预见性护理干预对老年慢性阻塞性肺疾病患者影响.docVIP

预见性护理干预对老年慢性阻塞性肺疾病患者影响 　　[摘要] 目的 观察预见性护理干预对老年慢性阻塞性肺疾病（COPD）患者的影响。 方法 选取2013年1月～2014年12月本院诊治的110例老年COPD患者，按照不同护理方案分为对照组和研究组，每组55例。对照组予常规护理，研究组在对照组基础上予预见性护理干预，观察并比较两组肺功能、6 min步行距离（6 MWD）以及生存质量改善情况、并发症发生情况。 结果 经护理后，两组的肺功能、6 MWD以及生存质量均有显著性改善，研究组改善情况优于对照组，组内、组间比较差异均有统计学意义（P0.05，P0.01）；研究组并发症总发生率为9.09%，低于对照组的27.27%，差异有统计学意义（P0.05）。 结论 老年COPD患者应用预见性护理干预可以有效改善其肺功能以及生存质量，同时还可降低并发症发生率。 　　[关键词] 预见性护理干预；老年慢性阻塞性肺疾病；肺功能 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2015）08（b）-0178-04 　　Influence of predictive nursing intervention on elderly patients with chronic obstructive pulmonary disease 　　LV Gui-yun 　　Department of Medicine，People′s Hospital of Dingtao County in Shandong Province，Dingtao 274100，China 　　[Abstract] Objective To observe the influence of predictive nursing intervention on elderly patients with chronic obstructive pulmonary disease （COPD）. Methods 110 patients with COPD in our hospital from January 2013 to December 2014 were were selected and divided into control group and research group by different nursing plan.In the control group，conventional nursing was applied.While in the research group，on the basis of the control group，predictive nursing intervention was added.The pulmonary function，6 minute walk distance（6 MWD），improvement of quality of life，and incidence of complications in two groups was observed and compared. Results After nursing，the pulmonary function，6MWD and quality of life in two groups were greatly improved，the improvement in research group was better than that of control group，there was significant difference after intra-group and inter-group comparisons（P0.05，P0.01）.The total incidence of complications in the research group was 9.09%，which was lower than that in the control group （27.27%），the difference was significant（P0.05）. Conclusion Application of predictive nursing intervention on elderly patients with COPD can effectively improve pulmonary function and quality of life，and reduce the incidence of complications simultaneously. 　　[K