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目的:探讨优质护理干预在老年慢性阻塞性肺疾病患者中的应用价值。方法:选取重庆市九龙坡区中西医结合医院收治的老年慢性阻塞性肺疾病患者78例。采用随机数表法分为观察组与对照组,每组39例,所有患者均进行常规慢性阻塞性肺疾病临床治疗。对照组治疗期间接受常规护理干预,观察组治疗期间则接受优质护理服务。比较两组患者干预前后症状改善效果及治疗依从性、生活质量、护理满意度情况。结果:两组患者干预前1 s用力呼气量(FEV1)、1 s用力呼气量/用力肺活量(FEV1/FVC)、FEV1%指标比较,差异均无统计学意义(P>0.05),干预后两组患者均明显改善,但观察组患者改善效果明显优于对照组(P<0.05);观察组患者干预后治疗依从性、生活质量、护理满意度评分均明显高于对照组(P<0.05)。结论:优质护理服务可显著改善老年慢性阻塞性肺疾病患者肺功能,并对提高患者治疗依从性以及生活质量具有积极作用,同时可改善患者护理满意度,对维护医患、护患关系具有重要价值。
Objective: To explore the value of quality nursing intervention in elderly patients with chronic obstructive pulmonary disease. Methods: A total of 78 elderly patients with COPD admitted to the Hospital of Integrated Chinese and Western Medicine in Jiulongpo District of Chongqing Municipality were selected. The random number table was divided into observation group and control group, with 39 cases in each group. All patients were treated by conventional chronic obstructive pulmonary disease. The control group received routine nursing interventions during the treatment period, while the observation group received quality nursing services during the treatment period. The two groups were compared before and after treatment to improve the symptoms and treatment compliance, quality of life, nursing satisfaction. Results: The FEV1, FEV1 / FVC and FEV1% indexes of two groups before intervention were not significantly different (P> 0.05) The improvement of the patients in the observation group was obviously better than that of the control group (P <0.05). The treatment compliance, quality of life and nursing satisfaction score of the observation group were significantly higher than those of the control group after intervention (P < 0.05). Conclusion: Quality nursing service can significantly improve lung function in elderly patients with chronic obstructive pulmonary disease and improve the treatment compliance and quality of life of patients with positive effects, while improving patient satisfaction with nursing, maintenance of patient-patient relationship is important value.