Research on refined nursing intervention for elderly patients with acute exacerbation of chronic obstructive pulmonary disease
老年慢性阻塞性肺疾病急性加重期患者的精细化护理干预研究

摘要

目的 将精细化护理用于老年慢性阻塞性肺疾病急性加重期（AECOPD）患者中，对其应用进行探究。方法 选取2024.3~2025.3本院收治的92例老年AECOPD患者，随机分组，对照组46例实施常规护理，观察组46例行精细化护理，比较两组干预结果。结果 干预前，两组肺功能指标（FVC、FEV1）比较，无显著差异（P>0.05），干预后，观察组各指标值更高（P<0.05）；两组并发症发生率比较，观察组4.35%更低（P<0.05）；两组护理满意度比较，观察组97.83%更高（P<0.05）。结论 对老年AECOPD患者来说，应用精细化护理既能改善其肺功能，还可减少并发症，提高护理满意度，具有推广价值。

Abstract

Objective To apply refined nursing to elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and explore its application.
Methods A total of 92 elderly patients with AECOPD admitted to our hospital from April 3, 2021 to March 25, 2021 were selected and randomly divided into groups. 46 cases in the control group received routine care, while 46 cases in the observation group received refined care. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in the pulmonary function indicators (FVC, FEV1) between the two groups (P>0.05). After the intervention, the values of each indicator in the observation group were higher (P<0.05). The comparison of the incidence of complications between the two groups showed that 4.35% in the observation group was lower (P<0.05); The comparison of nursing satisfaction between the two groups showed that 97.83% was higher in the observation group (P<0.05).
Conclusion   For elderly patients with AECOPD, the application of refined nursing can not only improve their lung function but also reduce complications, improve nursing satisfaction, which has promotion value.