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目的探讨综合护理干预对慢性阻塞性肺疾病(COPD)患者生活质量、情绪及呼吸功能的影响。方法选取COPD患者168例,按随机数字表法分为观察组和对照组,各84例。对照组给予常规护理,观察组在对照组基础上给予综合护理干预,采用SF-36量表评估两组患者护理干预后的生活质量,并对两组干预后焦虑自评量表(SAS),抑郁自评量表(SDS)评分、肺功能指标、住院时间、治疗依从性、满意度等指标进行比较。结果经护理干预后,观察组SAS、SDS评分均低于对照组,肺功能指标:1s用力呼气量(FEV1)、FEV1/用力肺活量(FVC)均高于对照组,差异有统计学意义(P<0.05);除生理功能评分外,观察组SF-36量表其余各项目评分均明显高于对照组,差异有统计学意义(P<0.05);观察组对护理工作满意度及治疗依从性均优于对照组,差异有统计学意义(χ2=13.930,P<0.05;χ2=18.185,P<0.05)。结论综合护理干预可有效改善COPD患者不良情绪、肺功能和生活质量,提高患者治疗的依从性和护理满意度。
Objective To investigate the effects of comprehensive nursing intervention on quality of life, mood and respiratory function in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 168 patients with COPD were selected and divided into observation group and control group according to random number table method, with 84 cases each. The control group was given routine nursing care. The observation group was given comprehensive nursing intervention on the basis of the control group. The quality of life after nursing intervention was evaluated by SF-36 scale. The anxiety self-rating scale (SAS) Depression self-rating scale (SDS) score, lung function, hospital stay, treatment compliance, satisfaction and other indicators were compared. Results After nursing intervention, SAS and SDS scores in the observation group were lower than those in the control group. The pulmonary function indexes were FEV1 and FEV1 / FVC, which were significantly different (P < P <0.05). Except physiological function score, the score of SF-36 in the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05); The satisfaction of nursing work and treatment compliance The results were statistically significant (χ2 = 13.930, P <0.05; χ2 = 18.185, P <0.05). Conclusion Comprehensive nursing intervention can effectively improve the bad mood, lung function and quality of life in patients with COPD and improve patient compliance and satisfaction with treatment.