摘要
目的探讨社区护理干预对老年支气管哮喘和慢性阻塞性肺病(COPD)患者吸入治疗依从性的影响。方法对上海市嘉定区102例确诊为支气管哮喘或COPD、年龄≥65岁的老年患者吸入治疗的依从性进行问卷调查。根据调查所了解的原因进行护理干预(进行疾病健康教育,包括正确使用吸入装置的重要性、各类吸入性药物的作用及不良反应、坚持吸入治疗的重要性和注意点、常见不良反应的处理和吸入方法)及吸入方法现场演示宣教(使用图示说明、PPT演示和实物讲解),宣教1次,随后每个月上门随访1次,观察周期为3个月,比较护理干预前后老年患者吸入治疗的依从性。结果 102例老年患者干预前不能坚持吸入治疗者为81例(79.4%),经护理干预后在坚持吸入治疗,正确开、关药物装置,正确吸入药物和屏气、正确漱口及三步骤均使用正确方面均明显高于干预前(均P<0.01)。结论社区护理干预可以显著提高老年支气管哮喘和COPD患者的吸入治疗的依从性。
Objective To investigate the influence of community nursing intervention on inhalation compliance in senile patients with bronchial asthma or chronic obstructive pulmonary disease （COPD）. Methods The inhalation compliance was investigated using questionnaire in 102 senile patients age 65 years or older with bronchial asthma or COPD. Nursing intervention was given according to the findings, including health education, significanee of correct use of inhalation device, actions and adverse reactions inhalation drugs, importance and eaution of keeping inhalation, treatment of adverse reactions, and inhalation methods. In addition, inhalation methods were demonstrated with figures, PPT and objects once per month. Patients were followed up once per month for 3 months. Inhalation compliance was evaluated before and after nursing intervention. Results Among the 102 patients, 81 （79.4%） did not adhere to inhalation treatment before nursing intervention. The percentage of patients who adhered to inhalation treatment, properly operate drug device, correctly took inhaled medication and held breath, and accurately rinsed mouth significantly increased after nursing intervention （all P〈0.01 ）. Conclusion Community nursing intervention can obviously improve inhalation compliance in senile patients with bronchial asthma or COPD.
出处
《实用临床医学（江西）》
CAS
2013年第2期110-112,共3页
Practical Clinical Medicine
关键词
支气管哮喘
慢性阻塞性肺病
社区护理
吸入治疗
依从性
bronchial asthma
chronic obstructive pulmonary disease
community nursing
inhalation treatment
compliance
