摘要
目的分别通过单独个性化系统护理以及联合4S呼吸康复护理的方式,对老年慢性阻塞性肺疾病(COPD)患者进行干预,对比两种干预模式在临床中的应用效果。方法通过随机抽签法将2022年2月至2024年2月在河南省人民医院接受治疗的120例老年COPD患者分为两组,各60例,进行前瞻性研究。入组均采取个性化系统护理,观察组则联合4S呼吸康复护理,均持续干预3个月。干预后对两组肺功能、生活质量水平和治疗依从性予以比较。结果干预后观察组用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、第1秒用力呼气量/用力肺活量(FEV_(1)/FVC)、用力呼气峰值流速(PEF)分别为(2.55±0.38)L、(63.07±9.46)L、(75.64±11.35)%、(3.04±1.95)L·min^(-1),均高于对照组(1.96±0.29)L、(55.65±8.35)L、(68.10±10.22)%、(1.95±0.29)L·min^(-1)(P<0.05);相较于对照组,观察组治疗依从性评分较高(P<0.05);相较于对照组,干预后观察组健康调查简表(SF-36)各项评分较高(P<0.05)。结论将4S呼吸康复护理联合个性化系统护理干预应用于老年慢性阻塞性肺疾病患者当中,有利于肺功能和生活质量的改善以及治疗依从性的提升。
Objective To intervene in elderly patients with chronic obstructive pulmonary disease(COPD)by means of individualized systematic nursing care alone and combined 4S respiratory rehabilitation nursing care respectively,and to compare the application effects of the two intervention modes in the clinic.Methods One hundred and twenty cases of elderly COPD patients treated in Henan Provincial People’s Hospital from February 2022 to February 2024 were divided into two groups of 60 cases each by random lottery methods for prospective study.The enrolled group all adopted personalized systematic nursing care,while the observation group combined with 4S respiratory rehabilitation nursing,both of which continued the intervention for 3 months.After the intervention,pulmonary function,quality of life and treatment adherence were compared between the two groups.Results After the intervention,the levels of forceful vital capacity(FVC),forceful expiratory volume in the first second(FEV_(1)),forceful expiratory volume in the first second/forceful lung volume(FEV_(1)/FVC),and peak expiratory flow rate(PEF)of the observation group were(2.55±0.38)L,(63.07±9.46)L,(75.64±11.35)%,(3.04±1.95)L·min^(-1),which were higher than those of the control group(1.96±0.29)L,(55.65±8.35)L,(68.10±10.22)%,and(1.95±0.29)L·min^(-1)(P<0.05);compared with the control group,the observation group had a higher score of treatment adherence(P<0.05);compared with the control group,the observation group had higher scores on the health survey(SF-36)after the intervention(P<0.05).Conclusion The application of 4S respiratory rehabilitation nursing care combined with personalized system nursing intervention in elderly patients with chronic obstructive pulmonary disease is conducive to the improvement of lung function and quality of life,as well as the enhancement of treatment adherence.
作者
张坤
孙慧
ZHANG Kun;SUN Hui(Department of Respiratory and Critical Care Medicine,Henan Provincial People’s Hospital,Zhengzhou 450000,China)
出处
《河南医学研究》
2025年第14期2665-2668,共4页
Henan Medical Research
关键词
慢性阻塞性肺疾病
4S呼吸康复护理
个性化系统护理
肺功能
生活质量
chronic obstructive pulmonary disease
4S respiratory rehabilitation nursing
personalized system nursing
pulmonary function
quality of life
作者简介
通信作者:孙慧,E-mail:583985280@qq.com。
