循证护理在加重期COPD并发呼吸衰竭中的应用
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摘要
目的:研究对加重期慢性阻塞性肺疾病(COPD)并发呼吸衰竭患者应用循证护理的临床护理效果。方法:选取2017年6月-2018年6月笔者所在医院收治的加重期COPD并发呼吸衰竭患者92例为研究对象,随机分为对照组和观察组,每组46例。对照组患者采用常规护理,观察组患者采用循证护理。对比两组患者护理满意度、精神状态及住院时间、健康知识得分等相关临床指标。结果:观察组患者护理满意度(95.65%)显著优于对照组(82.61%),差异有统计学意义(字2=8.419,P=0.013);护理干预前两组负性情绪评分比较差异无统计学意义(P>0.05),干预后两组负性情绪评分均改善,且观察组优于对照组,差异均有统计学意义(P<0.05);干预后观察组住院时间短于对照组,差异有统计学意义(t=8.521,P=0.001)。观察组健康知识得分高于对照组,差异有统计学意义(t=7.741,P=0.013),观察组住院费用少于对照组,差异有统计学意义(t=6.528,P=0.015),观察组再次住院次数少于对照组,差异有统计学意义(t=7.813,P=0.012)。结论:对加重期COPD并发呼吸衰竭患者应用循证护理能够有效提高患者的治疗效果,改善患者的抑郁状况,缩短住院时间,节约住院费用,降低患者的继发感染情况,值得临床推广。
Objective:To explore the Exacerbated effect of evidence-based nursing for patients with exacerbated COPD complicated with respiratory failure.Method:Ninety-two patients with exacerbated COPD complicated with respiratory failure admitted to our hospital from June 2017 to June 2018 were randomly divided into 46 patients in the control group and 46 patients in the observation group.The patients in the control group received routine nursing,while the patients in the observation group received evidence-based nursing.The nursing satisfaction,mental state,hospitalization time and health knowledge scores of the two groups were compared.Result:The nursing satisfaction of the patients in the observation group was 95.65%,significantly better than 82.61% in the control group,the difference was statistically significant( 字2=8.419,P=0.013).There was no significant difference in negative emotion score between the two groups before nursing intervention(P>0.05).After intervention,the negative emotion score of the two groups was improved,and the observation group was superior to the control group,and the difference was statistically significant(P<0.05).The hospitalization time of the observation group was shorter than that of the control group(t=8.521,P=0.001).The health knowledge score of the observation group was higher than that of the control group(t=7.741,P=0.013).The hospitalization cost of the observation group was lower than that of the control group(t=6.528,P=0.015).The number of rehospitalization in the observation group was less than that of the control group(t=7.813,P=0.012).Conclusion:Evidence-based nursing for patients with exacerbated COPD complicated with respiratory failure can effectively improve the therapeutic effect of patients,improve the depression status of patients,shorten hospitalization time,save hospitalization costs,reduce secondary infection of patients,which is worthy of clinical promotion.
Objective:To explore the Exacerbated effect of evidence-based nursing for patients with exacerbated COPD complicated with respiratory failure.Method:Ninety-two patients with exacerbated COPD complicated with respiratory failure admitted to our hospital from June 2017 to June 2018 were randomly divided into 46 patients in the control group and 46 patients in the observation group.The patients in the control group received routine nursing,while the patients in the observation group received evidence-based nursing.The nursing satisfaction,mental state,hospitalization time and health knowledge scores of the two groups were compared.Result:The nursing satisfaction of the patients in the observation group was 95.65%,significantly better than 82.61% in the control group,the difference was statistically significant( 字2=8.419,P=0.013).There was no significant difference in negative emotion score between the two groups before nursing intervention(P>0.05).After intervention,the negative emotion score of the two groups was improved,and the observation group was superior to the control group,and the difference was statistically significant(P<0.05).The hospitalization time of the observation group was shorter than that of the control group(t=8.521,P=0.001).The health knowledge score of the observation group was higher than that of the control group(t=7.741,P=0.013).The hospitalization cost of the observation group was lower than that of the control group(t=6.528,P=0.015).The number of rehospitalization in the observation group was less than that of the control group(t=7.813,P=0.012).Conclusion:Evidence-based nursing for patients with exacerbated COPD complicated with respiratory failure can effectively improve the therapeutic effect of patients,improve the depression status of patients,shorten hospitalization time,save hospitalization costs,reduce secondary infection of patients,which is worthy of clinical promotion.
