摘要
目的探讨转出过渡护理对重症加强护理病房重症慢性阻塞性肺疾病(COPD)患者的影响情况。方法回顾性分析南充市中心医院重症医学科2015年6月~2017年6月收治的重症COPD患者300例临床资料,依据患者护理方式不同分为常规护理组(150例)和转出过渡护理组(150例)。观察两组干预前后临床症状情况、肺功能情况、生活质量评分情况,观察两组重症COPD患者重返重症监护室(ICU)发生率、患者满意度情况。结果干预前,两组患者呼吸频率、心率、1秒用力呼吸容积(FEV_1)、用力呼气量占用力肺活量比值(FEV_1/FVC)、FEV_1占预计值的百分比(FEV_1%)及总体健康、社会功能、机体功能、生理职能、日常活动能力、躯体不适感、情感变化、精神状态评分差异无统计学意义(P>0.05)。干预后,两组呼吸频率、心率均低于干预前,且转出过渡护理组上述指标均低于常规护理组,差异有统计学意义(P<0.05);两组FEV_1、FEV_1/FVC、FEV_1%、总体健康、社会功能、机体功能、生理职能、日常活动能力、躯体不适感、情感变化、精神状态评分均高于干预前,且转出过渡护理组上述指标均高于常规护理组,差异有统计学意义(P<0.05)。转出过渡护理组患者重返ICU发生率低于常规护理组,患者满意率高于常规护理组,差异有统计学意义(P<0.05)。结论转出过渡护理在重症加强护理病房重症COPD患者中应用,可以改善呼吸频率和心率,提高肺功能和生活质量,降低重返ICU发生率,值得临床推广应用。
Objective To approach influence of severe COPD patients in ICU by transition nursing. Methods From June 2015 to June 2017, in ICU of Nanchong Center Hospital, the clinical data of 300 patients with severe COPD were retrospectively analyzed and divided into two groups by different nursing method, inclding routine nursing group（150 cases） and transition nursing group（150 cases）. The clinical symptoms, lung function, living quality in two groups before and after intervention were detected, the incidence of return ICU, patients′ satisfaction of two groups were detected. Results Before intervention, the respiratory rate, heart rate, FEV_1, FEV_1/FVC, FEV_1%, scores of general health, social function, body function, physiological functions, daily activity ability, physical discomfort, affective fluctuation and mental state score in two groups were compared, the differences were not statistically significant（P〈0.05）. After intervention, the respiratory rate, heart rate in two groups were lower than before intervention, the above indicators in transition nursing group after intervention were lower than routine nursing group, the differences were statistically significant（P〈0.05）; the FEV_1, FEV_1/FVC, FEV_1%, and scores of general health, social function, body function, physiological functions, daily activity ability, physical discomfort, affective fluctuation, mental state score in two groups were higher than before intervention, the above indicators in transition nursing group were higher than routine nursing group,the differences were statistically significant（P〈0.05）. The incidence of return ICU in transition nursing group was lower than routine nursing group, the patients′ satisfaction rate in transition nursing group was higher than routine nursing group, the differences were statistically significant（P〈0.05）. Conclusion The application of transition nursing in severe COPD patients in ICU can improve respiratory rate, heart rate,increase lung function and living quality, decrease return ICU rate, which is worthy of clinical application.
作者
李雪梅
田志宏
唐瑜
赵丽琼
陈晓华
杨芳
聂成慧
LI Xuemei;TIAN Zhihong;TANG Yu;ZHAO Liqiong;CHEN Xiaohua;YANG Fang;NIE Chenghui(Ward A of ICU,Nanchong Center Hospital,Sichuan Province,Nanchong 637000,China;Lung Function Room,Nanchong Central Hospital,Sichuan Province,Nanchong 637000,China)
出处
《中国医药导报》
CAS
2018年第23期129-133,共5页
China Medical Herald
基金
四川省南充市哲学社会科学规划项目(NC2017B062)
