慢性阻塞性肺疾病患者在常规护理基础上接受综合性护理干预对其生活质量的影响观察(1)
摘要：目的 对比分析综合性护理干预对慢性阻塞性肺疾病(COPD)患者生活质量的影响，对其实际应用价值进行评价。方法 选择60例在我院进行慢性阻塞性肺疾病治疗的患者，采用随机分配的方法，将其分为观察组与对照组两组，各30例，对照组采用常规护理方法，观察组在对照组的基础上给予患者综合性护理干预方法，对两组急性发作率、患者自我管理依从性以及生活质量等数据进行比较。结果 观察组的急性发作率明显低于对照组，差异具有统计学意义(P<0.05)；社会活动情况、日常生活情况以及总的QOL评分分数均高于对照组，说明生活质量有提高，观察组的抑郁心理和焦虑心理的评分明显低于对照组，说明抑郁和焦虑心理症状减轻，差异具有统计学意义(P<0.05)；观察组患者的自我管理依从性提高，差异具有统计学意义(P<0.05)。结论 给予患者综合性护理干预方法，其急性发作率降低，生活质量得到很大的改善，提高了自我管理依从性，值得日后借鉴推广并进一步探讨。
关键词：综合性护理干预；慢性阻塞性肺疾病；生活质量
, 百拇医药
Abstract：Objective To compare and analyze the effect of comprehensive nursing intervention on quality of life of patient with chronic obstructive pulmonary disease(COPD) and evaluate its practical value. Methods In our hospital， sixty patients with chronic obstructive pulmonary disease (COPD) are randomly divided into observation group (n=30) and control group (n=30). Routine nursing method is used to the control group. The observation group using the comprehensive nursing intervention to patient based on the control group. The method is compared withthose data， which are acute attack rate of two groups， self-management compliance of patient and quality of life. Results In the observation group， the incidence of acute attack is significantly lower than the control group (P<0.05). Social activity， daily life and the total of QOL scores are higher than the control group， which showed that the quality of life is improved. The scores of depression and anxiety of the observation group are significantly lower than the control group， which showed that the psychological symptoms of depression and anxiety are reduced， the data has statistically significance(P<0.05). In observation group， the self-management compliance of patient has statistically significance(P<0.05).Conclusion The method of comprehensive nursing intervention can reducethe incidence of acute attack， improve quality of lifeandself - management compliance. The method is worth to learn andpromote on further discussion.
, 百拇医药
Key words：Comprehensive nursing intervention；Chronic obstructive pulmonary disease；Quality of life
慢性阻塞性肺疾病是臨床上常见的呼吸系统慢性疾病之一，其对患者的劳动能力及生活质量影响较大，许多患者因此而变得十分焦虑，心理承受能力比较脆弱，从而严重影响到病情的恢复，所以，必须对此重视起来[1]。临床上，除专科治疗外，进行健康知识教育亦为重要的辅助手段，本文从护理的角度对患者进行了相关综合性护理干预，旨在对比分析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，对其实际应用价值进行探讨(评价)，现报道如下：
1 资料与方法
1.1一般资料 选取60例在我院进行慢性阻塞性肺疾病治疗的患者，采用随机分配的方法，将其分为观察组与对照组两组，各30例。其中，对照组：男15例，女15例，年龄41～66岁，平均年龄为(53.3±3.2)；观察组：男18例，女12例，年龄40～67岁，平均年龄为(54.5±3.1)。将两组患者的性别、年龄等一般资料进行比较，未发现明显差异(P>0.05)，因而具有可比性。
1.2方法 对照组采用常规护理方法，观察组在对照组的基础上给予患者综合性护理干预方法，以健康教育为主要手段，对患者及其患者家属进行相应疾病知识的认知教育，使其注重急性期和缓解期的不良生活影响因素，主动改变不良的生活习惯，提高患者的治疗依从性。主要概括为：生活方式指导、基本认知教育、合理营养饮食、心理健康指导、以及肺功能锻炼等等，具体措施如下：, 百拇医药(陈静)
关键词：综合性护理干预；慢性阻塞性肺疾病；生活质量
, 百拇医药
Abstract：Objective To compare and analyze the effect of comprehensive nursing intervention on quality of life of patient with chronic obstructive pulmonary disease(COPD) and evaluate its practical value. Methods In our hospital， sixty patients with chronic obstructive pulmonary disease (COPD) are randomly divided into observation group (n=30) and control group (n=30). Routine nursing method is used to the control group. The observation group using the comprehensive nursing intervention to patient based on the control group. The method is compared withthose data， which are acute attack rate of two groups， self-management compliance of patient and quality of life. Results In the observation group， the incidence of acute attack is significantly lower than the control group (P<0.05). Social activity， daily life and the total of QOL scores are higher than the control group， which showed that the quality of life is improved. The scores of depression and anxiety of the observation group are significantly lower than the control group， which showed that the psychological symptoms of depression and anxiety are reduced， the data has statistically significance(P<0.05). In observation group， the self-management compliance of patient has statistically significance(P<0.05).Conclusion The method of comprehensive nursing intervention can reducethe incidence of acute attack， improve quality of lifeandself - management compliance. The method is worth to learn andpromote on further discussion.
, 百拇医药
Key words：Comprehensive nursing intervention；Chronic obstructive pulmonary disease；Quality of life
慢性阻塞性肺疾病是臨床上常见的呼吸系统慢性疾病之一，其对患者的劳动能力及生活质量影响较大，许多患者因此而变得十分焦虑，心理承受能力比较脆弱，从而严重影响到病情的恢复，所以，必须对此重视起来[1]。临床上，除专科治疗外，进行健康知识教育亦为重要的辅助手段，本文从护理的角度对患者进行了相关综合性护理干预，旨在对比分析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，对其实际应用价值进行探讨(评价)，现报道如下：
1 资料与方法
1.1一般资料 选取60例在我院进行慢性阻塞性肺疾病治疗的患者，采用随机分配的方法，将其分为观察组与对照组两组，各30例。其中，对照组：男15例，女15例，年龄41～66岁，平均年龄为(53.3±3.2)；观察组：男18例，女12例，年龄40～67岁，平均年龄为(54.5±3.1)。将两组患者的性别、年龄等一般资料进行比较，未发现明显差异(P>0.05)，因而具有可比性。
1.2方法 对照组采用常规护理方法，观察组在对照组的基础上给予患者综合性护理干预方法，以健康教育为主要手段，对患者及其患者家属进行相应疾病知识的认知教育，使其注重急性期和缓解期的不良生活影响因素，主动改变不良的生活习惯，提高患者的治疗依从性。主要概括为：生活方式指导、基本认知教育、合理营养饮食、心理健康指导、以及肺功能锻炼等等，具体措施如下：, 百拇医药(陈静)