摘要
目的分析舒适护理在慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者护理中的应用价值及对其依从性的影响。方法研究对象为180例于2018年1月至2020年6月在我院确诊治疗的COPD合并呼吸衰竭患者,通过随机表数字法将患者分为对照组和研究组。对照组90例患者统一在治疗期间实施常规护理,研究组90例患者统一在治疗期间实施舒适护理。对两组患者护理后的治疗依从率进行比较,并且观察其护理后的生活质量。结果对照组患者护理后治疗非常依从者和比较依从者共计73例,总依从率为81.11%,研究组患者护理后治疗非常依从者和比较依从者共计85例,总依从率为94.44%,两组患者之间的总依从率比较,研究组明显更高,组间数据差异形成统计学意义(P <0.05)。对照组患者护理后的心理功能评分为(71.88±6.42)分,显著低于研究组的(83.55±5.23)分,组间数据差异有统计学意义(P <0.05);对照组患者护理后的生理功能评分为(69.07±5.93)分,显著低于研究组的(81.92±4.77)分,组间数据差异有统计学意义(P <0.05);对照组患者护理后的社会功能评分为(74.48±5.37)分,显著低于研究组的(89.03±4.24)分,组间数据差异有统计学意义(P <0.05);对照组患者护理后的物质生活评分为(72.25±3.96)分,显著低于研究组的(90.95±2.66)分,组间数据差异有统计学意义(P <0.05)。结论在COPD合并呼吸衰竭患者群体的护理中,舒适护理不仅在提高患者治疗依从性方面具有明显优势,还可以进一步改善患者生活质量,具有良好的护理应用价值。
Objective To analyze the application value of comfort care in chronic obstructive pulmonary disease(COPD)patients with respiratory failure and its eff ect on compliance.Methods One hundred and eighty patients with COPD and respiratory failure who were diagnosed and treated in our hospital from January 2018 to June 2020 were divided into control group and study group by random table number method.Ninety patients in the control group were given routine nursing care during treatment,and 90 patients in the study group were given comfort nursing care during treatment.The treatment compliance rate of the two groups after nursing was compared,and the quality of life after nursing was observed.Results The control group total compliance rate was 81.11%.The study group total compliance rate was 94.44%.Comparison of the total compliance rate between the two groups,the study group was signifi cantly higher,the diff erence of data between groups was statistically signifi cant(P<0.05).The score of psychological function in the control group was(71.88±6.42),which was signifi cantly lower than that in the study group(83.55±5.23),and there was signifi cant diff erence between the two groups(P<0.05).The score of physiological function in the control group was(69.07±5.93),which was signifi cantly lower than that in the study group(81.92±4.77)(P<0.05).The score of social function in the control group was(74.48±5.37),which was signifi cantly lower than that in the study group(89.03±4.24),the material life score of the control group was(72.25±3.96),which was signifi cantly lower than that of the study group(90.95±2.66)(P<0.05).Conclusion In the group nursing of COPD patients with respiratory failure,comfort nursing not only has obvious advantage in improving the treatment compliance of patients,but also can improve the quality of life of patients.
作者
董斌
DONG Bin(Panjin Central Hospital,Panjin 124010,China)
出处
《中国医药指南》
2020年第26期228-229,共2页
Guide of China Medicine
关键词
慢性阻塞性肺疾病
呼吸衰竭
舒适护理
治疗依从性
生活质量
护理价值
Chronic obstructive pulmonary disease(COPD)
Respiratory failure
Comfort care
Treatment compliance
Quality of life
Nursing value
