摘要
目的讨论优质护理对哮喘患者疾病治疗和控制的影响。方法将2012年6月-2013年7月接受治疗的100例哮喘病患者,随机分成试验组和对照组各50例。两组均按照患者病情特点给予相关药物治疗,对照组给予常规护理,试验组在常规护理的基础上,采用以帮助患者建立"预防为主"观念的优质护理,并就两种护理方法对哮喘治疗的效果和控制影响进行比较分析。结果治疗前两组患者第1秒用力呼气容积预计值和最大呼气流量差异均无统计学意义(P>0.05),治疗后两组均有改善,且试验组优于对照组(P<0.05)。试验组和对照组病情缓解者比例分别为86.0%(43/50)、64.0%(32/50),差异有统计学意义(χ2=6.453,P=0.011)。试验组哮喘完全控制者比例为34.8%(16/46),控制良好者为50.0%(23/46);对照组哮喘完全控制者为18.8%(9/48),良好控制的患者为43.8%(21/48);两组比较差异有统计学意义(Z=-2.533,P=0.011)。结论优质护理能有效改善成人哮喘患者的生活质量,改善患者的肺功能,增强对哮喘的控制。
Objective To analyze the impact of high-quality nursing care on adult patients with asthma and asthma control. Methods We randomly chose 100 patients with asthma from June 2012 to July 2013, and the patients were randomly divided into experimental group（n=50） and control group（n=50）. Patients in botThthe two groups received treatments based on the characteristics of the patients’ condition. The control group received conventional care, while the experimental group received high-quality nursing care aimed to help them establisThthe concept of Asthma Prevention on the basis of the conventional care. Then, we analyzed the ef ect of nursing intervention in botThgroups. Results Before the treatment, the forced expiratory volume in 1 second（%） and peak expiratory l ow were not significantly dif erent between the two groups（P 〉 0.05）. At er treatment, botThgroups had improvement in their lung function. However, improvement in lung function of the experimental group was significantly better than the control group（P 〈 0.05）. The disease remission level in the experiment group and the control group was respectively 86.0%（43/50） and 64.0%（32/50）（χ2=6.453, P=0.011）. According to the Asthma Control Questionnare（5-item version）, in the experimental group, 46 patients completed the assessment and the total control of asthma accounted for 34.8%（16/46）, well-controlled asthma accounted for 50.0%（23/46）, and uncontrolled asthma accounted for 15.2%（7/46）; while in the control group, 48 patients completed the assessment and the total control of asthma accounted for 18.8%（9/48）, well-controlled asthma accounted for 43.8%（21/48）, and uncontrolled asthma accounted for 37.5%（18/48）（Z=-2.533, P=0.011）. The average hospital stay for the experimental group and the control group was respectively 11.24 days and 12.16 days. Conclusion High-quality nursing care can improve the quality of life of adult asthma patients, improve the patients’ lung function, and enhance the control of asthma.
出处
《华西医学》
CAS
2015年第3期515-518,共4页
West China Medical Journal
关键词
优质护理
哮喘
治疗结果
病情控制
预防
High-quality nursing care
Asthma
Therapeutic effect
Disease control
Prevention
