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目的探讨护理干预在慢性阻塞性肺疾病(慢阻肺)稳定期便秘患者中的应用价值。方法 118例慢阻肺稳定期便秘患者,随机分为干预组和对照组,各59例。对照组患者接受常规治疗,干预组患者在对照组基础上采用护理干预,比较两组患者的效果。结果干预组患者生活事件量表(LES)平均总分为(36.3±26.8)分,对照组患者为(48.9±21.5)分,比较差异有统计学意义(P<0.05)。两组患者的客观支持、主观支持、社会支持利用度、社会支持总分比较,差异均有统计学意义(P<0.01)。两组患者生活质量评分比较,差异均有统计学意义(P<0.05)。干预组患者有5例发生便秘,便秘发生率为8.5%;对照组患者有20例发生便秘,便秘发生率为33.9%,两组患者便秘发生率比较差异有统计学意义(P<0.05)。结论护理干预可以改善患者的便秘症状,提高患者的生活质量,值得应用。
Objective To investigate the value of nursing intervention in patients with chronic obstructive pulmonary disease (COPD) with stable constipation. Methods 118 cases of chronic obstructive pulmonary disease patients with constipation were randomly divided into intervention group and control group, 59 cases in each group. Patients in the control group received routine treatment. Patients in the intervention group received nursing intervention on the basis of the control group, and the effects of the two groups were compared. Results The mean total score of life events (LES) was (36.3 ± 26.8) in the intervention group and (48.9 ± 21.5) in the control group, the difference was statistically significant (P <0.05). The two groups of patients objective support, subjective support, social support utilization, social support scores, the differences were statistically significant (P <0.01). The two groups of patients with quality of life scores, the differences were statistically significant (P <0.05). The incidence of constipation was 8.5% in 5 patients in the intervention group and 20% in the control group. The incidence of constipation was 33.9%. There was significant difference in the incidence of constipation between the two groups (P <0.05). Conclusion Nursing intervention can improve the symptoms of constipation in patients and improve the quality of life of patients, it is worth applying.