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目的探讨健康教育与营养对矽肺合并慢性阻塞性肺气肿(COPD)的干预作用。方法选择青岛市中心医院2015年1月-2016年5月收治的90例矽肺合并COPD患者,随机分为对照组和观察组,各45例;对照组给予常规护理干预,观察组在对照组基础上实施健康教育联合营养干预,比较两组营养学指标、血气指标、肺功能指标。结果观察组体质量、血浆蛋白水平均明显高于对照组,差异有统计学意义(t=6.315~8.061,P<0.05);动脉血二氧化碳分压(PaCO2)明显低于对照组,动脉血氧分压(PaO2)明显高于对照组(t=10.092~14.058,P<0.05);1秒用气呼气容积(FEV1)、用力肺活量(FVC)等肺功能指标均明显高于对照组(t=2.120~2.283,P<0.05)。结论营养干预与健康教育有助于改善患者的呼吸困难与肺功能,增强患者的抗病能力。
Objective To investigate the intervention effects of health education and nutrition on patients with silicosis and chronic obstructive pulmonary disease (COPD). Methods Ninety patients with silicosis and COPD admitted to Central Hospital of Qingdao from January 2015 to May 2016 were randomly divided into control group and observation group, with 45 cases in each. The control group was given routine nursing intervention. The observation group was divided into control group and control group On the implementation of health education joint nutrition intervention, compared two sets of nutritional indicators, blood gas indicators, lung function indicators. Results The body mass and plasma protein level in the observation group were significantly higher than those in the control group (t = 6.315-8.061, P <0.05). PaCO2 in arterial blood was significantly lower than that in the control group (PaO2) was significantly higher than that of the control group (t = 10.092-14.058, P <0.05); pulmonary function indexes such as FEV1 and FVC in 1 second were significantly higher than those in the control group = 2.120 ~ 2.283, P <0.05). Conclusion Nutritional intervention and health education can help to improve the patients’ dyspnea and pulmonary function, and enhance their disease resistance.