老年急性加重期慢性阻塞性肺疾病并发呼吸衰竭患者的优质护理干预

摘要

目的 探讨优质护理干预对老年急性加重期慢性阻塞性肺疾病(COPD)并发呼吸衰竭应用及对血清炎性因子的影响.方法 选择重症医学科COPD并发呼吸衰竭的老年患者100例为研究对象,采用随机数字法分为观察组和对照组各50例,观察组采用优质护理干预,对照组采用常规护理方式,随访2周后患者肺功能改善情况,以及2组患者血清炎性因子水平变化,对优质护理干预方式进行评价.结果 2组肺功能指标(FEV1、FEV1/FVC和FEV 1％)在治疗后相比于治疗前均存在统计学差异(P＜0.05),观察组优于对照组(P＜0.05);2组患者治疗后各血清炎性因子(IL-1β、IL-2、TNF-α和FIN-γ)水平优于治疗前(P＜0.05),且观察组优于对照组(P＜0.05);观察组住院时间、住院费用和护理满意度均优于对照组(P＜0.05).结论 优质护理可有效改善患者的临床症状、肺功能和血清炎症因子的水平,提高依从性和临床护理的满意度,值得临床上推广和使用.%Objective To explore the application of high quality nursing intervention in elderly patients with acute exacerbation of COPD complicated with respiratory failure and its influence on serum inflammatory factors.Methods A total of 100 elderly COPD patients with respiratory failure in ICU were randomly divided into observation group (50 cases) with high quality nursing intervention,and control group (50 cases) with routine nursing according to random table method,pulmonary function improvement,and level changes of serum inflammatory factors after 2 week follow-up of two groups were observed,and quality of nursing intervention was compared.Results There were significant differences in lung function index (FEV1,FEV1/FVC and FEV1％) after treatment compared with treatment before,and observation group was significantly better than the control group (P ＜0.05).There was a significant difference between the two groups after treatment in levels of serum inflammatory factors (IL-1,IL-2,TNF-α,FIN-γ) than treatment before,and the observation group was significantly better than the control group (P ＜ 0.05).The observation group had better conditions in hospitalization time,hospitalization cost and nursing satisfaction than the control group (P ＜0.05).Conclusion Quality care can obviously improve clinical symptoms,lung function and level of serum inflammatory factors,and can improve compliance and clinical nursing satisfaction,so it is worthy of promotion.