The application of evidence-based nursing in oxygen-driven nebulized inhalation nursing for elderly patients with chronic obstructive pulmonary disease
循证护理在老年慢性阻塞性肺疾病氧气驱动式雾化吸入护理中的应用

摘要

目的 分析老年慢性阻塞性肺疾病（COPD）氧气驱动式雾化吸入患者实施循证护理的实施效果。方法 选用98例我院接受氧气驱动式雾化吸入的COPD患者，抽样时间为2024年1月-2025年3月，随机分为实施49例常规护理的对照组，另49例接受循证护理（观察组），比较不同护理模式对疗效、血氧饱和度（SaO2）、咳嗽消失和炎症吸收时间的影响。结果 观察组与对照组疗效（97.96%VS77.55%），且观察组的血氧饱和度提高、咳嗽及炎症明显消失，组间比较（P<0.05）。结论 循证护理有利于血氧饱和度恢复，维持患者血氧稳定状态，用于COPD患者对其氧气驱动雾化吸入效果明显，可进一步推广使用。

Abstract

Objective To analyze the implementation effect of evidence-based nursing in elderly patients with chronic obstructive pulmonary disease (COPD) who undergo oxygen-driven nebulized inhalation.
Methods A total of 98 COPD patients who received oxygen-driven nebulized inhalation in our hospital were selected. The sampling period was from January 2024 to March 2025. They were randomly divided into the control group with 49 cases receiving routine care and the other 49 cases receiving evidence-based care (observation group). Compare the effects of different nursing models on therapeutic efficacy, blood oxygen saturation (SaO2), cough disappearance time and inflammation absorption time.
Results The therapeutic effects of the observation group and the control group were 97.96% vs 77.55%. Moreover, the blood oxygen saturation in the observation group increased, and cough and inflammation significantly disappeared. The comparison between the groups was (P<0.05).
Conclusion   Evidence-based nursing is beneficial for the recovery of blood oxygen saturation and maintaining the stable state of blood oxygen in patients. It has a significant effect on oxygen-driven nebulization inhalation for COPD patients and can be further promoted and used.