预在慢性支气管炎合并肺气肿患者中的应用疗效。方法我院2020年1月至2022年1月收治的46例慢性支气管炎合并肺气肿患者为本次研究对象,按照是否开展整体护理将患者均分为对照组(23例,采用常规护理)与试验组(23例,采用整体护理),比较两组护理效果。结果相较于护理前,试验组护理后心理状态相关评分[SAS量表(20.55±1.08)分、SDS量表(21.08±1.26)分]、炎性因子[C反应蛋白(8.47±1.45)mg/L、白细胞计数(4.09±0.11)×10^(9)/L、白细胞介素6(92.48±16.41)pg/mL]、肺功能指标[用力肺活量(4.23±0.11)L、呼气峰值流量(6.18±0.16)L/s、第1秒用力呼气量/用力肺活量(70.42±2.53)%]、血气参数[氧分压(101.51±3.48)mm Hg、二氧化碳分压(42.76±3.25)mm Hg]以及生活质量评分[SF-36量表(88.49±1.35)分]均改善且优于护理后对照组,数据差异明显(P<0.05)。结论慢性支气管炎合并肺气肿患者整体护理较于常规护理在稳定患者心理状态的同时,可促进炎症缓解,有利于患者肺功能、血气指标以及生活质量的改善。Objective To observe the efficacy of holistic nursing intervention in patients with chronic bronchitis and emphysema.Methods 46 patients with chronic bronchitis and emphysema admitted to our hospital in January 2020 and January 2022 were the subjects of this study.The patients were divided into control group(23 cases:routine care)and experimental group(23 cases:overall care),and the nursing effect of the two groups was compared.Results Compared to before nursing,In the experimental group,post-nursing psychological state related scores,[SAS scale(20.55±1.08),SDS scale(21.08±1.26)],inflammatory factor[Creactive protein(8.47±1.45)mg/L,white cell count(4.09±0.11)×10^(9)/L,interleukin6(92.48±16.41)pg/mL],pulmonary function index[forced vital capacity(4.23±0.11)L,peak expiratory flow(6.18±0.16)L/s,forced breath volume/forced vital capacity(70.42±2.53)%],blood gas parameters[oxygen partial pressure(101.51±3.48)mm Hg,carbon dioxide partial pressure(42.76±3.25)mm Hg]and quality of life score[SF-36 scale(88.49±1.35)]were improved and better than the post-care control group(P<0.05).Conclusions Compared with conventional nursing,holistic nursing of patients with chronic bronchitis combined with emphysema can not only stabilize the psychological state of patients,but also promote the alleviation of inflammation,which is conducive to the improvement of lung function,blood gas indexes and quality of life of patients.

关 键 词：整体护理 护理干预 慢性支气管炎 肺气肿 

分 类 号：R473.5[医药卫生—护理学]