优质护理对COPD患者肺功能及生活质量的影响.docxVIP

优质护理对COPD患者肺功能及生活质量的影响 (上海市嘉定区中心医院 上海201800) 【摘要】目的：探讨优质护理对COPD (慢性阻塞性肺疾病)患者肺功能及 牛活质量的影响。方法：选择2016年1月一2016年8月在我科收治的慢性阻塞 性肺疾病患者120例，随机分为对照组和观察组，各60例。对照组采用常规护 理，观察组在常规护理基础上加强优质护理。然后比较两组患者的肺功能及牛活 质量情况。结果：观察组的生存质量评定(CAT)评分为98.8分，对照组CAT评分 76.5分；观察组的PaCO2指标值低于对照组，观察组的PaO2、FEV1和PEF指标均 高于对照组(Plt;0.05)o结论：为COPD患者实行优质护理，能够有效改善患者 肺功能，提高患者的生活质量，值得推广。 【关键词】慢性阻塞性肺疾病；优质护理；肺功能；生活质量 【中图分类号】R471 【文献标识码】B 【文章编号】1007-8231 (2016) 25-0189-02 Effects of high quality nursing on lung function and quality of life in patients with COPD Shi Hong.Central Hospital of Shanghai Jiading District, Shanghai 201800) [Abstract】Objective To explore the effect of high quality nursing on pulmonary functi on and quality of life of patients with chr onic obstructive pulm on ary disease (COPD). Methods 120 patients with chr onic obstructive pulm on ary disease from January to August 2016 in our department were randomly divided into control group and observation group, 60 cases in each. The control group used routine n ursi ng, the observatio n group on the basis of conventional care to st re ngthe n quality care. The lung function and quality of life were compared between the two groups. Results The assessment of life quality of the observation group (CAT) score was 98.8 points, the CAT score of control group 76.5; observation group PaCO2 index is lower than the control group, the observation group PaO2, FEV1 and PEF were higher than that of the control group (Plt;0.05). Conclusion COPD patients with high quality care, can effectively improve the patients lung function, improve the quality of life of patients, it is worth promoting.. 【Key words］ Chr onic obstructive pulm on ary disease; Quality care; Pulm on ary function; Quality of life 慢性阻塞性肺疾病(COPD)是一种具有气流受限不完全可逆为特征的肺部 疾病，与气道和肺组织对香烟烟雾等有害气体或有害颗粒的异常慢性炎症反应有 关。COPD是呼吸系统疾病中的常见病和多发病，患病率和病死率均居高不下， COPD居全球死亡原因第4位，根据世界银行/世界卫生组织(WHO)发表的一 项研究，预计至2020年COPD的全球经济负担将跃居所有疾病的第5位⑴。COPD 病程较长，易反复急性发作导致多次住院，并对肺功能造成进行性下降，因此护 理质量高低对患者预后的恢复情况具有重要影响［2］。本文选取2016年1月?2016 年8月我科收治的1