文章摘要

慢性阻塞性肺疾病几种康复护理方法及临床应用效果对比

作者: 1戴燕, 1徐凤娟
1 淮安市第一人民医院呼吸与危重症医学科,江苏 淮安 223001
通讯: 戴燕 Email: 1787942507@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.11.027

摘要

目的:对比分析不同康复护理方法在慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者护理中的应用效果。方法:将淮安市第一人民医院收治的90例COPD患者随机分为A,B,C组,每组30例。A组行常规康复护理,B组行循证康复护理,C组行系统化康复护理。将患者的肺功能指标[用力肺活量(forced vital capacity,FVC)和第1秒用力呼气容积(forced expiratory volume at 1 second,FEV1)]和生活质量[生活质量评分量表(Quality of Life Rating Scale,GQOL-74)]作为本研究的主要观察指标。结果:护理后,B组和C组FVC,FEV1均高于A组(P<0.05),且GQOL-74量表下平均躯体功能、心理状态、物质生活及社会功能评分均高于A组(P<0.05),但B组和C组比较,差异均无统计学意义(P>0.05)。结论:循证康复护理和系统化康复护理在COPD患者临床护理中均能取得良好的康复效果,对提高患者肺功能及生活质量具有重要的意义。
关键词: 慢性阻塞性肺疾病;康复护理;循证护理;系统化护理

Comparison of several rehabilitation nursing methods and clinical application effects of chronic obstructive pulmonary disease

Authors: 1DAI Yan, 1XU Fengjuan
1 Department of Respiratory and Critical Care Medicine, Huaian First People’s Hospital, Huai’an Jiangsu 223001, China

CorrespondingAuthor: DAI Yan Email: 1787942507@qq.com

DOI: 10.3978/j.issn.2095-6959.2020.11.027

Abstract

Objective: To compare and analyze the effect of different rehabilitation nursing methods in the care of patients with chronic obstructive pulmonary disease (COPD). Methods: Ninety patients with COPD treated in Huaian First People’s Hospital were randomly divided into group A, B, and C, with 30 in each group. Group A received routine rehabilitation nursing, group B received evidence-based rehabilitation nursing, and group C received systematic rehabilitation nursing. The patient’s lung function indicators [forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1)] and quality of life [Quality of Life Rating Scale (GQOL-74) evaluation] were used as the main observation indicators in this study. Results: After nursing, the FVC and FEV1 in group B and C were higher than those in group A (P<0.05), and the average physical function, mental state, material life and social function scores on the GQOL-74 scale were higher than those in group A (P<0.05), but there was no significant difference between group B and group C (P>0.05). Conclusion: Evidence-based rehabilitation nursing and systemic rehabilitation nursing can achieve good rehabilitation results in the clinical nursing of patients with COPD, which is of great significance to improve the pulmonary function and quality of life of patients.
Keywords: chronic obstructive pulmonary disease; rehabilitation nursing; evidence-based nursing; systemic nursing

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