基于多元化的预见性护理在重症慢性阻塞性肺疾病合并肺栓塞患者中的应用  

Application of Diversified Predictive Nursing in Patients with Severe Chronic Obstructive Pulmonary Disease Complicated with Pulmonary Embolism

作　　者：方燕燕 姚丽丽 王巍 方静 FANG Yanyan;YAO Lili;WANG Wei;FANG Jing(Department of Critical Care Medicine,Putian 95 Hospital,Putian,Fujian 351100,China;Department of Public Health,Putian City Licheng Xindu Town Health Center,Putian,Fujian 351100,China)

机构地区：[1]莆田九十五医院重症医学科,福建莆田351100 [2]莆田市荔城区新度镇卫生院公共卫生科,福建莆田351100

出　　处：《中国医药指南》2025年第10期176-178,共3页Guide of China Medicine

摘　　要：目的探究多元化预见性护理模式对于重症慢性阻塞性肺疾病(COPD)并发肺栓塞患者临床应用的成效。方法在2022年12月至2024年3月期间,莆田九十五医院收纳的98例COPD患者作为研究对象,依据随机数字表法分为预见护理优化组和对照组,各49例,对照组接受标准的护理干预,而预见护理优化组在标准护理的基础上行综合性预见性护理策略,比较两组患者肺功能、临床疗效有效率、肺栓塞复发率、心理状况评估和生活质量。结果预见护理优化组在临床疗效有效率为97.62%高于对照组的80.95%(P<0.05),且预见护理优化组的肺栓塞复发率低于对照组(P<0.05)。预见护理优化组患者生活质量评分高于对照组(P<0.05)。经过护理后,预见护理优化组的每分通气量、用力肺活量均高于照组(均P<0.05)。预见护理优化组患者在抑郁自评量表和焦虑自评量表评分均低于对照组(均P<0.05)。结论基于多元化的预见性护理在重症COPD合并肺栓塞患者中具有较高的应用价值,能够有效改善患者的肺功能和降低栓塞复发率以及改善心理状态和提高生活质量。Objective To investigate the efficacy of a diversified anticipatory care model for clinical application in patients with severe chronic obstructive pulmonary disease(COPD)complicated by pulmonary embolism.Methods From December 2022 to March 2024,98 COPD patients enrolled in the Intensive Care,Putian 95 Hospital were divided into the predictive care optimization group and the control group according to random number table method,with 49 cases each.The control group received standard nursing intervention.The predictive care optimization group was provided with comprehensive predictive nursing strategy on the basis of standard care,and the pulmonary function,effective rate,recurrence rate of pulmonary embolism,psychological status assessment and quality of life were compared between the two groups.Results The clinical effective rate of the predicted optimal nursing group was 97.62%higher than that of the control group 80.95%(P<0.05),and the recurrence rate of pulmonary embolism in the predicted optimal nursing group was lower than that of the control group(P<0.05).The quality of life score of patients in predictive nursing optimization group was higher than that in control group(P<0.05).After nursing,the ventilators per minute and forced vital capacity in the predicted nursing optimization group were higher than those in the control group(all P<0.05).The scores of self-rating depression scale and anxiety scale in predictive care optimization group were lower than those in control group(all P<0.05).Conclusions Diversified predictive nursing has high application value in patients with severe COPD complicated with pulmonary embolism,which can effectively improve the pulmonary function of patients,reduce the recurrence rate of embolism,improve the psychological state and improve the quality of life.

关 键 词：多元化预见性护理 重症慢性阻塞性肺疾病 肺栓塞 

分 类 号：R563[医药卫生—呼吸系统] R473.5[医药卫生—内科学]