综合护理干预对慢性阻塞性肺疾病患者戒烟情况、肺功能及生活质量的影响
王瑞娟
（陇县中医医院，陕西 宝鸡，721200）
浏览次数：73次 下载次数：428次
摘要：
目的 探讨护理干预对慢性阻塞性肺疾病（COPD）患者戒烟情况、肺功能及生活质量的影响。方法 回顾性分析我院收 治的82 例COPD 患者的临床资料，按照不同护理方式分为对照组和试验组，各41 例。对照组患者采用常规护理，试验组患 者采用综合护理干预。比较两组患者的戒烟情况、肺功能及生活质量。结果 试验组患者戒烟成功率为73.17%，明显高于对照 组的53.66%（P<0.05）；护理后，两组患者的PaO2、PaCO2、FEV1、PEF 水平及护理质量评分明显优于护理前，且试验组明显优于 对照组（P<0.05）。结论 综合护理干预可有效改善COPD 患者的肺功能，提高其生活质量，具有临床推广价值。
关键词：慢性阻塞性肺疾病；综合护理干预；戒烟；肺功能；生活质量
中图分类号：R473.5文献标志码：A文章编号：2096-1413(2018)02-0181-02
Effect of comprehensive nursing intervention on smoking cessation, lung function and quality of life in patients with chronic obstructive pulmonary disease
WANG Rui-juan
(Traditional Chinese Medicine Hospital of Long County, Baoji 721200, China)
ABSTRACT: Objective To investigate the effect of comprehensive nursing intervention on smoking cessation, lung function and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods The clinical data of 82 COPD patients admitted in our hospital from April 2016 to April 2017 were retrospectively analyzed. All the patients were divided into control group and experimental group according to different nursing method, with 41 cases in each group. The control group received routine nursing, and the experimental group accepted comprehensive nursing intervention. The smoking cessation, lung function and quality of life were compared between the two groups. Results The smoking cessation rate of the experimental group was 73.17%, which was higher than 53.66% of the control group (P<0.05). After nursing, the levels of PaO2, PaCO2, FEV1, PEF and quality of life scores of the two groups were better than those before nursing, and those in the experimental group were better than the control group (P<0.05). Conclusion Comprehensive nursing intervention for COPD patients can effectively improve the lung function and their quality of life, which has the clinical promotion value.
KEYWORDS: chronic obstructive pulmonary disease (COPD); comprehensive nursing intervention; smoking cessation; lung function; quality of life
参考文献：
[1] 高莉梅.护理干预对慢阻肺患者生活质量的影响研究[J].护理实践与研究,2011,8(18):10-11.
[2] 潘培育.综合性护理干预对慢性阻塞性肺疾病患者生活质量的影响[J].中国社区医师:医学专业,2012,14(17):333-335.
[3] DIAZ -ROBLES L,CORT S S,VERGARA -FERN NDEZ A,et al. Short term health effects of particulate matter: a comparison between wood smoke and multi -source polluted urban areas in chile [J]. Aerosol Air Qual Res,2015,15(1):306-318.
[4] 夏芝萍,陈爱梅,杨玲.呼吸功能锻炼联合饮食护理干预对36 例慢 阻肺生活质量的影响[J].中国民族民间医药,2016,25(11):133.
[5] 王静,赵江丽,张娟.综合护理干预对老年慢阻肺患者生活质量的 改善研究[J].中国卫生产业,2014,11(23):129-131.
[6] 张建敏.临床护理干预对老年COPD 患者生活质量的影响研究[J]. 中国继续医学教育,2017,9(3):196-198.
[7] 宋欢欢,杨林瀛,姜峰,等.医生指导对慢性阻塞性肺疾病患者戒烟 的作用[J].中华健康管理学杂志,2010,4(3):161-163.
[8] 王凤琼,易隽.长期家庭氧疗对缓解期COPD 患者的影响研究[J]. 临床肺科杂志,2008,13(9):1139-1140.