CAJ | 학술논문

目的：探讨社区护理干预对低体重指数慢性阻塞性肺病患者的影响。方法：将100例患者随机分为观察组、对照组各50例，所有患者都积极接受机械通气治疗与常规营养干预，在此基础上给予观察组社区护理干预。结果：体重指数（BMI）值干预后观察组正常46例(92.0%)，过高2例(4.0%)，过低2例(4.0%)；对照组正常40(80.0%)，过高4例(12.0%)，过低6例(8.0%)。观察组的 BMI 正常率明显高于对照组（P＜0.05）。第一秒用力呼气容积 FEV1、用力肺活量（FVC）及日常生活、健康行为、药物治疗及遵医行为评分干预后2组均明显提高（P＜0.05），观察组提高更明显（P＜0.05）。结论：社区护理干预可改善低体重指数慢性阻塞性肺病患者复机体营养状况与肺功能，提高自我护理能力。
목적：탐토사구호리간예대저체중지수만성조새성폐병환자적영향。방법：장100례환자수궤분위관찰조、대조조각50례，소유환자도적겁접수궤계통기치료여상규영양간예，재차기출상급여관찰조사구호리간예。결과：체중지수（BMI）치간예후관찰조정상46례(92.0%)，과고2례(4.0%)，과저2례(4.0%)；대조조정상40(80.0%)，과고4례(12.0%)，과저6례(8.0%)。관찰조적 BMI 정상솔명현고우대조조（P＜0.05）。제일초용력호기용적 FEV1、용력폐활량（FVC）급일상생활、건강행위、약물치료급준의행위평분간예후2조균명현제고（P＜0.05），관찰조제고경명현（P＜0.05）。결론：사구호리간예가개선저체중지수만성조새성폐병환자복궤체영양상황여폐공능，제고자아호리능력。
Objective: To explore the influence of community nursing intervention on COPD patients in low body mass index (BMI). Methods: One hundred patients were randomly allocated to the observation group and the control group, 50 cases each group, all the patients received mechanical ventilation and routine nutritional intervention positively, on the foundation the observation group were given community nursing intervention. Results: After BMI was intervened, there were 46 cases normal (92.0%), two cases with high BMI (4.0%), two cases with low BMI (4.0%) in the observation group; while there were 40 cases normal (80.0%), four cases with high BMI (8.0%) and six cases with low BMI (12.0%). The observation group was higher than the control group remarkably in BMI normal rate (P<0. 05). FEV1, FVC, daily living, healthy behavior, medical therapy and compliance behavior were raised notably in both groups after the intervention (P<0.05), the increase of the observation group was more notable (P<0.05). Conclusion:Community nursing intervention could improve recovering nutritional state and pulmonary function of COPD patients in low BMI, and raise self-care ability.