延续性护理干预对慢性阻塞性肺疾病稳定期患者生存质量影响研究.docVIP

延续性护理干预对慢性阻塞性肺疾病稳定期患者生存质量影响研究 　　【摘要】 目的：探析延续性护理干预对慢性阻塞性肺疾病（COPD）稳定期患者生存质量的影响。方法：入选本院2013年2月-2014年2月收治的COPD稳定期患者80例，随机分为两组，每组各40例，对照组采用教育管理及对症治疗等常规护理干预，观察组在此基础上采用延续性护理，包括家庭氧疗结合呼吸操，对比两组生存质量等护理效果。结果：两组护理前CAT评分大体一致，观察组护理后3个月和6个月的CAT评分（16.1±5.2）分和（16.6±4.4）分均显著低于对照组（21.4±6.5）分和（21.8±6.2）分，差异均有统计学意义（P0.05）；两组护理前肺功能指标大体一致，观察组护理6个月后各项肺功能指标均显著优于对照组，差异均有统计学意义（P0.05）。结论：COPD稳定期患者采用家庭氧疗结合呼吸操延续性护理干预可有效提高生存治疗，改善症状。 　　【关键词】 慢性阻塞性肺疾病； 稳定期； 延续性护理； 生存质量 　　The Effect of Continuing Nursing for QQL of Stable COPD Patients/YE Chun-yan.//Medical Innovation of China，2015，12（18）：093-095 　　【Abstract】 Objective：To study the effects of continuing nursing for QQL of stable COPD patients.Method：80 stable COPD patients in our hospital were selected from February 2013 to February 2014 and randomly divided into observation group and control group，40 cases in each group.The control group was treated with education management，symptomatic treatment and other conventional cares；on the basis of that the observation group was also treated with continuing nursing included home oxygen therapy and respiratory gym，QQL of two groups were compared.Result：Before nursing，CAT of two groups were generally consistent；after 3 monthes and 6 monthes of nursing，CAT of observation group were （16.1±5.2） scores and （16.6±4.4） scores while CAT of control group were （21.4±6.5） scores and （21.8±6.2） scores，the differences were statistically significant（P0.05）.Before nursing，lung function indexes were generally consistent；after 6 monthes of nursing，lung function indexes of observation group were significantly better than those of control group，the differences were statistically significant（P0.05）.Conclusion：For stable COPD patients，the continuing nursing of home oxygen therapy combined with respiratory gym can effectively improve the patients’ QQL and symptoms. 　　【Key words】 COPD； Stable period； Continuing nursing； QQL 　　First-author’s address：Chinese Medicine Hospital of Heping，Heping 517200，China 　　doi：10.3969/j.iss