慢性阻塞性肺疾病患者在常規護理基礎上接受綜合性護理干預對其生活質量的影響觀察

摘要：目的 對比分析綜合性護理干預對慢性阻塞性肺疾病（COPD）患者生活質量的影響，對其實際應用價值進行評價。方法 選擇60例在我院進行慢性阻塞性肺疾病治療的患者，采用隨機分配的方法，將其分為觀察組與對照組兩組，各30例，對照組采用常規護理方法，觀察組在對照組的基礎上給予患者綜合性護理干預方法，對兩組急性發作率、患者自我管理依從性以及生活質量等數據進行比較。結果 觀察組的急性發作率明顯低于對照組，差異具有統計學意義（P<0.05）；社會活動情況、日常生活情況以及總的QOL評分分數均高于對照組，說明生活質量有提高，觀察組的抑郁心理和焦慮心理的評分明顯低于對照組，說明抑郁和焦慮心理癥狀減輕，差異具有統計學意義（P<0.05）；觀察組患者的自我管理依從性提高，差異具有統計學意義（P<0.05）。結論 給予患者綜合性護理干預方法，其急性發作率降低，生活質量得到很大的改善，提高了自我管理依從性，值得日后借鑒推廣并進一步探討。

關鍵詞：綜合性護理干預；慢性阻塞性肺疾病；生活質量

Abstract：Objective To compare and analyze the effect of comprehensive nursing intervention on quality of life of patient with chronic obstructive pulmonary disease（COPD） and evaluate its practical value. Methods In our hospital， sixty patients with chronic obstructive pulmonary disease （COPD） are randomly divided into observation group （n=30） and control group （n=30）. Routine nursing method is used to the control group. The observation group using the comprehensive nursing intervention to patient based on the control group. The method is compared withthose data， which are acute attack rate of two groups， self-management compliance of patient and quality of life. Results In the observation group， the incidence of acute attack is significantly lower than the control group （P<0.05）. Social activity， daily life and the total of QOL scores are higher than the control group， which showed that the quality of life is improved. The scores of depression and anxiety of the observation group are significantly lower than the control group， which showed that the psychological symptoms of depression and anxiety are reduced， the data has statistically significance（P<0.05）. In observation group， the self-management compliance of patient has statistically significance（P<0.05）.Conclusion The method of comprehensive nursing intervention can reducethe incidence of acute attack， improve quality of lifeandself - management compliance. The method is worth to learn andpromote on further discussion.

Key words：Comprehensive nursing intervention；Chronic obstructive pulmonary disease；Quality of life

慢性阻塞性肺疾病是臨床上常見的呼吸系統慢性疾病之一，其對患者的勞動能力及生活質量影響較大，許多患者因此而變得十分焦慮，心理承受能力比較脆弱，從而嚴重影響到病情的恢復，所以，必須對此重視起來[1]。臨床上，除專科治療外，進行健康知識教育亦為重要的輔助手段，本文從護理的角度對患者進行了相關綜合……