Objective To investigate the influence of high quality nursing according to hierarchy of needs theory on nursing efficacy of patients with stable COPD.Methods 92 cases of stable COPD in our hospital from April 2015 to January 2017 were selected and divided into two groups according to the order of hospitalization,46 cases in each group.Control group was given routine nursing,while observation group was given high quality nursing according to hierarchy of needs theory.FEV1,FVC,FEV1/FVC,SF-36 score,and nursing satisfaction of the two groups before and after intervention were compared.Results Before intervention,the differences of FEV1,FVC,FEV1/FVC of the two groups had no statistical significance (P＞0.05);after intervention,FEV1,FVC,FEV1/ FVC levels of observation group were all higher than those of control group,with statistically significant differences (P＜0.05).Before intervention,the differences of scores of physiological function,social function,mental state,vigor of the two groups had no statistical significance (P＞0.05);after intervention,the scores of each dimension of SF-36 of observation group were higher than those of control group,with statistically significant differences (P＜0.05).The total nursing satisfaction of observation group was higher than that of control group (93.48％ vs.76.09％),with statistically significant difference (P＜0.05).Conclusion High quality nursing according to hierarchy of needs theory can promote pulmonary function recovery,improve life quality and nursing satisfaction of patients.%目的 探讨需要层次理论的优质护理对慢性阻塞性肺疾病(COPD)稳定期患者护理效果的影响.方法 选取2015年4月至2017年1月本院COPD稳定期患者92例,按照入院顺序分为两组,每组46例.对照组实施常规护理,观察组实施需要层次理论的优质护理干预.统计对比两组干预前后肺功能指标[第1秒呼气量(FEV1)、用力肺活量(FVC)、第1秒呼气量/用力肺活量(FEV1/FVC)]、生活质量评分(SF-36)以及护理满意度.结果 干预前,两组FEV1、FVC、FEV 1/FVC水平比较差异无统计学意义(P＞0.05),干预后,观察组FEV1、FVC、FEV 1/FVC水平均高于对照组,差异有统计学意义(P＜0.05);干预前,两组生理功能、社会功能、精神状态及精力评分比较差异无统计学意义(P＞0.05),干预后,观察组SF-36各维度评分均高于对照组,差异有统计学意义(P＜0.05);观察组护理总满意度高于对照组(93.48％比76.09％),差异有统计学意义(P＜0.05).结论 需要层次理论的优质护理干预能促进患者肺功能恢复,改善生活质量,患者护理满意度较高.
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