优质护理对15例慢性阻塞性肺疾病患者治疗依从性与生活质量的影响

张淑珍，蒋娟

（陕西省渭南市第二医院，陕西 渭南，714000）

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摘要：

目的 研究优质护理对慢性阻塞性肺疾病患者治疗依从性与生活质量的影响。方法 选择2013年3月至2015年12月在我院进行诊治的慢性阻塞性肺疾病患者30例，随机分为观察组与对照组，每组15例。对照组患者采用常规护理干预，观察组患者采用优质护理干预。比较两种护理方法对患者治疗依从性的影响，并采用健康状态调查问卷（SF36）对两组患者的生活质量情况进行评估。结果 护理后，观察组患者的治疗依从率为93.33%（14/15），明显高于对照组的80.00%（12/15）（P< 0.05）；观察组患者的躯体功能、情绪功能、角色功能和社会功能评分均明显高于对照组（P<0.05）。结论 优质护理可以有效提高慢性阻塞性肺疾病患者的治疗依从性以及生活质量，具有较高的临床应用价值。

关键词：优质护理；慢性阻塞性肺疾病；治疗依从性；生活质量

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)19-0165-02

Influence of high-quality nursing on therapeutic compliance and quality of life in 15 cases of patients with chronic obstructive pulmonary
ZHANG Shu-zhen, JIANG Juan
（the Second Hospital of Weinan, Weinan 714000, China）

ABSTRACT: Objective To study the influence of high-quality nursing on therapeutic compliance and quality of life in 15 cases of patients with chronic obstructive pulmonary. Methods Thirty cases of patients with chronic obstructive pulmonary in our hospital from March 2013 to December 2015 were selected and randomly divided into observation group and control group, with 15 cases in each group. Patients in the control group were treated with routine care and the patients in the observation group were treated with high-quality care. The effects of the two nursing methods on patients`` compliance were compared and the quality of life of the two groups was assessed with the Health Status Questionnaire (SF-36). Results After nursing, the compliance rate of the observation group was 93.33% (14/15), which was obviously higher than 80.00% of the control group (12/15) (P<0.05). The scores of physical function, emotive function, role function and social function in the observation group were higher than those in the control group (P<0.05). Conclusion High-quality nursing can effectively improve the therapeutic compliance and quality of life of patients with chronic obstructive pulmonary disease, which has high clinical value.
KEYWORDS: high-quality nursing care; chronic obstructive pulmonary disease; therapeutic compliance; quality of life

参考文献：
[1] 张彩虹,何国平,李继平,等.慢性阻塞性肺疾病患者自我管理现状及其影响因素研究[J].中国全科医学,2012,15(10):1120-1123.
[2] 谭伟,孙龙凤,代冰,等.慢性阻塞性肺疾病急性加重合并域型呼吸衰竭患者使用无创正压通气成功的临床预测因素研究[J].中国全科医学,2013,16(2):147-150.
[3] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007 年修订版)[J].中华结核和呼吸杂志,2007,55(1):8-17.
[4] 侯刚,尹燕,孙丽丽,等.社区35岁以上人群慢性阻塞性肺疾病流行病学患病率及危险因素研究[J].中国全科医学,2012,15(16):1831-1833.
[5] 孙治霞,申亚晖,韩丽华,等.有创机械通气不同实施时机对慢性阻塞性肺疾病急性发作合并重度呼吸衰竭患者治疗疗效的影响研究 [J].中国全科医学,2012,15(7):767-768.
[6] 龙仕居,陈忠仁.慢性阻塞性肺疾病患者急性加重期与缓解期痰液及血清IL-6、IL-8、TNF-α表达水平的差异及其临床意义[J].重庆医 学,2012,41(19):1970-1972.
[7] 龙瑜琴,程晓明.噻托溴铵联合大剂量舒利迭治疗重度支气管哮喘合并慢性阻塞性肺疾病的效果观察[J].中国医药导报,2013,10(2):166-168.
[8] 王虹,张少卿,毛锐,等.诱导痰细胞因子水平对鉴别慢性阻塞性肺疾病、支气管哮喘及慢性阻塞性肺疾病合并支气管哮喘的价值[J].安 徽医科大学学报,2013,48(8):953-956.
[9] 黄秀芹,董环,单秀云,等.预见性护理联合优质护理在肺栓塞或有肺栓塞高危因素患者中应用的效果评价[J].中国实用护理杂志,2012,28(18):38-40.