对老年慢性阻塞性肺病患者实施生物-心理-社会医学模式的整体护理

目的探讨对老年慢性阻塞性肺病(COPD)患者,施行以生物-心理-社会医学模式为理念的整体护理方法,提高患者的生活质量水平。方法回顾性分析我院自2009年1月至2010年12月收治的258例慢性阻塞性肺病患者的临床资料。其中观察组129例患者采用抗感染、止咳化痰、扩张支气管、持续性吸氧治疗,并采用气管插管,进行通气,另外对照组129例为前年没有接受本次实验的患者。结果观察组和对照组相比,患者均通气时间为2～64 d,其中好转并不需要气管插管的患者118例,死亡率为8.5%;住院时间11～73 d,所有患者治疗期间效果理想,明显优于对照组并且治疗后无并发症发生。结论做好慢性阻塞性肺病护理,可以提高治疗的成功率,改善患者预后的不良症状。

Elderly patients with COPD biological- psychological social medical model of holistic nursing care

Objective To study patients with chronic obstructive pulmonary disease clinical care methods to improve the level of clinical care.Methods Retrospectively analysis the clinical data of 258 patients with chronic obstructive pulmonary disease.The 129 patients of observation group underwent antibiotics,cough and phlegm,the expansion of bronchus,continuous oxygen therapy.Results The ventilation time of observation group was 2～64 d,118 patients does not need improvement end tracheal intubation,and mortality was 8.5%.The hospital stay was 11～ 73 d.All patients during mechanical ventilation results are satisfactory.Conclusion Better mechanical ventilation care to patients with chronic obstructive pulmonary disease can improve prognosis and improve the negative symptoms.