循证护理在慢性阻塞性肺疾病急性加重期护理中的应用

马茹

西安市第四医院呼吸内科，陕西 西安，710004

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摘要：

目的 探讨循证护理在慢性阻塞性肺疾病急性加重期护理中的应用效果。方法 收集 2015年 1月至 2016年 1月我院收治的 60例慢性阻塞性肺疾病急性加重期患者，随机分为观察组和对照组，每组 30例。观察组应用循证护理，对照组应用常规护理，对比两组护理效果、SAS及 SDS评分、血气分析结果和相关临床指标。结果 观察组护理总有效率（93.3%）显著高于对照组（73.3%）（P＜0.05）。护理后，两组 SAS及 SDS评分均降低，且观察组低于对照组，动脉血氧分压、血氧饱和度优于对照组（P＜0.05）。观察组继发感染占 3.3% ，显著低于对照组的 23.3%（P＜0.05）。两组住院时间、住院费用、健康知识得分、再次住院比较，差异均显著（P＜0.05）。结论 对慢性阻塞性肺疾病急性加重期患者实施循证护理能有效提高患者的治疗效果。

关键词：循证护理；慢性阻塞性肺疾病；急性加重期

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2018)07-0153-02

Application of evidence-based nursing in the nursing of acute exacerbation chronic
obstructive pulmonary disease



MA Ru
(Respiratory Department, Xi`an No.4 Hospital, Xi`an 710004,China)



ABSTRACT:Objective To explore the application effect of evidence-based nursing on acute exacerbation chronic obstructive pulmonary disease. Methods During January 2015 to January 2016,60 cases of patients with acute exacerbation chronic obstructive pulmonary disease were randomly divided into observation group and controlgroup, with 30 cases in each group. The observation group received evidence-based nursing, and the controlgroup received routine nursing. The nursing effects, SAS and SDS scores, blood gasanaly sisresults and clinical indexes of two groups were compared. Results The effective rate of the observation group (93.3% ) was significantly higher than that of the controlgroup (73.3% )(P<0.05).  The SAS and SDS scores in the two groups decreased after nursing, and those in the observation group were lower than the controlgroup, and the arterial partial pressure of oxygen and blood oxygen saturation in the observation group were better than those in the controlgroup (P<0.05).These condary infection rate of the observation group was significantly lower than that of the controlgroup (P<0.05). There were significant differences in hospitalization time, hospitalization costs the number of hospitalization angain and health knowledge scores between the two groups(P<0.05). Conclusion Evidence-based nursing in patients with acute exacerbation of chronic obstructive pulmonary disease can effectively improve the patients health.                                                                   KEYWORDS: evidence-based nursing; chronic obstructive pulmonary disease; acute exacerbation

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