院外延续性护理在慢性阻塞性肺疾病稳定期患者中的应用

摘要

目的:探讨院外延续性护理在慢性阻塞性肺疾病稳定期患者中的应用效果.方法:将128例慢性阻塞性肺疾病稳定期患者随机分观察组和对照组各64例.观察组出院前对患者进行康复运动指导、用药指导、饮食指导、家庭氧疗指导、急性发作的识别和自救方法指导,同时结合院外延续性护理;对照组出院时进行康复运动指导、用药指导、饮食指导、家庭氧疗指导、急性发作的识别和自救方法指导,不进行电话回访.比较两组患者生活质量、6 min步行距离和急性发作情况.结果:观察组患者的生活质量评分及急性发作发生率低于对照组(P＜0.05),6 min步行距离长于对照组(P＜0.05).结论:重视慢性阻塞性肺疾病稳定期患者的院外延续护理,能有效延长慢性阻塞性肺疾病稳定期,减少急性发作次数,减少住院周期,减缓肺功能的进行性恶化.%Objective:To investigate the application value of lobbyists continuity nursing in chronic obstructive pulmonary disease (COPD) patients in stationary phase.Methods:128 cases of chronic obstructive pulmonary disease monitoring patients were divided into observation group and control group with 64 cases in each group.The observation group of patients before discharge rehabilitation exercise guidance,medication guidance,diet guidance,home oxygen therapy guidance,acute attack recognition and self-rescue method guidance,combined with the school extension continued nursing.While the control group only discharged for rehabilitation guidance,medication guidance,diet guidance,home oxygen therapy guidance,acute attack identification and self -rescue method guidance,and no phone calls,no emphasis on patient long-term adherence to perform.Two groups of patients'quality of life,6 min walking distance and acute episodes were compared.Results:To observe the quality of life score in patients with acute exacerbation occurrence rate was lower than the control group (P ＜ 0.05),6 min walking distance was longer than that of the control group (P ＜ 0.05).Conclusion:The importance of patients with chronic obstructive pulmonary disease of continued-nursing,can effectively extend the stable phase of chronic obstructive pulmonary disease,reduce the frequency of acute attack,reduce hospitalization period,slow the progressive deterioration of lung function.