护理干预对慢阻肺患者使用舒利迭吸入剂的影响

目的探究护理干预对慢性阻塞性肺疾病（COPD）患者使用舒利迭吸入剂的影响。方法选取我院呼吸内科2010年1月～2012年1月期间收治的COPD患者80例分为观察组和对照组，每组40例，两组患者均接受舒利迭吸入剂治疗。在此基础上观察组由专职护士给予护理干预。比较两组患者吸入方法的掌握情况、COPD急性发作率以及生活质量（quality of life，QOL）评分，评价干预措施对治疗的影响。结果观察组吸入方法的正确掌握率明显高于对照组，而COPD急性发作率显著低于对照组，观察组心理功能、躯体功能和社会功能的评分都高于对照组，差异均具有统计学意义（P〈0．05）。结论对COPD患者的护理干预可提高舒利迭的正确使用率和患者自我管理依从性，改善患者病情，降低急性发作率，提高患者的生活质量，效果显著。

Influence of seretide inhalanttherapeutic effect of chronic obstructive pulmonary disease patient with nursing intervention

Objective To explore the influence of seretideinhalant therapeutic effect of chronic obstructive pulmonary disease patient with nursing intervention. Methods From January 2010 to January 2012, 80 patients diagnosed with chronic obstructive pulmonary disease（COPD） from the Respiratory Medicine Department of author＇s hospital were ran- domly selected as the research object, divided them into the observation group（n=40） and the control group （n=40）. Both two groups received regular guidance about inhalant treatment of seretide. And on this basis, theobservation group took nursing intervention provided by specific-duty nurses. The influences of nursing intervention were measured by comparing mastery condition of inhaling method, exacerbation rates of COPD and quality of living （QOL） evaluation respectively for the two groups. Results The rate of correct mastery of inhaling method of observation group was significantly higher than that of control group, while the exacerbation rate of COPD was lower than control group. The grades of mental function, physical function as well as social function of observation group were all higher than control group and had significant differences （P〈0.05）. Conclusion Nursing intervention for patients with chronic obstructive pulmonary disease increase correct usage of seretide and compliance of self management, it can improve symptoms and decrease incidence rate ofacute episodes. At last heighten patients＂ live quality that worth clinical popularization.