护理干预对慢性阻塞性肺疾病患者氧疗依从性的效果观察(1)
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[摘要] 目的 探讨护理干预对慢性阻塞性肺疾病患者氧疗依从性的影响。 方法 观察78例慢性阻塞性肺疾病患者，随机表法分为干预组和对照组各39例，所有患者均行呼吸内科常规治疗，干预组在常规治疗的基础上加护理干预。观察所有患者的临床功能改善情况、治疗结束后3年内病情急性发作住院的次数等。 结果 通过护理干预，干预组患者的完全依从率升高(出院时为61.54%、出院12个月为58.97%)，明显高于对照组，差异有统计学意义(P < 0.05)；干预组患者在治疗后平均住院时间为13.6 d，100%的患者呼吸困难改善，明显高于对照组(P < 0.05)。 结论 护理干预对提高慢性阻塞性肺疾病患者氧疗依从性有积极意义。
[关键词] 护理干预；阻塞性肺疾病；氧疗；依从性；效果
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2012)02(c)-0130-02
Effect observation of nursing intervention on the oxygen therapy obedience of chronic obstructive pulmonary disease patient
ZHANG Li
The Third People's Hospital of Chenzhou City in Hunan Province, Chenzhou 423000, China
[Abstract] Objective To evaluate nursing intervention for patients with chronic obstructive pulmonary disease, the impact of oxygen therapy compliance. Methods Seventy eight cases of chronic obstructive pulmonary disease were randomly divided into intervention group and control group, 39 cases in each group, all patients were given conventional treatment of respiratory medicine, the intervention group were given nursing intervention. The clinical features improve situation, acute episodes of illness hospitalization frequency three years after treatment were obserued. Results Through the hospital's nursing intervention, patients with full compliance rate of the intervention group increased (61.54% at discharge, discharge 12 months was 58.97%), significantly higher than control group, the difference was very obvious (P < 0.05); patients in the intervention group after treatment, average length of stay was 13.6 d, 100% of patients with dyspnea improved, it was significantly higher than control group (P < 0.05). Conclusion Nursing intervention has a positive meaning to improve of oxygen therapy in patients with chronic obstructine pulmonary disease.
[Key words] Nursing Intervention; Obstructive pulmonary disease; Oxygen Therapy; Obedience; Effect
慢性阻塞性肺疾病是常见的慢性病，它严重地威胁着人类的健康，近年来，慢性阻塞性肺疾病已经发展成为致死和致残最多的呼吸系统疾病[1]。慢性阻塞性肺疾病是由于通气血流比例失调和通气功能障碍，导致缺氧和二氧化碳潴留。能够对慢性阻塞性肺疾病预后起到积极作用的主要因素之一是长期的氧疗，但是长期的氧疗存在依从性的问题，探讨护理干预对慢性阻塞性肺疾病患者氧疗依从性的影响，可以提高患者动脉血氧饱和度、减轻症状、改善缺氧、调节患者情绪、提高患者的生活质量。
1 资料与方法
1.1 一般资料
选择2007年4月～2011年4月在本院就诊的78例慢性阻塞性肺疾病患者，随机分为干预组和对照组各39例。对照组39例中，男20例，女19例，年龄52～78岁，平均60.18岁，患者病程7个月～9年，平均3.17年 ......
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