Research on the value of comfortable nursing in chronic bronchitis nursing
慢性支气管炎护理中舒适护理价值探究

摘要

目的 本研究旨在探究慢性支气管炎中舒适护理对患者的作用，分析给予患者舒适护理给患者肺通气、肺换气等功能带来的影响。方法 纳入四川省达州市大竹县人民医院从2020年1月~2022年1月收治在呼吸与危重症科的200例慢性支气管炎患者，采用随机抽样的方法选取为120例患者作为研究对象，并采用随机数字法分组，其中60名患者分为对照组，仅作一般常规护理；剩余60名患者纳入观察组，对该组受试者加行舒适护理。比较观察组与对照组患者在接受护理前后治疗依从性和自我护理状况、呼吸道状况肺通气换气相关功能指标、呼吸道状况（发热、咳嗽气喘、呼吸困难缓解时间）及住院治疗时间。结果 观察组的治疗依从性和自我护理量表评分分别为（82.95±7.35）分和（90.65±8.85）分，高于对照组的（67.67±1.09）分和（75.46±7.36）分，差异有统计学意义（t=8.540、8.933，P＜0.05）。干预后研究组的第一秒用力呼气容积、用力肺活量、第一秒用力呼气容积/用力肺活量分别为（3.75±0.75）L、（3.65±0.95）L、（88.65±7.09）%，均高于对照组的（2.57±1.09）L、（2.46±0.86）L、（70.92±2.34）%，差异有统计学意义（t=10.131、7.223、17.181，P＜0.05）。研究组受试者的呼吸到状况（发热、咳嗽、呼吸困难等症状缓解时间）和住院时间分别为（4.95±0.35）、（1.65±0.85）、（4.68±0.09）、（8.92±2.84）d，均短于对照组的（5.67±1.09）、（2.46±0.36）、（6.22±1.94）、（12.23±4.65）d，差异有统计学意义（t=12.131、21.933、7.173、9.816，P＜0.05）。结论 对慢性支气管炎患者采用舒适护理在临床上有重大意义，可以有效改善患者呼吸道症状，还能提升肺通气功能，减短入院治疗时间，减轻患者的经济负担、精神负担。

Abstract

Objective The purpose of this study was to explore the effect of comfort nursing on patients in chronic bronchitis, and to analyze the effect of comfort nursing on patients' pulmonary ventilation, pulmonary ventilation and other functions.
Methods A total of 200 patients with chronic bronchitis admitted to the Department of Respiratory and Critical Care Medicine in Dazhu County People's Hospital of Dazhou City, Sichuan Province from January 2020 to January 2022 were included, and 120 patients were selected as the research objects by random sampling. The random number method was used for grouping, among which 60 patients were divided into the control group and received only general routine care; the remaining 60 patients were included in the observation group, and the subjects in this group received comfortable nursing. The patients in the observation group and the control group were compared in terms of treatment compliance and self-care status, respiratory status, pulmonary ventilation-related functional indicators, respiratory status (fever, cough, asthma, dyspnea relief time) and hospitalization time before and after receiving nursing care.
Results The scores of treatment compliance and self-care scale in the observation group were (82.95±7.35) and (90.65±8.85) points, respectively, which were higher than those in the control group (67.67±1.09) and (75.46±7.36) points. Statistical significance (t=8.540, 8.933, P<0.05). After intervention, the forced expiratory volume in one second, forced vital capacity, forced expiratory volume in first second/forced vital capacity in the study group were (3.75±0.75) L, (3.65±0.95) L, and (88.65±7.09)%, respectively. It was higher than the control group (2.57±1.09) L, (2.46±0.86) L, (70.92±2.34)%, and the difference was statistically significant (t=10.131, 7.223, 17.181, P<0.05). The respiratory status (time to relieve symptoms of fever, cough, dyspnea, etc.) and hospitalization time of the subjects in the research group were (4.95±0.35), (1.65±0.85), (4.68±0.09), and (8.92±2.84) days, respectively. , were shorter than the control group (5.67±1.09), (2.46±0.36), (6.22±1.94), (12.23±4.65) d, the difference was statistically significant (t=12.131, 21.933, 7.173, 9.816, P< 0.05).
Conclusion   Comfort nursing for patients with chronic bronchitis is of great clinical significance. It can effectively improve the respiratory symptoms of patients, improve pulmonary ventilation function, shorten the time of hospitalization, and reduce the economic and mental burden of patients.