全方位护理对COPD患者PaO2、PaCO2、FEV1指标及生活质量的影响
The Effect of Comprehensive Nursing on PaO2, PaCO2, FEV1 and Quality of Life in Patients with COPD
DOI: 10.12677/NS.2021.102022, PDF,   
作者: 杨秀玉:广州市增城区永宁街社区卫生服务中心公卫科,广东 广州
关键词: 全方位护理COPD肺功能PaO2PaCO2生活质量 Comprehensive Care COPD Lung Function PaO2 PaCO2 Quality of Life
摘要: 目的:探讨全方位护理对COPD患者PaO2、PaCO2、FEV1指标及生活质量的影响。方法:将平均年龄(70.51 ± 1.18)岁的多例COPD患者分为I组和II组。单号分为I组,双号位II组,均38例,前一组采用一般护理,后一组在I组的护理方案上进行全方位护理,观察I组和II组患者肺功能、PaO2、PaCO2及生活质量的影响。结果:I组和II组COPD患者经过4周干预后,II组的肺功能水平好于I组(P < 0.05);II组COPD患者PaO2水平均高于I组(P < 0.05),II组PaCO2低于I组(P < 0.05);I组和II组干预前生活质量评分相比差距较小(P > 0.05),相比之前干预后上述因素分数升高(P < 0.05),II组高于I组(P < 0.05)。结论:全方位护理能够帮助COPD患者加快缓解,改善病情,提高患者肺功能及生活质量,有利于改善预后。
Abstract: Objective: To explore the impact of comprehensive care on PaO2, PaCO2, FEV1 and quality of life of COPD patients. Methods: Multiple COPD patients with an average age of (70.51 ± 1.18) years old were divided into group I and group II. The single number is divided into group I and the double number group II, with 38 cases in each. The former group adopts general nursing, and the latter group carries out comprehensive nursing on the nursing plan of group I. Observe the lung function and PaO2 of the patients in group I and group II, PaCO2 and the quality of life. Results: After 4 weeks of intervention in COPD patients in groups I and II, the lung function level of group II was better than that of group I (P < 0.05); the PaO2 level of COPD patients in group II was higher than that of group I (P < 0.05), group II PaCO2 was lower than that of group I (P < 0.05); the difference in quality of life scores between group I and group II before intervention was small (P > 0.05), and the scores of the above factors were higher than that after intervention (P < 0.05), group II It is higher than that of group I (P < 0.05). Conclusion: All-round care can help COPD patients to speed up the remission, improve the condition, improve the lung function and quality of life of the patients, and help improve the prognosis.
文章引用:杨秀玉. 全方位护理对COPD患者PaO2、PaCO2、FEV1指标及生活质量的影响[J]. 护理学, 2021, 10(2): 134-138. https://doi.org/10.12677/NS.2021.102022

参考文献

[1] 陈瑞英, 马小花, 孙婷, 等. 短期强化肺康复训练对OSA-COPD共存患者呼吸、运动功能及生活质量的影响[J]. 中华物理医学与康复杂志, 2019, 41(5): 353-358.
[2] 王伟伟, 贾军辉, 刘媛, 等. 脾多肽联合布地奈德雾化吸入对COPD急性加重期患者肺功能及动脉血气指标的影响[J]. 中国地方病防治杂志, 2017, 7(8): 919.
[3] 姜婷, 傅铁军, 周学群. 等. 家庭氧疗及呼吸锻炼联合沙美特罗替卡松粉吸入剂治疗慢性阻塞性肺疾病稳定期患者的效果观察[J]. 中国医药, 2017, 12(2): 220-224.
[4] 杨丽, 崔新娟. 心理干预在老年脑卒中后抑郁患者中的应用效果[J]. 国际护理学杂志, 2014, 33(1): 173-174.
[5] Doğan, U. and Ovayolu, N. (2017) The Effects of Health Edu-cation Given by Nurses to COPD Patients on the Daily Oxygen Concentrator Usage Time. Advances in Respiratory Medicine, 85, 15-21. [Google Scholar] [CrossRef
[6] Su, H.-B. and Li, J. (2017) Effect of Adjuvant Tiotropium Bromide Therapy on the Oxygenation Function and Inflammatory Response in Patients with COPD and Type II Respiratory Fail-ure. Journal of Hainan Medical University, 23, 40-43.
[7] 张毅, 朱涛, 于化鹏. 等. 全身性和吸入性糖皮质激素治疗对AECOPD系统性炎症反应水平的影响[J]. 西部医学, 2018, 9(1): 52-55.