优质护理干预对老年慢性阻塞性肺疾病患者肺部感染及肺功能的影响
吉玲
（安康市人民医院呼吸内科，陕西 安康，725000）
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摘要：
目的 探讨优质护理干预对老年慢性阻塞性肺疾病患者肺部感染及肺功能的影响。方法 选取2015年3月至2016年11月在我院接受治疗的80例老年慢性阻塞性疾病患者，随机分为对照组和观察组，每组40例。对照组实施常规护理干预，观察组接受优质护理干预。比较两组肺部感染及肺功能情况。结果 对照组继发真菌感染率为20.00%，明显高于观察组的5.00%（X2= 4.11，P<0.05）。护理后，观察组患者的FEV1% Pred、FEV1/FVC 和FVC均高于护理前和对照组（P<0.05），对照组与护理前无显 著差异（P>0.05）。结论 优质护理干预能显著降低老年慢性阻塞性肺疾病患者肺部真菌感染率，改善患者肺功能，利于患者预后。
关键词：优质护理干预；慢性阻塞性肺疾病；肺部感染；肺功能
中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)26-0148-02
Influence of high quality nursing intervention on pulmonary infection and lung function in senile COPD patients
JI Ling
(Department of Respiration, Ankang People``s Hospital, Ankang 725000, China)
ABSTRACT: Objective To investigate the influence of high quality nursing intervention on pulmonary infection and lung function in senile patients with chronic obstructive pulmonary disease (COPD). Methods From March 2015 to November 2016, 80 senile COPD patients treated in our hospital were randomly grouped into control group and observation group, with 40 cases in each group. The control group took conventional nursing intervention, while the observation group took high quality nursing intervention. The pulmonary infection and lung function of the two groups were compared. Results The infection rate of secondary fungus in the control group was 20.00%, which significantly higher than 5.00% of the observation group (P<0.05). After nursing, the FEV1% Pred, FEV1/FVC and FVC in the observation group were higher than those before nursing and those of the control group (P<0.05), and there were no significant differences in those indexes in the control group before and after nursing (P>0.05). Conclusion High quality nursing intervention can significantly decrease the pulmonary fungus infection rate of senile COPD patients and improve their lung function and facilitate their prognosis.
KEYWORDS: high quality nursing intervention; chronic obstructive pulmonary disease (COPD); pulmonary infection; lung function
参考文献：
[1] 缪初蕾.综合护理干预对COPD 患者抑郁情绪及生活质量的影响 [J].浙江医学,2016,38(1):61-63.
[2] 郝习君,王静,陈长香.综合干预提高老年慢性阻塞性肺病患者记忆功能的疗效[J].中国老年学杂志,2016,36(20):5172-5173.
[3] 王素娟,赵玉娜,陈桂芝,等.慢性阻塞性肺疾病老年患者记忆功能及其影响因素[J].中国老年学杂志,2016,36(6):1492-1493.
[4] 孙淑芬.综合加强护理病房老年慢性阻塞性肺疾病急性加重期死亡因素分析[J].中国老年学杂志,2016,36(5):1139-1141.
[5] 林艾花.综合性护理干预在慢性阻塞性肺疾病合并气胸老年病人中的应用[J].护理研究,2016,30(8C):3040-3042.
[6] 孙小燕,沈玉.健康管理对慢性阻塞性肺疾病稳定期老年病人的影响[J].护理研究,2016,30(2A):470-472.
[7] 刘佳美,李春,徐玲.慢性阻塞性肺疾病合并慢性呼吸衰竭的老年患者护理干预研究[J].中国医药导刊,2015,17(8):858-859.