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支气管哮喘患者应用个体化系统性护理的疾病控制效果分析(1)
http://www.100md.com 2018年1月25日 《中国医学创新》 2018年第3期
     【摘要】 目的:研究分析支气管哮喘患者应用个体化系统性护理的疾病控制效果。方法:选取2013年8月-2016年4月本院收治的支气管哮喘患者92例,依次对患者进行排序,遵照随机分配原则将单数纳入对照组,双数纳入研究组,每组46例。在统一治疗条件下,对照组患者应用常规护理,观察组患者应用个体化系统性护理。比较两组症状改善时间、住院時间、健康知识掌握评分、依从性评分、焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)及护理满意度。结果:观察组SAS、SDS评分均低于对照组,依从性、健康知识掌握评分高于对照组,比较差异均有统计学意义(P<0.05);观察组症状改善时间、住院时间均短于对照组(P<0.05);观察组总满意率为95.6%,高于对照组的82.6%,比较差异有统计学意义( 字2=8.701,P=0.003)。结论:支气管哮喘患者应用个体化系统性护理干预模式能够有效缓解患者的不良心理情绪,提高临床治疗的依从性,从而达到快速治愈,促进患者康复出院的目的。

    【关键词】 个体化; 系统性护理; 支气管哮喘
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    Analysis of the Individualized Systematic Nursing Intervention for Control Effect of Bronchial Asthma Disease/LAN Yuqing.//Medical Innovation of China,2018,15(03):087-090

    【Abstract】 Objective:To study the influence of individualized systematic nursing intervention for control effect of bronchial asthma disease.Method:A total of 92 patients with bronchial asthma treated in our hospital from August 2013 to April 2016 were selected.In order to sort patients,in accordance with the principle of random assignment,the singular included control group,even included study group,46 cases in each group.Under the condition of unified treatment,the control group was given routine nursing,and observation group was given individualized systematic nursing.The symptom improvement time,hospitalization time,health knowledge score,compliance score,self rating Anxiety Scale (SAS),self rating Depression Scale(SDS) and nursing satisfaction between two groups were compared.Result:The scores of SAS and SDS in observation group were lower than those of control group,the score of compliance and health knowledge were higher than those of control group,the differences were statistically significant(P<0.05).The symptom improvement time and hospitalization time in observation group were shorter than those of control group(P<0.05).The total satisfaction rate of observation group was 95.6%,which was higher than 82.6% of control group,the difference was statistically significant( 字2=8.701,P=0.003).Conclusion:The application of individualized systematic nursing intervention model in patients with bronchial asthma which can effectively alleviate the patients psychological emotion,improve the compliance of clinical treatment,so as to achieve rapid cure and promote the rehabilitation of patients discharged.
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    【Key words】 Individualized; Systematic nursing; Bronchial asthma

    First-author’s address:Ganzhou People’s Hospital,Ganzhou 341000,China

    doi:10.3969/j.issn.1674-4985.2018.03.023

    支气管哮喘在临床中简称为哮喘,是目前临床治疗中常见且具有高发病率的疾病,相关研究指出,哮喘的主要发病因素包括遗传与环境两种因素,哮喘患者普遍有遗传因素特征显现,且患者均属于过敏性体质,常见并发有鼻炎、过敏性鼻炎以及特应性皮炎等病症,对于可在空气中传播的过敏原、食物或者药物均存在不同程度的过敏[1-2]。支气管哮喘患者其临床症状主要表现为胸闷、呼吸气促以及咳嗽等,患者在临床治疗中会出现反复的喘息以及咳嗽等情况,严重者导致哮喘急性发作,不及时救治可能会危及患者的生命健康[3]。支气管哮喘临床治疗中常出现呼吸困难以及反复发作等情况,延长了治疗时间,同时患者的依从性也在治疗过程中逐渐降低,其心理情绪对生活质量造成了严重的影响[4]。相关学者研究指出,给予有效的护理干预措施能够改善患者的负性情绪,辅助治疗手段对病情进行控制,能够缩短患者的治疗时间,从而提高患者的生活质量[5]。本文对个体化系统性护理干预在支气管哮喘疾病控制中的影响效果进行研究分析,旨在进一步提高对病症的控制,解除患者治疗过程中负性情绪,现将结果报道如下。, http://www.100md.com(蓝玉清)
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