Study on the effect of quality nursing application in the clinical care of elderly chronic obstructive pulmonary diseases
优质护理应用在老年慢阻肺疾病临床护理中的效果研究

摘要

目的 探讨优质护理在老年慢阻肺疾病临床护理中的应用效果。方法 选取2021年6月-2023年5月我院接受治疗的96例慢阻肺患者为对象，采用平均数分法分为对照组与观察组，各48例。给予对照组患者常规临床护理管理，观察组实施优质护理管理，比较两组患者治疗有效率、生活质量及自我管理能力等情况。结果 观察组患者治疗总有效率为95.83%，显著高于对照组的77.08%，差异有统计学意义（p＜0.05）；护理前，两组患者FVC、PEF、FEV1等肺功能指标差异无统计学意义（p＞0.05）；护理后，两组患者各项指标值均有所升高，且观察组高于对照组，差异有统计学意义（P＜0.05）；观察组患者躯体功能、疼痛、社会职能、精神健康、心理健康等各项生活质量指标评分均显著高于对照组，差异有统计学意义（P＜0.05）；观察组患者自我护理技能各项指标评分均显著高于对照组，差异有统计学意义（P＜0.05）。结论 针对老年慢阻肺患者实施优质护理干预，可极大地改善其生活质量及肺功能指标，有利于增强其自我管理能力，对促进患者预后，提升治疗效果具有积极临床应用价值。

Abstract

Objective To explore the quality of care in elderly patients with chronic obstructive pulmonary disease in clinical care.
Methods 96 patients with COPD from June 2021 to May 2023 were divided into two groups, 48 in each group. The control group was given routine clinical nursing management, while the observation group was given high-quality nursing management.
Results The total effective rate of the two groups was 95.83%, significantly higher than the 77.08% of the control group (P < 0.05), and the difference was statistically significant (P < 0.05). Before nursing, the two groups had no difference in FVC, PEF, FEV1 and other pulmonary function indexes (P > 0.05). After nursing, the two groups had a significant increase in all indexes, and the observation group had a statistically significant difference (P < 0.05). The observation group had a other life quality indexes than the control group (P < 0.05).
Conclusion   High-quality nursing intervention for elderly patients with COPD can greatly improve their quality of life and lung function, and enhance their self-management ability.