中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
25期
3075-3078
,共4页
张希春%吴希荣%洪莹彬%吴心洁
張希春%吳希榮%洪瑩彬%吳心潔
장희춘%오희영%홍형빈%오심길
肺疾病,慢性阻塞性%行为回放%氧气雾化吸入%排痰%宣教
肺疾病,慢性阻塞性%行為迴放%氧氣霧化吸入%排痰%宣教
폐질병,만성조새성%행위회방%양기무화흡입%배담%선교
Chronic obstructive pulmonary disease%Video playback%Oxygen atomization inhalation%Eliminating phlegm
目的 探讨行为回放式宣教指导慢性阻塞性肺疾病(COPD)患者氧气雾化吸入对排痰效果的影响.方法 将172例COPD患者随机分为观察组和对照组,每组各86例.两组均行在药物治疗和常规护理的基础上行氧气雾化吸入,观察组采用行为回放式宣教指导患者雾化吸入,对照组采用常规宣教指导患者雾化吸入,比较两组患者氧气雾化吸入后排痰效果.结果 雾化吸入前两组患者呼吸频率、血氧饱和度比较差异无统计学意义(P＞0.05)；雾化吸入后观察组患者呼吸频率为(19.38±1.19)次/min,对照组为(20.61±1.61)次/min,两组比较差异有统计学意义(t=3.81,P＜0.01)；雾化吸入后观察组患者Sp02改善值为(4.46±1.26)％,对照组为(2.61±1.04)％,两组比较差异有统计学意义(t=4.382,P＜0.05).两组患者痰鸣音消失时间、感染控制时间比较差异均有统计学意义(P＜0.05).结论 行为回放式宣教指导COPD患者氧气雾化吸入有利于COPD患者掌握正确的氧气雾化吸入操作方法,激发患者的学习兴趣,提高患者遵医行为,提高护士宣教效率,规范宣教内容,从而使痰液顺利排出,利于肺部感染控制、改善低氧血症,延缓COPD的进展.
目的 探討行為迴放式宣教指導慢性阻塞性肺疾病(COPD)患者氧氣霧化吸入對排痰效果的影響.方法 將172例COPD患者隨機分為觀察組和對照組,每組各86例.兩組均行在藥物治療和常規護理的基礎上行氧氣霧化吸入,觀察組採用行為迴放式宣教指導患者霧化吸入,對照組採用常規宣教指導患者霧化吸入,比較兩組患者氧氣霧化吸入後排痰效果.結果 霧化吸入前兩組患者呼吸頻率、血氧飽和度比較差異無統計學意義(P＞0.05)；霧化吸入後觀察組患者呼吸頻率為(19.38±1.19)次/min,對照組為(20.61±1.61)次/min,兩組比較差異有統計學意義(t=3.81,P＜0.01)；霧化吸入後觀察組患者Sp02改善值為(4.46±1.26)％,對照組為(2.61±1.04)％,兩組比較差異有統計學意義(t=4.382,P＜0.05).兩組患者痰鳴音消失時間、感染控製時間比較差異均有統計學意義(P＜0.05).結論 行為迴放式宣教指導COPD患者氧氣霧化吸入有利于COPD患者掌握正確的氧氣霧化吸入操作方法,激髮患者的學習興趣,提高患者遵醫行為,提高護士宣教效率,規範宣教內容,從而使痰液順利排齣,利于肺部感染控製、改善低氧血癥,延緩COPD的進展.
목적 탐토행위회방식선교지도만성조새성폐질병(COPD)환자양기무화흡입대배담효과적영향.방법 장172례COPD환자수궤분위관찰조화대조조,매조각86례.량조균행재약물치료화상규호리적기출상행양기무화흡입,관찰조채용행위회방식선교지도환자무화흡입,대조조채용상규선교지도환자무화흡입,비교량조환자양기무화흡입후배담효과.결과 무화흡입전량조환자호흡빈솔、혈양포화도비교차이무통계학의의(P＞0.05)；무화흡입후관찰조환자호흡빈솔위(19.38±1.19)차/min,대조조위(20.61±1.61)차/min,량조비교차이유통계학의의(t=3.81,P＜0.01)；무화흡입후관찰조환자Sp02개선치위(4.46±1.26)％,대조조위(2.61±1.04)％,량조비교차이유통계학의의(t=4.382,P＜0.05).량조환자담명음소실시간、감염공제시간비교차이균유통계학의의(P＜0.05).결론 행위회방식선교지도COPD환자양기무화흡입유리우COPD환자장악정학적양기무화흡입조작방법,격발환자적학습흥취,제고환자준의행위,제고호사선교효솔,규범선교내용,종이사담액순리배출,리우폐부감염공제、개선저양혈증,연완COPD적진전.
Objective To investigate the effect of oxygen atomization inhalation on eliminating phlegm of CODP patients through medical education and instruction in the way of behavior replay.Methods 172 COPD patients were randomly divided into observation group and control group,86 patients in each group.Two groups of patients were given oxygen atomization inhalation on the basis of drug therapy and conventional care,the observation group used the way of behavior playback education and instruction,while the control group adopted routine way to education and instruct the patients.Accordingly,the effect of oxygen atomization inhalation on eliminating phlegm of CODP patients of the two groups were compared.Results There were no significant differences in the two groups of respiratory frequency,oxygen saturation before the intervention(P ＞ 0.05).After oxygen atomization inhalation,respiratory frequency in observation group was statistically less than that in control group [(19.38 + 1.19)times/min vs(20.61 + 1.61)times/min],and the difference was statistically significant (t =3.81,P ＜ 0.01).And the improvement value of oxygen saturation in observation group after treatment was significantly lower than that in the control group [observation group (4.46 ± 1.26％),control group(2.61 ± 1.04％) ; t =4.382,P≤0.01].The two group patients' sputum stridor disappeared time and infection control time had significant difference (P ＜ 0.05).Conclusions The behavior playback education and instruction method is help for COPD patients to master the correct operation method of oxygen atomizing inhalation,stimulate the learning interests of the patients,improve patient compliance,enhance the efficiency of nurse's education and instruction,regulate content of education and instruction.Thus,the study can make the patents eliminate phlegm smoothly,raise lung infection control level,improve hypoxemia and delay the progress of COPD.
