综合护理干预在慢性阻塞性肺疾病合并冠心病中的效果  

Effect of Comprehensive Nursing Intervention in Chronic Obstructive Pulmonary Disease Combined with Coronary Heart Disease

作　　者：郑丽贞 ZHENG Lizhen(Comprehensive Ward,Jiaowei Health Hospital,Xianyou County,Putian 351253,China)

机构地区：[1]仙游县郊尾卫生院综合病区,莆田351253

出　　处：《中国医药指南》2024年第16期22-25,共4页Guide of China Medicine

摘　　要：目的 观察慢性阻塞性肺疾病(慢阻肺)合并冠心病采用综合护理干预的效果。方法 选取2022年4月至2023年4月慢阻肺合并冠心病60例,按随机数字表法分组,两组各33例。对照组行常规护理,观察组行综合护理,对比心功能指标、肺功能指标、生活质量、自我效能、心理健康水平及遵医行为发生率。结果 护理后,观察组左心室射血分数(LVEF)、左心室等容舒张时间(LIVRT)、左心室每搏量(LVSV)高于对照组(P<0.05);观察组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、一秒率(FEV_(1)/FVC)高于对照组(P<0.05);观察组中国心血管病人生活质量评定问卷(CQQC)评分高于对照组(P<0.05);观察组自我效能感量表(GSES)评分高于对照组(P<0.05);观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05);观察组患者遵医行为发生率高于对照组(P<0.05)。结论 对慢阻肺合并冠心病患者采用综合护理干预,有助于对患者心肺功能的调节,可逐渐缓解患者负性情绪,能够提升患者自我效能,逐渐改善生活质量,可在增加患者疾病认知情况基础上,促使患者遵医行为得到提升,应用价值较好。Objective To observe the effect of comprehensive nursing intervention in chronic obstructive pulmonary disease (COPD) combined with coronary heart disease.Methods A total of 60 cases of chronic obstructive pulmonary disease (COPD) combined with coronary heart disease(CHD) were selected from April 2022 to April 2023 and grouped according to the random number table method,with 33 cases in each of the two groups.The control group carried out routine nursing care,and the observation group carried out comprehensive nursing care,comparing the cardiac function indexes,pulmonary function indexes,quality of life,self-efficacy,mental health level and the incidence of medical compliance behaviour.Results After care,left ventricular ejection fraction (LVEF),left ventricular isovolumic diastolic time (LIVRT),left ventricular volume per beat (LVSV) of the observation group were higher than those of the control group (P<0.05);exertion expiratory volume at the first second (FEV_1),exertion lung capacity (FVC),and one-second rate (FEV_1/FVC) of the observation group were higher than those of the control group (P<0.05);and the rate of cardiac function indicators,self-efficiency,psychological health level and medical compliance behaviour of the observation group were compared.The China questionnaire of quality of life in patients with cardiovascular diseases (CQQC) score was higher than that of the control group (P<0.05);general self-efficacy scale (GSES) score of the observation group was higher than that of the control group (P<0.05);self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the observation group were lower than those of the control group (P<0.05);and incidence of patients'compliance with medical treatment was higher than that of the control group in the observation group (P<0.05).Conclusions The use of comprehensive nursing intervention for patients with chronic obstructive pulmonary disease combined with coronary heart disease can help regulate the cardiopulmonary function of patients,grad

关 键 词：综合护理 慢性阻塞性肺疾病 冠心病 生活质量 心肺功能 遵医行为 

分 类 号：R541.4[医药卫生—心血管疾病] R563.9[医药卫生—内科学] R473.5[医药卫生—临床医学]