[1]洪 婷,吴锦荣.层级链式护理配合心理干预在老年慢阻肺患者中的应用效果及对肺功能的影响[J].医学信息,2023,36(16):162-165.[doi:10.3969/j.issn.1006-1959.2023.16.033]
　HONG Ting,WU Jin-rong.Application Effect of Hierarchical Chain Nursing Combined with Psychological Intervention in Elderly Patients with Chronic Obstructive Pulmonary Disease and its Influence on Lung Function[J].Journal of Medical Information,2023,36(16):162-165.[doi:10.3969/j.issn.1006-1959.2023.16.033]
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层级链式护理配合心理干预在老年慢阻肺患者中的应用效果及对肺功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年16期
页码:
162-165
栏目:
护理研究
出版日期:
2023-08-15

文章信息/Info

Title:
Application Effect of Hierarchical Chain Nursing Combined with Psychological Intervention in Elderly Patients with Chronic Obstructive Pulmonary Disease and its Influence on Lung Function
文章编号:
1006-1959（2023）16-0162-04
作者:
洪 婷; 吴锦荣
（高安市中医院呼吸内科1，科教科2，江西 高安 330800）
Author(s):
HONG Ting; WU Jin-rong
(Department of Respiratory Medicine1,Department of Science and Education2,Gao’an Hospital of Traditional Chinese Medicine,Gao’an 330800,Jiangxi,China)
关键词:
层级链式护理; 心理干预; 慢阻肺; 肺功能
Keywords:
Hierarchical chain nursing; Psychology intervention; Chronic obstructive pulmonary disease; Lung function
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2023.16.033
文献标志码:
A
摘要:
目的 研究层级链式护理配合心理干预在老年慢阻肺患者中的应用效果及对肺功能的影响。方法 选取2019年1月-2022年1月我院接诊的62例老年慢阻肺患者为研究对象。采用随机数字表法分为对照组（n=31）和观察组（n=31），对照组采用常规护理，观察组在对照组基础上开展层级链式护理配合心理干预。比较两组心理状态（焦虑、抑郁评分）、肺功能指标[通过1秒用力呼气容积（FEV1）、用力肺活量（FVC）、第1秒用力呼气量占用力肺活量比例（FEV1/FVC）、呼气峰值流速（PEF）]、临床症状（咳嗽、湿啰音、憋喘）评分、呼吸功能指标[呼吸频率、动脉血氧分压（PaO2）]、并发症发生率。结果 两组护理后焦虑、抑郁评分均低于护理前，且观察组低于对照组（P＜0.05）；两组护理后FEV1、FVC、FEV1/FVC、PEF均大于护理前，且观察组大于对照组（P＜0.05）；两组护理后咳嗽、湿啰音、憋喘评分均小于护理前，且观察组小于对照组（P＜0.05）；两组护理后呼吸频率均低于护理前，PaO2均高于护理前，且观察组呼吸频率低于对照组，PaO2高于对照组（P＜0.05）；观察组并发症发生率为6.45%，低于对照组的22.58%（P＜0.05）。结论 层级链式护理干预配合心理可提高老年慢阻肺患者肺功能，改善不良心理情绪，预防并发症，纠正呼吸功能，减轻临床症状。
Abstract:
Objective To study the application effect of hierarchical chain nursing combined with psychology intervention in elderly patients with chronic obstructive pulmonary disease and its effect on lung function.Methods A total of 62 elderly patients with chronic obstructive pulmonary disease admitted to our hospital from January 2019 to January 2022 were selected as the research objects. They were divided into control group (n=31) and observation group (n=31) by random number table method. The control group was given routine nursing, while the observation group was given hierarchical chain nursing combined with psychological intervention on the basis of the control group. The psychological status (anxiety and depression scores), pulmonary function indexes [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), forced expiratory volume in one second/forced vital capacity (FEV1/FVC), peak expiratory flow rate (PEF)], clinical symptoms (cough, wet rales, suffocation) scores, respiratory function indexes [respiratory rate, arterial partial pressure of oxygen (PaO2)] and incidence of complications were compared between the two groups.Results The scores of anxiety and depression in the two groups after nursing were lower than those before nursing, and those in the observation group were lower than the control group (P<0.05). FEV1, FVC, FEV1/FVC and PEF in the two groups after nursing were higher than those before nursing, and those in the observation group were higher than those in the control group (P<0.05). The scores of cough, moist rale and asthma in the two groups after nursing were lower than those before nursing, and those in the observation group were lower than those in the control group (P<0.05). The respiratory rate of the two groups after nursing was lower than that before nursing, and PaO2 was higher than that before nursing, and the respiratory rate of the observation group was lower than that of the control group, and PaO2 was higher than that of the control group (P<0.05). The incidence of complications in the observation group was 6.45%, which was lower than 22.58% in the control group (P<0.05).Conclusion Hierarchical chain nursing combined with psychology intervention can improve the lung function of elderly patients with chronic obstructive pulmonary disease, improve bad psychological mood, prevent complications, correct respiratory function and reduce clinical symptoms.

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更新日期/Last Update: 1900-01-01