摘要
目的 探讨发生慢阻肺时在对患者的护理工作中融入延续性护理模式的效果。方法 选取从2020年9月开始并且结束于2021年9月进入本院接受治疗的60例患者进行研究，均确诊为慢阻肺，根据随机数字表法将其分成对照组与观察组，每组30例，将两组的肺功能、生活质量进行对比。结果 护理后，观察组的FEV1、MMEF、PEF、FVC分别为（3.15±0.44）L、（2.41±0.34）L/s、（4.49±0.45）L/s、（3.13±0.27）L，均较对照组的（2.28±0.37）L、（1.68±0.29）L/s、（3.61±0.37）L/s、（2.25±0.26）L高（P＜0.05）；观察组的PF、RP、BP、CH、VT、SF、RE、MH分别为（63.31±4.59）分、（57.26±4.83）分、（79.88±3.67）分、（58.22±4.65）分、（64.04±4.08）分、（71.12±5.59）分、（55.30±4.52）分、（70.06±5.05）分，均较对照组的（55.48±4.06）分、（49.98±4.21）分、（61.01±3.27）分、（52.48±4.06）分、（50.03±3.66）分、（56.46±4.85）分、（47.06±4.01）分、（52.42±4.68）分（P＜0.05）。结论 将延续性护理模式运用于慢阻肺患者的护理中，有助于其肺功能的提升，同时可提高其生活质量。
关键词： 慢阻肺；延续性护理；肺功能；生活质量
Abstract
Objective To explore the effect of integrating continuous nursing mode for patients during COPD. Methods: The 60 patients starting from September 2020 and ended in September 2021 were diagnosed as COPD, and they were divided into control group and observation group according to the random number table method, and 30 cases in each group were compared with the lung function and quality of life of the two groups. Result: After nursing care, The FEV1, MMEF, PEF, and FVC of the observation group were (3.15 ± 0.44) L, (2.41 ± 0.34) L/s, (4.49 ± 0.45) L/s, and (3.13 ± 0.27) L, respectively, All these were higher (P P＜0.05）Conclusion : Using the continuous care model in the care of COPD patients can help to improve their lung function and improve their quality of life.
Key words： chronic obstructive pulmonary disease; continuous nursing; pulmonary function; quality of life
参考文献 References
[1] 余瑞朋,王利芳,李岩,石孝净. 延续性护理对老年慢阻肺合并呼吸衰竭患者血气指标及运动耐量的影响[J]. 疾病监测与控制, 2020, 14(05):379-381.
[2] 刘茗. 延续性护理在慢阻肺患者护理中对肺功能及生活质量的影响[J]. 中国医药指南, 2020, 18(16):197-198.
[3] 王丽思. 延续性护理干预对慢阻肺患者肺功能及生活质量的影响研究[J]. 系统医学, 2020, 5(02):155-157.
[4] 滕小华,郭建英. 慢阻肺急性加重期患者治疗依从性差的相关因素分析和延续性护理干预措施[J]. 中国全科医学, 2019, 22(S2):205-207.
[5] KEJ Philip,S Gaduzo,J Rogers,M Laffan,NS Hopkinson. S116 The quality of copd patient care – outcomesfrom the british lung foundation patient passport[J]. Thorax,2019,74(Suppl 2).
[6] 邢丽丽. 延续性护理对慢性阻塞性肺疾病(慢阻肺)患者肺功能的影响及用药依从性分析[J]. 世界最新医学信息文摘, 2019, 19(80):349+351.
[7] 王蕾. 延续性护理对慢阻肺患者肺功能指标及生活质量的改善效果分析[J]. 当代临床医刊, 2019, 32(04):365+368.
[8] Christopher M. Wilson,Grace Burns,Jonathon Bove,Vincenzo Ferranti,Benjamin McCown,Janet Wiechec Seidell,Reyna Colombo. Implementation of an Activity-Monitoring System in Hospital-Based COPD Patients: A Retrospective Cohort Study[J]. Journal of Acute Care Physical Therapy,2019.
[9] 刘群. 延续性护理对慢阻肺患者肺功能的影响研究[J]. 中国现代药物应用, 2018, 12(22):159-161.
[10] 刘玥妍. 延续性护理对老年慢阻肺稳定期患者自我效能及肺功能的影响[J].包头医学, 2018, 42(03):53-55.