综合性护理干预对老年矽肺合并慢性阻塞性肺疾病患者的效果及对生活质量的影响  

Effect of Comprehensive Nursing Intervention on Senile Silicosis Compli⁃cated with Chronic Obstructive Pulmonary Disease and Its Influence on Quality of Life

作　　者：李晓梅 孙璇 王影 马超彦 戴蕊 LI Xiaomei;SUN Xuan;WANG Ying;MA Chaoyan;DAI Rui(Department of Nursing,Xuzhou Mining Group General Hospital,Xuzhou,Jiangsu Province,221000 China;Department of Pneumoconiosis III,Xuzhou Mining Group General Hospital,Xuzhou,Jiangsu Province,221000 China;Department of Respiratory and Critical Care Medicine,Xuzhou Mining Group General Hospital,Xuzhou,Jiangsu Province,221000 China)

机构地区：[1]徐州矿务集团总医院护理部,江苏徐州221000 [2]徐州矿务集团总医院尘肺三科,江苏徐州221000 [3]徐州矿务集团总医院呼吸与危重症医学科,江苏徐州221000

出　　处：《中外医疗》2023年第34期135-139,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨老年矽肺合并慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)患者采取综合性护理干预后的应用效果及对生活质量的影响。方法 方便选取2021年7月—2023年7月徐州矿务集团总医院收治的老年矽肺合并COPD患者84例作为研究对象,根据随机数表法分为对照组和综合组,每组42例。对照组实施常规护理,综合组增加实施综合性护理干预。比较两组干预前后心理状态、血气分析水平、肺功能以及生活质量。结果 干预后,综合组焦虑自评量表评分(44.15±4.37)分低于对照组的(52.45±4.62)分,抑郁自评量表评分(43.59±4.23)分低于对照组的(51.68±4.65)分,差异有统计学意义(t=8.458、8.341,P<0.05)。干预后,综合组动脉血二氧化碳分压低于对照组,动脉血氧分压高于对照组,差异有统计学意义(P<0.05)。干预后,综合组肺功能指标水平均高于对照组,差异有统计学意义(P<0.05)。干预后,综合组生活质量评分(86.94±6.37)分高于对照组的(78.56±6.25)分,差异有统计学意义(t=6.086,P<0.05)。结论 综合性护理干预在老年矽肺合并COPD患者中的应用可有效改善患者心理状态、血气指标与肺功能,提高生活质量。Objective To investigate the effect of combined nursing intervention on the quality of life in elderly pa-tients with silicosis combined with chronic obstructive pulmonary disease(COPD)and the effects on the quality of life.Methods 84 elderly patients with silicosis complicated with COPD admitted to Xuzhou Mining Group General Hospi-tal from July 2021 to July 2023 were conveniently selected as the study objects,and were divided into control group and comprehensive group according to random number table method,with 42 cases in each group.The control group received routine nursing,and the comprehensive group received comprehensive nursing intervention.The psychologi-cal state,blood gas analysis level,lung function and quality of life of the two groups were compared before and after in-tervention.Results After the intervention,the Self-rating Anxiety Scale Score(44.15±4.37)points in the comprehen-sive group was lower than that in the control group(52.45±4.62)points,and the Self-rating Depression Scale Score(43.59±4.23)points was lower than that in the control group(51.68±4.65)points,the difference was statistically sig-nificant(t=8.458,8.341,P<0.05).After intervention,the arterial blood carbon dioxide fraction in the comprehensive group was lower than that in the control group,and the arterial blood oxygen partial pressure was higher than that in the control group,the difference was statistically significant(P<0.05).After intervention,the level of lung function indexes in the comprehensive group was higher than that in the control group,and the difference was statistically sig-nificant(P<0.05).After the intervention,the life quality score of the comprehensive group(86.94±6.37)points was higher than that of the control group(78.56±6.25)points,and the difference was statistically significant(t=6.086,P<0.05).Conclusion The application of comprehensive nursing intervention in elderly silicosis patients with COPD can effectively improve the psychological state,blood gas index and lung function of patients,and impro

关 键 词：老年矽肺 慢性阻塞性肺疾病 综合性护理 心理状态 血气指标 肺功能 

分 类 号：R473[医药卫生—护理学]