摘要
目的探究临床护理路径应用于COPD患者护理中对肺功能指标及并发症的影响.方法将2015年10月至2017年6月收治的COPD患者94例,按照入院先后顺序分为两组,47例行常规护理患者作为对照组,47例行临床护理路径护理患者作为观察组,分别对比2组并发症发生率、肺功能指标、对护理的满意度、舒适度、焦虑度、平均住院日、健康知识评分及呼吸机使用时间.结果观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).观察组肺功能指标优于对照组,但2组差异无统计学意义(P>0.05).观察组满意度、舒适度高于对照组,焦虑度低于对照组,差异有统计学意义(P<0.05).观察组平均住院日、呼吸机使用时间低于对照组,健康知识评分高于对照组,差异有统计学差异(P<0.05).结论临床护理路径应用于COPD患者护理中明显降低并发症发生率,优化肺功能指标,提高护理满意度、舒适度及健康知识评分,减少平均住院日、焦虑度及呼吸机使用时间,具有一定临床应用价值.
Objective To explore the effects of clinical pathways of nursing on pulmonary function index and complication in patients with COPD.Methods From October 2015 to June 2017,94 patients with COPD were divided into two groups according to the order of admission and the nursing method:47 patients undergoing routine nursing care and 47 patients receiving clinical pathways of nursing.We compared the incidence of complications,lung function,satisfaction,sense of comfort,anxiety,average hospitalization,health knowledge score and hours of ventilator use between the observation group and the control group.Results The incidence of complications in the observation group was significantly lower than that in the control group(<0.05).The lung function index of the observation group was better than that of the control group,but the difference was not statistically significant(>0.05).In the observation group,the satisfaction,the sense of comfort and the health knowledge score were higher.The anxiety degree was lower and the average hospital stay and hours of ventilator use were shorter compared to the control group(<0.05).Conclusion The clinical pathways of nursing are used to reduce the incidence of complications,to improve the lung function index,the nursing satisfaction,sense of comfort and health knowledge score,and to reduce the average length of hospital stay,anxiety and hours of ventilator use in patients with COPD care.
作者
邰小丽
周小丽
周维华
TAI Xiao-li;ZHOU Xiao-li;ZHOU Wei-hua(Dept.of Respiratory Medicine,Hai’an Hospital Affiliated to Nantong University,Nantong Jiangsu 226600,China)
出处
《昆明医科大学学报》
CAS
2018年第2期138-142,共5页
Journal of Kunming Medical University
基金
南通市市级科技计划(指导性)立项项目(HS149157)
