综合护理干预对COPD合并呼吸衰竭患者生存质量、心理状态的影响

目的 探究应用综合护理干预对慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者的生存质量及心理状态的临床效果。 方法 选取2016年1月-2017年10月在绍兴第二医院呼吸内科收治的90例COPD合并呼吸衰竭患者,按照随机数字表法分为观察组(45例)和对照组(45例)。对照组给予常规护理,观察组在此基础上应用综合护理。比较2组患者治疗效果及护理前后血气指标的变化,并应用世界卫生组织生存质量测定量表(WHOQOL-BREF)、症状自评量表(SCL-90)评分比较2组患者护理前后的生活质量和心理状态。 结果 2组患者护理干预前血气指标、SCL-90评分比较差异无统计学意义(P>0.05)。经护理干预后,观察组患者治疗总有效率为93.3%,对照组患者为77.8%;2组患者血气指标均有明显改善,但观察组患者PaO₂明显高于对照组,PaCO₂低于对照组(均P<0.05)。2组患者WHOQOL-BREF评分及SCL-90评分均改善,但观察组优于对照组(P<0.05)。且观察组患者护理满意度为95.6%,高于对照组的82.2%(P<0.05)。 结论 综合护理不仅提高了COPD合并呼吸衰竭患者的生存质量,还调整了患者的心理状态,增加了患者治疗的信心,加强了护患合作,值得临床应用。 

Effect of comprehensive nursing intervention on the quality of life and mental state of patients with chronic obstructive pulmonary failure

Objective To explore the clinical effect of comprehensive nursing intervention on the quality of life and psychology of patients with chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods A total of 90 COPD patients with respiratory failure were selected in our respiratory department from January, 2016 to October, 2017. They were randomly divided into observation group (45 cases) and control group (45 cases). The control group was given conventional COPD combined with respiratory failure nursing, and the observation group applied comprehensive nursing intervention on the basis of routine nursing. The treatment effects of 2 groups of patients and the changes of blood gas indexes before and after nursing were compared, and the quality of life and mental state of 2 groups of patients were compared before and after nursing by the WHO quality of life measurement scale (WHOQOL-BREF) and symptom self-assessment scale (SCL-90) score. Results There was no statistically significant difference between blood gas index and SCL-90 score in 2 groups of patients before nursing intervention, P>0.05. After nursing intervention, the total effective rate of treatment was 93.3% in the observation group and 77.8% in the control group; the blood gas index of 2 groups was obviously improved, but PaO₂ in the observation group significantly higher than that in the control group, while PaCO₂ was lower in the control group, P<0.05. The WHOQOL-BREF score and SCL-90 score of the 2 groups were increased, but the score of the observation group was higher than that of the control group, and the nursing satisfaction of the observation group was 95.6%, which was higher than 82.2% of the control group, P<0.05. Conclusion Comprehensive nursing not only improves the quality of life of patients with COPD combined with respiratory failure, but also adjusts the psychological state of patients, increases the confidence of patients, strengthens the cooperation between nurses and patients, and is worthy of clinical application.