针对性的护理干预对慢性支气管炎患者主观幸福感以及生活质量的影响

目的探讨有针对性的护理干预对慢性支气管炎患者的主观幸福感和生活质量的影响。方法选择2011年9月～2012年4月在我院进行治疗的慢性支气管炎患者100例为研究对象．按人院顺序分为护理干预组和对照组各50例。对照组采用常规护理，护理干预组在常规护理的基础上给予针对性护理干预，包括健康教育、心理护理、康复指导等。比较两组的主观幸福感以及生活质量。结果入院时两组的主观幸福感比较差异不明显（P〉0．05）。出院后6个月随访，对照组主观幸福感指数（9．2±1．9）分，低于入院时（P〈0．01）。护理干预组6个月随访主观幸福感指数（4．3±1．1）分，显著低于人院时（P〈0．01），也低于对照组6个月的随访结果（P〈0．01）。对照组日常生活能力、社会活动能力、抑郁心理状态、焦虑心理状态、总分在出院后6个月随访和人院时相比较，有所下降（P〈0．01），但下降幅度不如护理干预组。护理干预组以上各指标均较人院时显著下降（P〈0．01），并且也显著低于对照组（P〈0．01）。结论针对性护理干预能够提高慢性支气管炎患者的主观幸福感以及生活质量。

Effect of subjective well-being and quality of life of comprehensive nursing intervention on chronic bronchitis

Objective To discuss effect of subjective well-being and quality of life of comprehensive nursing intervention on chronic bronchitis. Methods From Sep 2011 to Apr 2012, 100 cases with chronic bronchitis were selected and were divided into intervention group and control group. Control group received common nursing, and intervention group received comprehensive nursing intervention. Subjective well-being and quality of life of two groups were compared. Results Subjective well-being of two groups before treatment had no significant difference （P 〉 0.05）. Followup at six months after out of hospital, subjective well-being score of congtrol group was （9.2±1.9）, which was lower than before treatment （P 〈 0.01 ）. Subjective well-being score of intervention group was （4.3±1.1）, which lower than before treatment（P 〈 0.01 ）,and lower than controlgroup （P 〈 0.01 ）. Activity of daily living, social activity ability, depression psychological state, depression psychological state, total quality of life score of control group six months after out of hospital were lower than before treatment （P 〈 0.01）. All of above index of intervention group devreased more than control group （P 〈 0.01）. Conclusion Comprehensive nursing intervention can improve subjective well-being and quality of life of chronic bronchitis.