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影响观察.docVIP

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影响观察 　　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（P0.05）；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（P0.05）；观察组患者的自我管理依从性提高，差异具有统计学意义（P0.05）。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 　　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 （P0.05）. 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（P0.05）. In observation group， the self-management compliance of patient has statistically significance（P0.05）.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. 　　Key words：Compre