The effect of targeted nursing intervention in chronic obstructive emphysema
针对性护理干预在慢性阻塞性肺气肿中应用效果观察

摘要

目的 评估慢性阻塞性肺气肿患者接受针对性干预的价值。方法 时间选取为近两年，入选对象选取为接受护理干预的患者130例，这些患者均属于慢性阻塞性肺气肿，围绕干预方法均匀划分两组，有常规干预的常规护理组以及针对性干预的针对护理组，评估患者临床指标的变化，总结针对性护理干预的效果。结果 干预之后针对护理组单核细胞比例项目均值（6.48±0.34）%、白细胞分类计数项目均值（5.02±1.33）×109/L、中心粒细胞比例项目均值（20.96±3.52）%、动脉血氧分压项目均值（75.40±9.52）mmHg、动脉血二氧化碳分压项目均值（41.05±6.23）mmHg，均优于常规护理组，p<0.05；针对护理组患者对护理工作持有的总肯定度为93.8%，高于常规护理组86.2%，p<0.05；针对护理组患者的症状改善时间小于常规护理组，p<0.05。结论 慢性阻塞性肺气肿病症的护理上，医护人员要及时纳入针对性理念，全面促进患者血常规指标改进，提高患者通气功能，更好地保障临床护理成效。

Abstract

Objective To evaluate the value of receiving targeted interventions in patients with chronic obstructive emphysema.
Methods time selection for nearly two years, selected for nursing intervention patients with 130 cases, these patients belong to chronic obstructive emphysema, intervention method evenly divided into two groups, a routine intervention routine nursing group and targeted intervention for nursing group, evaluate the change of clinical indicators, summarizes the effect of targeted nursing intervention.
Results Prior to the intervention, the blood routine index and ventilation function index were compared with p> 0.05. After the intervention, the mean of monocyte ratio (6.48±0.34)%, the mean of central granulocus (20.96±3.52)%, the mean of arterial oxygen partial pressure (75.40 ± 9.52) mmHg, the mean of arterial carbon dioxide partial pressure (41.05 ± 6.23) mmHg, All were superior to the usual care group, p<0.05; The total affirmation of nursing work held by patients in the nursing group was 93.8%, Higher than 86.2% in the usual care group, p<0.05; That the symptom improvement time for patients in the care group was less than the usual care group, p<0.05.
Conclusion   In the nursing of chronic obstructive emphysema disease, medical staff should timely incorporate targeted concepts, comprehensively promote the improvement of patients 'blood routine indicators, improve patients' ventilatory function, and better guarantee the effectiveness of clinical nursing.