引文
[1]陶和平,涂小金,李顺文,等.COPD患者营养风险及营养支持治疗状况研究[J].中国现代医生,2016,54(5):89-91.
[2]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8-17.
[3]庞怡.慢性阻塞性肺疾病急性加重期患者并发高血糖的护理[J].天津护理,2016,24(5):405-406.
[4]张毅宇.优质护理对慢性阻塞性肺疾病急性加重期患者不良情绪及依从性的影响[J].中国继续医学教育,2016,8(1):212-213.
[5]谢文君.综合性护理在慢性阻塞性肺疾病急性加重期患者中的应用[J].中国乡村医药,2017,24(6):82-83.
[6]施继红,蒲爱华.慢性阻塞性肺疾病急性加重期患者近期预后的影响因素分析[J].中国慢性病预防与控制,2017,25(11):853-855.
[7]程勋翠.全面护理干预对COPD患者肺功能及生活质量的影响[J].安徽卫生职业技术学院学报,2017,16(1):99-100.
[8]刘树莲.循证护理在慢性阻塞性肺疾病急性加重期护理中的应用[J/OL].世界最新医学信息文摘:电子版,2018,18(64):217-218.
[9]蔡育丽.循证护理在机械通气治疗新生儿呼吸衰竭中的应用[J].全科护理,2018,16(7):814-816.
[10]付国萍.COPD急性加重期并发呼吸衰竭患者VEGF测定的临床价值[J].中国医药指南,2018,16(13):129-130.
[11]王晓伟.优质护理在呼吸机辅助治疗COPD并发Ⅱ型呼吸衰竭患者护理中的效果[J].河南医学研究,2018,27(11):171-172.
[12]马茹.循证护理在慢性阻塞性肺疾病急性加重期护理中的应用[J].临床医学研究与实践,2018,3(7):153-154.
[2]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8-17.
[3]庞怡.慢性阻塞性肺疾病急性加重期患者并发高血糖的护理[J].天津护理,2016,24(5):405-406.
[4]张毅宇.优质护理对慢性阻塞性肺疾病急性加重期患者不良情绪及依从性的影响[J].中国继续医学教育,2016,8(1):212-213.
[5]谢文君.综合性护理在慢性阻塞性肺疾病急性加重期患者中的应用[J].中国乡村医药,2017,24(6):82-83.
[6]施继红,蒲爱华.慢性阻塞性肺疾病急性加重期患者近期预后的影响因素分析[J].中国慢性病预防与控制,2017,25(11):853-855.
[7]程勋翠.全面护理干预对COPD患者肺功能及生活质量的影响[J].安徽卫生职业技术学院学报,2017,16(1):99-100.
[8]刘树莲.循证护理在慢性阻塞性肺疾病急性加重期护理中的应用[J/OL].世界最新医学信息文摘:电子版,2018,18(64):217-218.
[9]蔡育丽.循证护理在机械通气治疗新生儿呼吸衰竭中的应用[J].全科护理,2018,16(7):814-816.
[10]付国萍.COPD急性加重期并发呼吸衰竭患者VEGF测定的临床价值[J].中国医药指南,2018,16(13):129-130.
[11]王晓伟.优质护理在呼吸机辅助治疗COPD并发Ⅱ型呼吸衰竭患者护理中的效果[J].河南医学研究,2018,27(11):171-172.
[12]马茹.循证护理在慢性阻塞性肺疾病急性加重期护理中的应用[J].临床医学研究与实践,2018,3(7):153-154.