摘要
目的论临床护理路径应用在慢性阻塞性肺疾病(慢阻肺)患者雾化吸入中的效果。方法将2019年2月至2020年8月到我院治疗的80例慢阻肺经雾化吸入治疗的患者随机(抽签)分为观察组(40例)和对照组(40例)。分别通过临床护理路径和常规护理进行干预,对两组患者经过不同护理之后的治疗有效率、护理前后的肺功能指标、护理前后的负面心理、并发症发生率、生命尊严等进行统计学比较。结果①在治疗有效率上,观察组[38例(95.00%)]所取得的成果相比对照组[29例(72.50%)]明显更占优势,有统计学差异性(P<0.05)。②护理之前对患者的PEF、FVC、FEV1等肺功能指标进行检查并对比,两组患者差异不显著(P>0.05),护理之后再次评估患者的上述指标,观察组所取得的改善效果比对照组更理想,有统计学差异性(P<0.05)。③护理之前评估两组患者的负面心理,观察组和对照组在焦虑与抑郁情绪方面表现的差异不显著(P>0.05),护理之后再次评估焦虑和抑郁情绪,观察组所得出的转变比对照组明显更占优势。有统计学差异性(P<0.05)。④在并发症发生率上,观察组[3例(7.50%)]出现的概率相比对照组[11例(27.50%)]明显更低,有统计学差异性(P<0.05)。⑤护理之前评估两组患者的生命尊严,观察组的评分和对照组之间未表现出明显差异(P>0.05);护理以后再次评价,观察组的生命尊严评分得到明显的改善,与对照组相比,有统计学差异性(P<0.05)。结论将临床护理路径应用在雾化吸入治疗的慢阻肺患者中可以有效提升治疗总有效率,改善肺功能,可以促进患者的焦虑和抑郁等负面心理的转变,减少并发症的发生概率,并提高患者的生命尊严,值得推荐。
Objective To discuss the effect of clinical nursing pathway in aerosol inhalation in patients with chronic obstructive pulmonary disease.Methods A total of 80 patients with COPD who were treated in our hospital from February 2019 to August 2020 were randomly divided into observation group(40 cases)and control group(40 cases).The clinical nursing pathway and routine nursing were used to intervene,and the two groups of patients were statistically compared in terms of treatment effectiveness after different nursing,pulmonary function indexes before and after nursing,negative psychology before and after nursing,complication rate,and life dignity.Results(1)In terms of treatment efficiency,the results obtained in the observation group[38 cases(95.00%)]were significantly more dominant than those in the control group[29 cases(72.50%)],with statistical difference(P<0.05).(2)Before nursing,the patients'PEF,FVC,FEV1 and other pulmonary function indicators were checked and compared.There was no significant difference between the two groups of patients(P>0.05).After nursing,the above indicators of the patients were re-evaluated.The group was more ideal,with statistical difference(P<0.05).(3)The negative psychology of the two groups of patients was evaluated before nursing.There was no significant difference between the observation group and the control group in terms of anxiety and depression(P>0.05).After nursing,the anxiety and depression were re-evaluated.group was significantly more dominant,there was statistical difference(P<0.05).(4)The incidence of complications in the observation group[3 cases(7.50%)]was significantly lower than that in the control group[11 cases(27.50%)],with statistical difference(P<0.05).(5)The life dignity of the two groups of patients was evaluated before nursing,and there was no significant difference between the scores of the observation group and the control group(P>0.05).after re-evaluation after nursing,the life dignity score of the observation group was significantly improved,and there was a statistical difference compared with the control group(P<0.05).Conclusion The application of clinical nursing pathway in COPD patients treated with aerosol inhalation can effectively improve the total effective rate of treatment,improve pulmonary function,promote the transformation of patients'anxiety and depression and other negative psychology,reduce the incidence of complications,and reduce the incidence of complications.It is recommended to improve the life dignity of patients.
作者
胡冰
杨文婷
盛华
洪源源
HU Bing;YANG Wenting;SHENG Hua;HONG Yuanyuan(Department of Respiratory Medicine,Liaoyou Baoshihua Hospital,Panjin 124010,China)
出处
《中国医药指南》
2022年第27期13-16,共4页
Guide of China Medicine
关键词
临床护理路径
慢阻肺
雾化吸入
肺功能
治疗有效率
Clinical nursing pathway
Chronic obstructive pulmonary disease
Aerosol inhalation
Pulmonary function
Effective rate of treatment
