家庭护理干预对提高稳定期慢性阻塞性肺疾病患者 生活质量的研究

目的 研究家庭护理干预对提高稳定期慢性阻塞性肺疾病患者生活质量的影响。方法 选取2017年1月~2018年12月在我院诊治的180例稳定期慢性阻塞性肺疾病患者为研究对象，将其随机分为对照组和观察组，各90例。对照组采用常规护理干预，观察组在对照组基础上实施家庭护理干预，两组均随访3个月。比较两组患者出院1个月时生活质量评分及治疗依从性，出院3个月时两组复发率。结果 干预后观察组心理状态、社会功能、躯体功能、工作情况评分均高于出院前，差异有统计学意义（P＜0.05），对照组生活质量评分低于出院前，且观察组高于对照组，差异有统计学意义（P＜0.05）；观察组合理饮食、坚持氧疗、用药依从、情绪稳定评分均高于对照组，差异有统计学意义（P＜0.05）；出院3个月观察组复发率为8.88%，低于对照组的32.22%，差异有统计学意义（P＜0.05）。结论 家庭护理干预可提高稳定期慢性阻塞性肺疾病患者生活质量，有效降低复发率，改善患者预后效果，具有一定的临床应用价值。

Study on the Improvement of Quality of Life in Patients with Stable Chronic Obstructive Pulmonary Disease by Home Nursing Intervention

Abstract:Objective To study the effect of home care intervention on improving the quality of life of patients with stable chronic obstructive pulmonary disease.Methods A total of 180 patients with stable chronic obstructive pulmonary disease who were treated in our hospital from January 2017 to December 2018 were enrolled in the study. They were randomly divided into control group and observation group, 90 cases each. The control group received routine nursing intervention, and the observation group underwent home nursing intervention on the basis of the control group. Both groups were followed up for 3 months. The quality of life score and treatment compliance were compared between the two groups at 1 month after discharge, and the recurrence rate was obtained at 3 months after discharge.Results After intervention, the psychological status, social function, physical function and work status of the observation group were higher than those before discharge,the difference was statistically significant (P<0.05). The quality of life score of the control group was lower than that before discharge, and the observation group was higher than the control group,the difference was statistically significant(P<0.05). The combination diet, adherence to oxygen therapy, medication compliance, and emotional stability scores were higher than the control group, the difference was statistically significant (P<0.05);3 months after discharge the recurrence rate was 8.88%, which was lower than that of the control group 32.22%,the difference was statistically significant (P<0.05).Conclusion Home care intervention can improve the quality of life of patients with stable chronic obstructive pulmonary disease, effectively reduce the recurrence rate and improve the prognosis of patients. It has certain clinical application value.