慢性阻塞性肺疾病合并慢性心力衰竭高龄患者的临床护理干预

目的探讨临床护理干预对慢性阻塞性肺疾病（COPD）合并慢性心力衰竭高龄患者的应用疗效。方法选取本院2009年4月～2011年11月收治的67例慢性阻塞性肺疾病合并慢性心力衰竭高龄患者,将其随机分为两组,其中,33例患者采用常规护理作为对照组,34例患者采用护理干预作为观察组。检测并比较所有患者护理干预治疗后的临床指标。结果护理干预后,观察组患者在体力限制评分、社会限制评分、情绪评分、症状评分等几个方面均明显低于对照组,观察组患者的住院时间明显少于对照组,观察组患者的心率、左室舒张末径、脑利钠肽（BNP）均明显低于对照组,观察组左室射血分数、E/A比值、用力肺活量（FVC）、第一秒用力呼出量占肺活量比值（FEV1.0/FVC）均明显高于对照组,差异均有统计学意义（P〈0.05）。结论有效的护理干预可以明显改善慢性阻塞性肺疾病合并慢性心衰高龄患者的心肺功能,提高生活质量,缩短治疗时间。

Clinical nursing intervention on elderly patients with chronic obstructive pulmonary disease and chronic heart failure

Objective To investigate the therapeutic effect of clinical nursing intervention on elderly patients with chronic obstructive pulmonary disease and chronic heart failure. Methods Sixty-seven elderly patients with chronic obstructive pulmonary disease and chronic heart failure were selected in our hospital from April 2009 to November 2011, who were randomly divided into two groups. 33 patients used conventional care as control group. 34 cases of patients used nursing intervention as observation group. Clinical indicators were compared between two groups after the nursing. Results After the nursing intervention, physical limitations, social restriction, mood, symptoms and quality of life score in observation group were significantly lower than those in control group. Hospitalization time in the observation group was less than that of control group. Heart rate, left ventricular end diastolic diameter, brain natriuretic peptide (BNP) in observation group were significantly lower than those in control group. Left ventricular ejection fraction, the ratio of E/A, forced vital capacity (FVC), first second forced vital capacity ratio of the exhaled (FEV1.0/ FVC) in observation group were significantly higher than those in control group. The difference were statistically significant (P < 0.05). Conclusion Effective nursing intervention can significantly improve heart and lung function of elderly patients with chronic obstructive pulmonary disease and chronic heart failure, which can improve life quality and shorten the treatment time.