Effect of personalized narrative nursing in elderly patients with chronic obstructive pulmonary disease
个性化叙事护理在老年慢性阻塞性肺疾病病人中的效果研究

摘要

目的 探讨对慢性阻塞性肺疾病患者应用个性化叙事护理的临床效果。方法 收集2020年8月-2021年8月来我院进行治疗的慢性阻塞性肺疾病患者，从中选择80例患者作为研究对象，进行研究。根据抽签法，将所有患者分为参照组和研究组，每组各40例，参照组应用临床传统护理，研究组在参照组基础上应用个性化叙事护理，对比两组患者的生活状态评分、心理状态评分、护理满意度、肺功能指标改善情况。结果 研究组患者生活状态评分优于参照组参照组（P＜0.05），差异具有统计学意义；研究组患者心理状态评分优于参照组参照组（P＜0.05），差异具有统计学意义；干预前，两组患者肺功能改善情况对比，差异无统计学意义，P＞0.05；干预后，研究组患者FEV1（L）、FVC（L）、FEV1/FVC（%）改善情况均优于参照组，P＜0.05，差异具有统计学意义。研究组患者临床症状改善时间较短（P＜0.05），差异具有统计学意义。结论 对慢性阻塞性肺疾病患者应用个性化叙事护理，可以促进患者康复，改善心理状态评分，具有理想的护理效果，建议临床推广。

Abstract

Objective To explore the clinical effect of personalized narrative nursing for patients with chronic obstructive pulmonary disease.
Methods Patients with chronic obstructive pulmonary disease who came to our hospital for treatment from August 2020 to August 2021 were collected, and 80 patients were selected as the research objects for research. According to the lottery method, all patients were divided into a reference group and a study group, with 40 cases in each group. The reference group applied clinical traditional nursing, and the study group applied personalized narrative nursing on the basis of the reference group. Mental state score, nursing satisfaction, and improvement of pulmonary function indicators.
Results The living state score of the patients in the study group was better than that of the reference group (P<0.05), and the difference was statistically significant; the psychological state score of the patients in the study group was better than that of the reference group (P<0.05), and the difference was statistically significant; Before, there was no significant difference in the improvement of lung function between the two groups, P>0.05; after the intervention, the improvement of FEV1 (L), FVC (L), and FEV1/FVC (%) in the study group were better than those in the reference group , P<0.05, the difference was statistically significant. The improvement time of clinical symptoms in the study group was shorter (P<0.05), and the difference was statistically significant.
Conclusion   The application of personalized narrative nursing to patients with chronic obstructive pulmonary disease can promote the recovery of patients, improve the psychological state score, and has an ideal nursing effect, which is recommended for clinical promotion.