CAJ | 학술논문

目的：探究系统化护理应用于慢性阻塞性肺疾病（COPD）患者对其肺通气功能及心理状况的影响，为这类患者的优质医疗服务积累实战经验。方法选取呼吸内科于2013年7月至2015年1月收治的90例COPD患者，利用随机数字表法进行分组，分为研究组和对照组，每组各45例。其中对照组开展常规护理干预，研究组则在对照组基础上实施系统化护理。两组患者均于干预前1 d及干预后第2周末接受焦虑自评量表（SAS ）和抑郁自评量表（SDS ）测评，同时亦评估两组患者在干预前后的各项肺通气功能指标。结果两组患者干预前各项肺通气功能指标差异无统计学意义（P＞0．05）；干预后，研究组FEV1、FEV1％预测值及 FEV1／FVC值均高于对照组，差异有统计学意义（P＜0．05）。两组干预前SAS和SDS评分差异无统计学意义（P＞0．05）；干预后，研究组SAS和SDS评分均低于对照组，差异有统计学意义（P＜0．05）。结论系统化护理应用于COPD患者，能有效改善机体的肺通气功能状况，且能改善其负性情绪，可取得较为可观的临床成效。
목적：탐구계통화호리응용우만성조새성폐질병（COPD）환자대기폐통기공능급심리상황적영향，위저류환자적우질의료복무적루실전경험。방법선취호흡내과우2013년7월지2015년1월수치적90례COPD환자，이용수궤수자표법진행분조，분위연구조화대조조，매조각45례。기중대조조개전상규호리간예，연구조칙재대조조기출상실시계통화호리。량조환자균우간예전1 d급간예후제2주말접수초필자평량표（SAS ）화억욱자평량표（SDS ）측평，동시역평고량조환자재간예전후적각항폐통기공능지표。결과량조환자간예전각항폐통기공능지표차이무통계학의의（P＞0．05）；간예후，연구조FEV1、FEV1％예측치급 FEV1／FVC치균고우대조조，차이유통계학의의（P＜0．05）。량조간예전SAS화SDS평분차이무통계학의의（P＞0．05）；간예후，연구조SAS화SDS평분균저우대조조，차이유통계학의의（P＜0．05）。결론계통화호리응용우COPD환자，능유효개선궤체적폐통기공능상황，차능개선기부성정서，가취득교위가관적림상성효。
Objective To explore the effect of systematic nursing on the pulmonary ventilation function and psychological status in the patients with chronic obstructive pulmonary disease (COPD) to accumulat the practical ex‐perience for the high quality medical services to these patients .Methods 88 cases of COPD in the respiration depart‐ment of our hospital from August 2012 to October 2014 were selected and divided into the study group and the con‐trol group according to the random number table method ,45 cases in each group .The control group was conducted the conventional nursing intervention ,while on this basis the study group was implemented the systematic nursing . The two groups were evaluated on 1 d before intervention and 2 weeks after intervention by the Self‐rating Anxiety Scale (SAS) and the Self‐rating Depression Scale (SDS) ,at the same time ,the indexes of pulmonary ventilation func‐tion before and after intervention were also evaluated in the two groups .Results The pulmonary function indexes be‐fore anf after intervention had no statistically significant differences between the two groups (P>0 .05);the FEV1 value ,FEV1% prediction value and FEV1/FVC value after intervention in the study group were higher than those in the control group ,the differences were statistically significant (P<0 .05) .The scores of SAS and SDS before inter‐vention had no statistically significant difference between two groups (P>0 .05);the scores of SAS and SDS after in‐tervention in the study group were lower than those in the control group ,the difference was statistically significant (P<0 .05) .Conclusion The application of systematic nursing in the patients with COPD can effectively improve the lung ventilation function ,can effectively improve the negative emotion and obtain the considerable clinical effect .