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目的探讨责任制整体护理对慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响。方法选取2014年5月—2015年12月收治的COPD患者84例,随机分为观察组及对照组,各42例。对照组采用常规护理,观察组在对照组基础上实施责任制整体护理。观察2组干预前后静息状态下一秒用力呼气容积(FEV1)、峰值呼气流速(PEF)、血氧饱和度(Sa O2)及圣乔治呼吸问卷(SGRQ)评分。结果干预后,2组Sa O2、FEV1和PEF水平均较干预前提高,且观察组高于对照组,差异有统计学意义(P<0.01)。干预后,2组SGRQ问卷临床症状、活动能力、疾病对日常生活影响各项评分均较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.01)。结论责任制整体护理能有效改善COPD患者临床症状,改善患者肺功能,提高患者生活质量。
Objective To investigate the impact of holistic liability care on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods Eighty-four COPD patients admitted from May 2014 to December 2015 were randomly divided into observation group and control group, with 42 cases in each group. The control group used routine nursing, observation group in the control group based on the implementation of the responsibility of the overall care. The FEV1, PEF, SGO2 and SGRQ scores of the two groups before and after the intervention were observed. Results After intervention, the levels of Sa O2, FEV1 and PEF in both groups were significantly higher than those before intervention, and the difference was statistically significant (P <0.01). After intervention, the scores of clinical symptoms, activity ability and disease on daily life of two groups of SGRQ were lower than those before intervention, and the difference was statistically significant (P <0.01). Conclusion The overall responsibility system can effectively improve the clinical symptoms of patients with COPD, improve lung function and improve patient quality of life.