连续护理干预对急诊老年COPD患者肺功能改善及生活质量的影响分析  

Effects of Continuous Nursing Intervention on Improvement of Pulmonary Function and Quality of Life in Acute Elderly Patients with COPD

作　　者：陈燕子 陆胜 金伦 许叶涛 李娟[1] 季学丽[1] CHEN Yanzi;LU Sheng;JIN Lun;XU Yetao;LI Juan;JI Xueli(Department of Emergency Medicine,the First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊科,江苏南京210029 [2]南京医科大学第一附属医院妇产科,江苏南京210029

出　　处：《联勤军事医学》2024年第7期619-622,共4页Military Medicine of Joint Logistics

摘　　要：目的 探讨连续护理干预对老年急诊慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肺功能的改善作用及对患者生活质量的影响。方法 选取作者医院急诊科2021-01/2022-01月收治的106例年龄≥60岁的老年COPD患者作为观察对象。通过随机表数字法将其分为对照组和研究组,每组各53例。对照组老年COPD患者开展常规护理干预,研究组老年COPD患者开展连续护理干预。观察两组老年COPD患者护理前后肺功能的改善情况以及生活质量的变化。结果 肺功能方面:护理前两组老年COPD患者一秒用力呼气容积(forced expiratory volume in one second,FEV_(1))、用力肺活量(forced vital capacity,FVC)、FEV_(1)/FVC水平比较差异均无统计学意义(P>0.05);护理后两组老年COPD患者FEV_(1)、FVC、FEV_(1)/FVC水平均明显高于护理前,且研究组高于对照组(P均<0.05)。生活质量方面:护理前两组老年COPD患者症状评分、疾病对生活的影响评分、活动能力评分、生活质量总评分比较差异均无统计学意义(P>0.05);护理后两组老年COPD患者症状评分、疾病对生活的影响评分、活动能力评分、生活质量总评分明显高于护理前,且研究组高于对照组(P均<0.05)。结论 针对急诊老年COPD患者,实施连续护理干预具有良好的临床应用价值,对急诊老年COPD患者肺功能以及生活质量均可以带来良好的改善作用,值得推广。Objective To explore the effects of continuous nursing intervention on the improvement of pulmonary function and quality of life of elderly patients with acute chronic obstructive pulmonary disease(COPD).Methods A total of 106 patients with COPD aged ≥60 years who were admitted to the department of emergency medicine of the author′s hospital from January 2021 to January 2022 were selected as the observation objects.The patients were randomly divided into the control group and the experimental group by the number table method,with 53 patients in each.Patients in the control group were given routine nursing intervention,and patients in the experimental group were given continuous nursing intervention.The improvement of pulmonary function and the change of quality of life of the patients in the two groups before and after nursing were observed.Results In terms of pulmonary function,before nursing,there were no significant differences in forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC) and FEV_(1)/FVC between the two groups(P>0.05);after nursing,the levels of FEV_(1),FVC and FEV_(1)/FVC in the two groups were significantly higher than those before nursing,and those in the experimental group were higher than those in the control group(all P<0.05).In terms of quality of life,there were no statistically significant differences in symptom scores,disease impact on life scores,activity ability scores and total quality of life scores between the two groups before nursing(P>0.05);the symptom scores,disease impact on life scores,activity ability scores and total quality of life scores of the two groups after nursing were significantly higher than those before,and those of the experimental group were higher than those of the control group(all P<0.05).Conclusion Continuous nursing intervention has good clinical application value for acute elderly COPD patients.It can improve pulmonary function and quality of life of acute elderly COPD patients and is worth popularizing.

关 键 词：连续护理干预 慢性阻塞性肺疾病 老年 肺功能 生活质量 

分 类 号：R47[医药卫生—护理学]