聚焦解决模式护理对COPD患者呼吸功能、睡眠质量及症状改善的影响  

Effects of solution-focused nursing mode on respiratory function,sleep quality and symptom improvement in patients with COPD

作　　者：陆淑梅[1] 周丽[1] 陈华茂[1] 朱梅冬[1] 黄颖华 黄小红 汤志远[2] 邹莉莉[1] LU Shumei;ZHOU Li;CHEN Huamao(Second Ward,Department of Respiratory and Critical Care Medicine,Affiliated Hospital of Nantong University,Jiangsu,Nantong 226000,China)

机构地区：[1]南通大学附属医院呼吸与危重症医学二病区,江苏省南通市226000 [2]南通大学附属医院药学部,江苏省南通市226000

出　　处：《河北医药》2024年第11期1742-1745,共4页Hebei Medical Journal

基　　金：国家自然科学基金委员会青年科学基金项目(编号:81503143)。

摘　　要：目的研究聚焦解决模式护理对慢性阻塞性肺疾病(COPD)患者呼吸功能、睡眠质量及症状改善的影响。方法选取2020年1月至2022年5月收入的COPD患者90例,按随机数字表法均分2组,对照组接受常规护理,观察组接受聚焦解决模式护理,比较2组的临床干预效果。结果干预后,观察组各症状改善时间包括喘憋[(2.51±0.87)d]、咳嗽[(4.11±1.02)d]及肺部啰音时间[(4.65±1.32)d]均短于对照组,差异有统计学意义(P<0.05)。出院6个月显示观察组治疗依从性各项得分包括运动锻炼[(82.33±2.31)分]、改变生活方式[(85.18±2.24)分]、饮食[(88.25±2.42)分]、服药[(90.59±2.74)分]均高于对照组,差异有统计学意义(P<0.05)。2组干预前R5与R20值比较,差异无统计学意义(P>0.05);干预后,观察组R5[(0.39±0.06)kPa·L^(-1)·s^(-1)]与R20[(0.23±0.03)kPa·L^(-1)·s^(-1)]测定值均低于对照组,差异有统计学意义(P<0.05)。2组干预前PSQI量表评分比较,差异无统计学意义(P>0.05);干预后,观察组该项评分[(9.31±1.05)分]低于对照组,差异有统计学意义(P<0.05)。结论聚焦解决模式护理能够更好地控制COPD患者的临床症状,改善其呼吸功能及睡眠质量,值得临床推广借鉴。Objective To investigate the effect of solution-focused nursing mode on respiratory function,sleep quality and symptom improvement in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 90 COPD patients admitted to ouRhospital from Jan 2020 to May 2022 were recruited and randomly divided into two groups.Patients in the control group received routine nursing,and patients in the observation group received solution-focused nursing.The clinical effects of the two groups were compared.Results AfteRintervention,the improvement duration of each symptom in the observation group,including asthmatic dyspnea(2.51±0.87)d,cough(4.11±1.02)d and lung rales time(4.65±1.32)d,were significantly shorteRthan those of the control group(P<0.05).AfteRsix months of discharge,the scores of treatment compliance including exercise(82.33±2.31),lifestyle change(85.18±2.24),diet(88.25±2.42)and taking medicine(90.59±2.74)in the observation group were significantly higheRthan those of the control group(P<0.05).There was no significant difference in R5 and R20 values before intervention between groups(P>0.05).AfteRintervention,the values of R5(0.39±0.06)kPa·L^(-1)·s^(-1) and R20(0.23±0.03)kPa·L^(-1)·s^(-1) in the observation group were significantly loweRthan those of the control group(P<0.05).There was no significant difference in Pittsburgh Sleep Quality Index(PSQI)score between groups before intervention(P>0.05).AfteRintervention,the score of the observation group(9.31±1.05)was significantly loweRthan that of the control group(P<0.05).Conclusion Solution-focused nursing mode can betteRcontrol the clinical symptoms of COPD patients,improve theiRrespiratory function and sleep quality,which is worthy of clinical promotion and reference.

关 键 词：慢性阻塞性肺疾病 聚焦解决模式护理 呼吸功能 睡眠质量 症状改善 

分 类 号：R473.5[医药卫生—护理学]