延续护理干预对慢性阻塞性肺疾病患者出院后生存质量的改善作用

目的：探讨慢性阻塞性肺疾病（COPD）应用延续干预性护理对患者出院后生存质量的改善作用。方法选择2013年1～12月该科收治COPD患者82例，按护理方式的不同分为观察组和对照组，每组各41例。对照组患者予以兴奋呼吸剂、低流量持续氧疗、气道通畅、抗感染、输液、营养支持等常规治疗护理，观察组在对照组基础上于患者康复出院后，予以延续干预性护理，1年后随访并比较两组出院后感冒、住院次数、血常规指标情况，应用生存质量评估量表（QOL）评估患者出院后的生存质量，评估患者出院后的肺功能各项指标。结果观察组随访后感冒、住院次数、血常规指标明显优于对照组（P＜0．05）；治疗组的动脉血气分析、肺功能测定指标明显优于对照组（P＜0．05）；观察组的日常生活能力、社会活动情况、抑郁心理状况、焦虑心理症状等生存质量评估指标明显优于对照组（P＜0．05）。结论COPD患者康复出院后予以延续干预性护理，可明显改善COPD患者的肺功能情况，延缓疾病进展，提升患者的生存质量，效果确切，值得临床推广应用。

Improvement effect of continuous nursing intervention on survival quality in discharged patients with COPD

Objective To investigate the improvement effect of continuous nursing intervention on the survival quality of discharged patients with chronic obstructive pulmonary disease（COPD） .Methods 82 patients with COPD in our hospital from January to December 2013 were selected and divided into the observation group and the control group according to the different nursing modes ,41 cases in each group .The control group was given the routine ther‐apeutical nursing care including respiratory stimulating agent ,continuous low flow oxygen therapy ,anti infection ,un‐obstructed airway ,transfusion and nutritional support ,while the observation group received the continuous nursing intervention after discharge from hospital based on the control group .The times of cold and hospitalization ,blood routine indexes after one years were followed up .The quality of life（QOL）assessment scale was adopted to evaluate the quality of life and the pulmonary function indexes after discharge from hospital .Results The times of cold and hospitalization ,blood routine indexes after follow‐up in the observation group were significantly better than those in the control group（P〈0 .05）;the arterial blood gas analysis and pulmonary function indexes in the observation group were significantly better than those in the control group（P〈0 .05）;the assessment indexes of survival quality such as the ability of daily life ,social activities ,depression and anxiety psychological symptoms in the observation group were significantly better than those in the control group（P〈0 .05） .Conclusion The continuous nursing intervention after discharge in the patients with COPD can significantly improve the pulmonary function ,delay the disease progression , elevate the survival quality and has the definite effect ,which is worthy of clinical promotion and application .