护理干预对老年慢性阻塞性肺疾病患者治疗效果和生活质量的影响.doc

护理干预对老年慢性阻塞性肺疾病患者治疗效果和生活质量的影响 　　作者：贾　巧，王媛媛 作者单位：解放军第163医院干部病房，湖南 长沙　410003 　　【摘要】 目的：观察护理干预对老年慢性阻塞性肺疾病(COPD)患者治疗效果的影响。方法：60例老年COPD患者，病情稳定后在常规护理的基础上接受针对性护理干预，观察干预前后患者治疗效果的差异。结果：护理干预后12个月，患者咳嗽、咯痰、气短症状减轻或者消失，体力明显改善;与干预前比较，干预后患者平均动脉血氧分压明显升高[(84.3±3.8) mmHg比(93.6±2.9) mmHg]，二氧化碳分压明显降低[(52.7±4.5) mmHg比(35.1±3.1) mmHg](P均0.01);肺功能：第一秒用力呼出量[(37.5±13.8)%比(46.3±11.9)%]、第一秒用力呼出量/用力肺活量比值[(36.1±12.3)%比(43.7±16.2)%]明显提高，6min步行距离明显增加[(357.1±46.4)m比(436.7±91.0)m]，P均0.01。结论：护理干预能改善老年慢性阻塞性肺疾病患者的肺功能和生活质量。 　　【关键词】 肺疾病,慢性阻塞性,护理,老年人;生活质量 　　Abstract：Objective： To observe influence of nursing intervention on therapeutic effects in aged patients with chronic obstructive pulmonary disease (COPD). Methods：When their conditions were stable， a total of 60 aged COPD patients were given specific nursing intervention based on routine nursing care. Difference of therapeutic effects between before and after intervention was observed. Results：After 12-month nursing intervention， cough， expectoration and short breath were relieved or disappeared， and physical strength significantly improved. Compared with before intervention， there was significant increase in mean partial pressure of oxygen in artery [(84.3±3.8) mmHg vs. (93.6±2.9) mmHg]， and significant decrease in partial pressure of carbon dioxide [(52.7±4.5) mmHg vs. (35.1±3.1) mmHg]; For pulmonary function， there were significant increase in forced expiratory volume in one second [FEV1， (37.5±13.8)% vs. (46.3±11.9)%]， FEV1/forced vital capacity [(36.1±12.3)% vs. (43.7±16.2)%]and 6-min walking distance [(357.1±46.4)m vs. (436.7±91.0)m]after intervention， P0.01 all. Conclusion： Nursing intervention can significantly improve pulmonary function and quality of life in aged patients with chronic obstructive pulmonary disease. 　　Key words： Pulmonary disease，chronic obstructive; Nursing care; The aged; Quality of life 　　慢性阻塞性肺疾病(COPD)是严重损害老年人健康的呼吸系统多发病。是以气流受阻为特征，反复咳嗽、咳痰、气促和呼吸困难为主要症状的慢性支气管炎和(或)肺气肿，气道阻塞进行性发展，但部分有可逆性，可伴有气道高反应性[1]，严重影响患者