护理干预对COPD合并过度动态性气道塌陷患者肺功能和治疗依从性的影响

摘要

目的：探讨护理干预对COPD合并过度动态性气道塌陷患者肺功能和治疗依从性的影响。方法：选取本院2014年2月-2015年2月收治的60例COPD合并过度动态性气道塌陷患者进行研究，按随机数字表法将患者分为对照组（n=30）和干预组（n=30），对照组采用常规护理措施，干预组在对照组基础上给予干预护理，比较两组肺功能、治疗依从性、1年生存率、总有效率、护理满意度的差异。结果：护理干预后，干预组的FEV1% pred、FEV1/FVC均高于对照组，差异均有统计学意义（P=0.013、0.000）；干预组总依从率为100%，高于对照组的86.67%，差异有统计学意义（P=0.038）；干预组组1年生存率为96.67%，对照组为93.33%，两组比较差异无统计学意义（P>0.05）；干预组护理满意率为100%，高于对照组的80.00%，差异有统计学意义（P=0.031）。结论：护理干预可改善COPD合并过度动态性气道塌陷患者肺功能、提高治疗依从性、提高护理满意度，但不改善预后。%Objective:To investigate the effect of nursing intervention on pulmonary function and treatment compliance in COPD patients combined with EDAC.Method:60 COPD patients combined with EDAC in our hospital from February 2014 to February 2015,they were divided into intervention group(n=30) and control group (n=30).The control group were given routine nursing measures,the intervention group was given intervention nursing on the basis of the control group,the pulmonary function,treatment compliance,1 year survival rate, total effective rate and satisfaction rate of nursing were compared between the two groups.Result:After nursing intervention, FEV1% pred and FEV1/FVC of the intervention group were higher than those in control group,the differences were statistically significant(P=0.013,0.000).The total compliance rate of the intervention group was 100%,higher than 86.67% of the control group,the difference was statistically significant (P=0.038).The 1 year survival rate of the intervention group was 96.67%,and the control group was 93.33%,there was no significant difference between the two groups(P>0.05).The nursing satisfaction rate of the intervention group was 100%,higher than 80.00% of the control group,the difference was statistically significant(P=0.031).Conclusion:Nursing intervention can improve the pulmonary function of COPD patients with excessive dynamic airway collapse,improve treatment compliance,improve nursing satisfaction, but do not improve the prognosis.