Observation on the effect of general nursing in elderly patients with chronic obstructive pulmonary disease
全科护理在老年慢性阻塞性肺疾病患者中的效果观察

摘要

目的 研究全科护理对老年COPD患者生存质量的影响效果。方法 本研究作者选择的100例研究对象均来源于2018年7月-2020年7月期间我院收治的老年COPD患者，样本选择完毕后，按照随机数字表法分组，分别为：观察组和对照组，各组均由50例患者组成，对照组患者通过常规护理措施，观察组患者通过全科护理，比较两组患者的护理前后的肺功能指标（FEV1、FVC、FEV1/FVC）；护理前后的负面情绪评分（焦虑评分、抑郁评分）；护理前后的生存质量评分（生命活力、情感职能、社会功能、生理功能）；护理满意度。结果 护理前，两组患者的FEV1、FVC、FEV1/FVC比较，差异无统计学意义（P＞0.05），护理后，观察组患者的FEV1、FVC、FEV1/FVC均优于对照组患者，差异有统计学意义（P＜0.05）；护理前，两组患者的焦虑评分、抑郁评分比较，差异无统计学意义（P＞0.05），护理后，观察组患者的焦虑评分、抑郁评分均低于对照组患者，差异有统计学意义（P＜0.05）；护理前，两组患者的生命活力、情感职能、社会功能、生理功能评分比较，差异无统计学意义（P＞0.05），护理后，观察组患者的生命活力、情感职能、社会功能、生理功能评分均高于对照组患者，差异有统计学意义（P＜0.05）；观察组患者的护理满意度高于对照组患者，差异有统计学意义（P＜0.05）。结论 老年COPD患者通过全科护理，可以有效提升患者的生存质量以及护理满意度，改善肺功能以及负面情绪，影响效果显著，值得推广。

Abstract

Objective To study the effect of general nursing on the quality of life of elderly patients with COPD.
Methods The 100 study subjects selected by the authors of this study were all from elderly COPD patients admitted to our hospital from July 2018 to July 2020. After the selection of the samples, they were divided into groups according to the random number table method: observation group and control group. Group, each group consisted of 50 patients, the patients in the control group received routine nursing measures, and the patients in the observation group received general nursing, and the pulmonary function indexes (FEV1, FVC, FEV1/FVC) before and after nursing were compared between the two groups; negative emotion scores (anxiety score, depression score); quality of life scores before and after nursing (life vitality, emotional function, social function, physiological function); nursing satisfaction.
Results Before nursing, there was no significant difference in FEV1, FVC and FEV1/FVC between the two groups (P>0.05). After nursing, the FEV1, FVC and FEV1/FVC of the observation group were better than those of the control group. There was statistical significance (P<0.05); before nursing, there was no significant difference in anxiety score and depression score between the two groups (P>0.05). After nursing, the anxiety score and depression score of the observation group were lower than In the control group, the difference was statistically significant (P<0.05); before nursing, there was no significant difference in the scores of life vitality, emotional function, social function, and physiological function between the two groups of patients (P>0.05). The scores of vitality, emotional function, social function and physiological function of the patients in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). Academic significance (P<0.05).
Conclusion   General nursing can effectively improve the quality of life and nursing satisfaction of elderly COPD patients, improve lung function and negative emotions, and the effect is significant, which is worthy of promotion.