摘要
目的探讨基于西雅图阻塞性肺疾病问卷的临床管理对改善慢性阻塞性肺疾病(COPD)患者的临床疗效改善及对患者ADO指数的影响。方法选择2019年7月至2020年8月治疗的COPD患者120例,患者进行随机抽签分组,接受基础护理干预患者60例为对照组,接受西雅图阻塞性肺疾病问卷基础上护理干预患者60例为研究组。分析2组护理干预结果。结果干预前2组患者的西雅图阻塞性肺疾病问卷评分差异无统计学意义(P>0.05);研究组患者干预后西雅图阻塞性肺疾病问卷评分,改善效果明显优于对照组(P<0.05)。干预前2组肺功能指标差异无统计学意义(P>0.05);研究组干预后肺功能指标改善效果优于对照组,差异有统计学意义(P<0.05)。干预前2组ADO指数差异无统计学意义(P>0.05);研究组干预后D、O指数明显低于对照组,差异有统计学意义(P<0.05)。干预前2组自我管理能力评分差异无统计学意义(P>0.05),研究组干预后自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。结论COPD患者使用西雅图阻塞性肺疾病问卷评估后,采取针对性护理干预,可以有效促进患者肺功能改善,改善患者呼吸困难及气流受限情况,提升患者的自我管理能力,临床价值显著。
Objective To investigate the effects of clinical management measures based on Seattle obstructive pulmonary disease questionnaire in improving the curative effects on chronic obstructive pulmonary disease(COPD)and its effects on ADO index of patients.Methods A total of 120 patients with COPD who were treated in our hospital from July 2019 to August 2020 were enrolled in the study,who were randomly divided into control group and research group,with 60 cases in each group.The patients in control group were treated by basic nursing intervention,however,those in research group,on the bvasis of control group,received Seattle obstructive pulmonary disease questionnaire.The nursing intervention effects were observed and compared between the two groups.Results There was no significant difference in the Seattle Obstructive Pulmonary Disease Questionnaire scores of the two groups before the intervention(P>0.05).The Seattle Obstructive Pulmonary Disease Questionnaire scores of the study group were significantly better than those of the control group after the intervention(P<0.05).Before nursing intervention,there were no significant differences in lung function indexes,D and O indexes as well as self-management ability scores between the two groups(P>0.05).After nursing intervention,the lung function indexes in research group were superior to those in control group(P<0.05),and the D and O indexes in research group were significantly lower than those in control group(P<0.05).Conclusion The application of Seattle obstructive pulmonary disease questionnaire for evaluating the patients with COPD can effectively promote the improvement of lung function of patients,improve the dyspnea and airflow limitation status of patients,and can improve the self-management ability of patients,which is of important clinical value.
作者
张娜
滕立英
邓佳
李明娜
张小舟
ZHANG Na;TENG Liying;DENG Jia(Respiratory Rehabilitation Center,Beijing Rehabilitation Hospital affiliated to Capital Medical University,Beijing 100144,China)
出处
《河北医药》
CAS
2022年第19期2971-2973,2977,共4页
Hebei Medical Journal
关键词
西雅图阻塞性肺疾病问卷
慢性阻塞性肺疾病
肺功能
ADO指数
自我管理能力
Seattle obstructive pulmonary disease questionnaire
chronic obstructive pulmonary disease
lung function
ADO index
self-management ability