CAJ | 학술논문

目的：探讨不同护理模式在慢性阻塞性肺疾病患者呼吸功能锻炼中的护理效果。方法选取60例住院慢性阻塞性肺疾病患者为研究对象，将其随机分为A组和B组，每组各30例，A组采用传统常规护理方法进行护理，B组采用循证护理模式进行护理，6个月后采用生活质量评分表比较2组得分，测定肺通气功能，包括FEV1和FEV1/FVC值，并对2组患者的依从性及满意度进行统计比较。结果 B组6个月后生活质量总分及各个维度得分较前有显著改善（P＜0．05），与对照组比较生活质量总分及各个维度得分差异也有统计学意义（P＜0．05）；2组通气功能测定、患者满意度及依从性比较差异也均有统计学意义（P＜0．05）。结论循证护理在慢性阻塞性肺疾病患者呼吸功能锻炼中的护理效果较好，可改善患者的生活质量，提高患者满意度及依从性，值得在临床护理中推广。
목적：탐토불동호리모식재만성조새성폐질병환자호흡공능단련중적호리효과。방법선취60례주원만성조새성폐질병환자위연구대상，장기수궤분위A조화B조，매조각30례，A조채용전통상규호리방법진행호리，B조채용순증호리모식진행호리，6개월후채용생활질량평분표비교2조득분，측정폐통기공능，포괄FEV1화FEV1/FVC치，병대2조환자적의종성급만의도진행통계비교。결과 B조6개월후생활질량총분급각개유도득분교전유현저개선（P＜0．05），여대조조비교생활질량총분급각개유도득분차이야유통계학의의（P＜0．05）；2조통기공능측정、환자만의도급의종성비교차이야균유통계학의의（P＜0．05）。결론순증호리재만성조새성폐질병환자호흡공능단련중적호리효과교호，가개선환자적생활질량，제고환자만의도급의종성，치득재림상호리중추엄。
Obj ective To explore the effect of different nursing models on the respiratory function exercise of patients with chronic obstructive pulmonary disease.Methods 60 patients with chronic obstructive pulmonary disease were divided into A group and B group with 30 cases in each group.A group used traditional general nursing method while B group received evidence-based nursing mode.Life quality score after 6 months of two groups was compared and lung venti-lation function including FEV1 and FEV1/FVC value,compliance of patients and satisfaction de-gree were compared.Results Overall score life quality and score of various dimensions after 6 months in group B were improved significantly than the treatment earlier (P<0 .05 ).And the dif-ference was statistically significant compared with the control group.The difference in measure-ment of lung ventilation function,satisfaction and compliance of patients was statistically signifi-cant(P<0 .05 ).Conclusion Evidence-based nursing of respiratory function exercise in patients with chronic obstructive pulmonary disease can improve the patient’s quality of life,satisfaction and compliance,so it is worthy of application in clinic.