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目的分析护理干预对慢性阻塞性肺疾病(COPD)患者感染预防效果。方法回顾性分析2010年4月-2011年9月收治的88例COPD患者临床资料,将接受常规护理44例患者作为对照组,在常规护理基础上接受护理干预44例患者作为试验组,所得数据通过SPSS16.0软件进行统计分析,对比分析两组患者感染的发生、肺功能改善程度及复发等。结果试验组2例发生感染,感染率为4.55%;对照组13例发生感染,感染率为29.55%,试验组明显低于对照组,两组差异有统计学意义(χ2=9.7241,P<0.05);半年内COPD复发对照组10例复发率22.73%,试验组复发1例复发率2.27%,试验组明显低于对照组(χ2=8.4156,P<0.05);试验组患者的肺功能改善程度优于对照组,治疗护理后试验组患者肺功能优良率为91.91%显著高于对照组的61.36%(χ2=10.5700,P<0.05)。结论对COPD患者实施护理干预,可显著降低感染的发生率、显著改善肺功能,降低复发率,该项措施是一种安全高效的方法,应在临床推广。
Objective To analyze the preventive effect of nursing intervention on patients with chronic obstructive pulmonary disease (COPD) infection. Methods The clinical data of 88 patients with COPD admitted from April 2010 to September 2011 were retrospectively analyzed. Forty four patients receiving routine nursing care as control group and 44 patients receiving nursing intervention on the basis of routine nursing care as experimental group. The data obtained Through SPSS16.0 software for statistical analysis, comparative analysis of two groups of patients with infection, pulmonary function improvement and recurrence. Results The infection rate was 4.55% in 2 cases in experimental group and 13 cases in control group, the infection rate was 29.55%. The experimental group was significantly lower than the control group (χ2 = 9.7241, P <0.05 ). The recurrence rate of COPD patients in the control group was 22.73% in half a year, and the recurrence rate was 2.27% in the test group, which was significantly lower than that in the control group (χ2 = 8.4156, P <0.05). The degree of pulmonary function improvement Compared with the control group, the excellent and good lung function rate of the experimental group after treatment and care was 91.91%, which was significantly higher than 61.36% of the control group (χ2 = 10.5700, P <0.05). Conclusion Nursing intervention in patients with COPD can significantly reduce the incidence of infection, significantly improve lung function, reduce the recurrence rate, this measure is a safe and efficient method, should be clinically promoted.