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目的探讨个体化延续护理对慢性阻塞性肺疾病(COPD)稳定期患者出院后生活状态及质量的影响。方法选取2014年2月至2015年4月于深圳市第三人民医院呼吸内科接受治疗的74例COPD稳定期患者作为研究对象,按随机数字表法将其分为对照组和观察组,各37例。对照组患者出院时仅给予常规病情指导,出院后不给于护理干预;观察组患者在对照组基础上实施个体化延续护理。比较两组患者护理前后肺功能、生命质量及复诊情况。结果护理后,观察组患者的动脉血氧分压(PaO_2)、第1秒钟用力呼气容积占预计值百分比(FEV1%)均明显高于对照组,差异均有统计学意义(均P<0.05);护理后,观察组患者的生命质量评分明显高于对照组,差异有统计学意义(P<0.05)。结论COPD稳定期患者出院后给予个体化延续护理可有效促进其肺功能恢复,提高生命质量,是一种安全可靠、值得临床采纳的有效护理模式。
Objective To investigate the effect of individualized continuous nursing on the status and quality of life of patients with chronic obstructive pulmonary disease (COPD) after discharge. Methods From July 2014 to April 2015, 74 patients with stable COPD treated in Department of Respiratory Medicine, Third People’s Hospital of Shenzhen City were selected as subjects and divided into control group and observation group according to random number table example. Patients in the control group were given only general condition guidance at discharge and no nursing intervention after discharge. Patients in the observation group were given individualized continuous nursing care based on the control group. The pulmonary function, quality of life and referral status of the two groups before and after nursing were compared. Results After nursing, PaO_2 and forced expiratory volume in 1 second (FEV1%) in observation group were significantly higher than those in control group (all P < 0.05). After nursing, the quality of life scores in the observation group were significantly higher than those in the control group, the difference was statistically significant (P <0.05). Conclusion The patients with stable COPD after discharge from the hospital for individualized continuous nursing can effectively promote the recovery of pulmonary function and improve the quality of life. Therefore, it is a safe and reliable effective nursing model worthy of clinical treatment.