細(xì)致化護(hù)理干預(yù)對慢阻肺急性發(fā)作患者的影響

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【摘要】目的：分析細(xì)致化護(hù)理干預(yù)對慢阻肺急性發(fā)作患者的影響。方法：選取我院2019年1月—2022年12月的70例慢阻肺急性發(fā)作患者，隨機(jī)將其分成為兩組。對照組采取常規(guī)護(hù)理，觀察組采取細(xì)致化護(hù)理干預(yù)。結(jié)果：護(hù)理前，兩組的FEV1、6 MWD和FVC無明顯差異（P>0.05），護(hù)理后，兩組的FEV1、6 MWD和FVC均明顯升高（P0.05），護(hù)理后，兩組的胸悶、咳嗽、家務(wù)、咳痰、外出、睡眠、精力、爬樓評分和CAT總分均明顯降低（P

【關(guān)鍵詞】細(xì)致化護(hù)理干預(yù)；慢阻肺；急性發(fā)作；生活質(zhì)量

Effect of meticulous nursing intervention on patients with acute attack of COPD

ZHU Li

Jiangyin Xuxiake Hospital， Jiangyin， Jiangsu 214406， China

【Abstract】Objective：To analyze the effect of meticulous nursing intervention on patients with acute attack of COPD. Methods：70 patients with acute attack of COPD from January 2019 to December 2022 were randomly divided into two groups. The control group received routine nursing， while the observation group received meticulous nursing intervention. Results：There was no significant difference in FEV1， 6 MWD and FVC between the two groups before nursing （P>0.05）. After nursing， the FEV1， 6 MWD and FVC of the two groups were significantly higher （P0.05）. After nursing， the scores of chest tightness， cough， housework， expectoration， going out， sleep， energy， climbing stairs and the total score of CAT in the two groups were significantly reduced （P

【Key Words】Meticulous nursing intervention； Chronic obstructive pulmonary disease； Acute attack； Quality of life

慢阻肺是一種常見的慢性肺部疾病，患者的肺組織會受到損傷，肺功能不斷發(fā)生減退，由于受到感染和煙塵等因素的誘導(dǎo)，導(dǎo)致支氣管黏膜的分泌物增多，炎癥水腫情況加重，當(dāng)發(fā)展到急性加重期時，會出現(xiàn)嚴(yán)重的呼吸困難癥狀，甚至發(fā)生呼吸循環(huán)功能衰竭，必須綜合采取吸氧、擴(kuò)張支氣管和抗感染等多種療法，以盡快改善呼吸功能，減輕臨床癥狀，防止出現(xiàn)嚴(yán)重的缺氧，改善預(yù)后[1-2]。（剩余4067字）