程序化護(hù)理對(duì)慢性支氣管炎合并肺氣腫患者康復(fù)和護(hù)理滿意度的影響

但星星　　徐玲玲　　金其武

[摘要] 目的 探討程序化護(hù)理對(duì)慢性支氣管炎合并肺氣腫患者康復(fù)和護(hù)理滿意度的影響。 方法 回顧性分析2019年4月至2020年4月我院100例慢性支氣管炎合并肺氣腫患者的各項(xiàng)臨床資料，按不同的護(hù)理方式將其分為兩組，每組各50例。即應(yīng)用常規(guī)護(hù)理的患者設(shè)為對(duì)照組，應(yīng)用程序化護(hù)理的患者設(shè)為觀察組。評(píng)估兩組肺功能、焦慮情緒與護(hù)理滿意度。 結(jié)果 護(hù)理前，兩組第1秒用力呼氣容積（FEV1）、用力肺活量（FVC）與FEV1/FVC水平較接近（P>0.05）;護(hù)理后，兩組以上三項(xiàng)指標(biāo)水平均高于護(hù)理前，且觀察組高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。護(hù)理前，兩組漢密爾頓焦慮量表（HAMA）評(píng)分基本一致（P>0.05）;護(hù)理后，兩組HAMA評(píng)分均低于護(hù)理前，且觀察組低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。護(hù)理后，觀察組護(hù)理總滿意度明顯高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 對(duì)慢性支氣管炎合并肺氣腫患者實(shí)施程序化護(hù)理，可促進(jìn)患者肺功能的提升、焦慮情緒的改善以及護(hù)理滿意度的提高。

[關(guān)鍵詞] 程序化護(hù)理;慢性支氣管炎;肺氣腫;康復(fù);護(hù)理滿意度

[中圖分類(lèi)號(hào)] R473.5? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）19-0183-04

Effect of programmed nursing on the satisfaction of rehabilitation and nursing of patients with chronic bronchitis compicated with emphysema

DAN Xingxing? ?XU Lingling? ?JIN Qiwu

No. 2 Department of Pneumology， Huoshuo Branch， Jiujiang No.1 People′s Hospital in Jiangxi Province， Jiujiang 332000， China

[Abstract] Objective To explore the effect of programmed nursing on the rehabilitation and nursing satisfaction of patients with chronic bronchitis and emphysema. Methods The clinical data of 100 patients with chronic bronchitis and emphysema in our hospital from April 2019 to April 2020 were retrospectively analyzed. They were divided into two groups according to different nursing methods， with 50 cases in each group. The patients receiving routine care were selected as the control group， and those who were given programmed care were selected as the observation group. The lung function， anxiety and nursing satisfaction were evaluated in both groups. Results Before nursing，the forced expiratory volume in the first second （FEV1）， forced vital capacity（FVC） and FEV1/FVC levels were close in both groups （P>0.05）; after nursing， the levels of the above three indicators in both groups were higher than those before nursing，and the observation group was higher than that in the control group， with significant difference（P<0.05）. Before nursing， the Hamilton Anxiety Scale（HAMA） scores in both groups were basically the same（P>0.05）; after nursing， the HAMA scores in both groups were lower than those before nursing， and the observation group was lower than that in the control group， with significant difference （P<0.05）. After nursing， the total satisfaction in the observation group was higher than that in the control group， with significant difference（P<0.05）. Conclusion The implementation of programmed nursing in patients with chronic bronchitis and emphysema can promote the improvement of patients′ lung function，the improvement of anxiety and the improvement of nursing satisfaction.