首页|聚焦解决模式护理对COPD患者呼吸功能、睡眠质量及症状改善的影响

聚焦解决模式护理对COPD患者呼吸功能、睡眠质量及症状改善的影响

Effects of solution-focused nursing mode on respiratory function,sleep quality and symptom improvement in patients with COPD

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目的 研究聚焦解决模式护理对慢性阻塞性肺疾病(COPD)患者呼吸功能、睡眠质量及症状改善的影响.方法 选取 2020 年 1 月至 2022 年 5 月收入的COPD患者 90 例,按随机数字表法均分 2 组,对照组接受常规护理,观察组接受聚焦解决模式护理,比较 2 组的临床干预效果.结果 干预后,观察组各症状改善时间包括喘憋[(2.51±0.87)d]、咳嗽[(4.11±1.02)d]及肺部啰音时间[(4.65±1.32)d]均短于对照组,差异有统计学意义(P<0.05).出院 6 个月显示观察组治疗依从性各项得分包括运动锻炼[(82.33±2.31)分]、改变生活方式[(85.18±2.24)分]、饮食[(88.25±2.42)分]、服药[(90.59±2.74)分]均高于对照组,差异有统计学意义(P<0.05).2 组干预前R5 与R20 值比较,差异无统计学意义(P>0.05);干预后,观察组R5[(0.39±0.06)kPa·L-1·s-1]与R20[(0.23±0.03)kPa·L-1·s-1]测定值均低于对照组,差异有统计学意义(P<0.05).2 组干预前PSQI量表评分比较,差异无统计学意义(P>0.05);干预后,观察组该项评分[(9.31±1.05)分]低于对照组,差异有统计学意义(P<0.05).结论 聚焦解决模式护理能够更好地控制COPD患者的临床症状,改善其呼吸功能及睡眠质量,值得临床推广借鉴.
Objective To investigate the effect of solution-focused nursing mode on respiratory function,sleep quality and symptom improvement in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 90 COPD patients admitted to our hospital from Jan 2020 to May 2022 were recruited and randomly divided into two groups.Patients in the control group received routine nursing,and patients in the observation group received solution-focused nursing.The clinical effects of the two groups were compared.Results After intervention,the improvement duration of each symptom in the observation group,including asthmatic dyspnea(2.51±0.87)d,cough(4.11±1.02)d and lung rales time(4.65±1.32)d,were significantly shorter than those of the control group(P<0.05).After six months of discharge,the scores of treatment compliance including exercise(82.33±2.31),lifestyle change(85.18±2.24),diet(88.25±2.42)and taking medicine(90.59±2.74)in the observation group were significantly higher than those of the control group(P<0.05).There was no significant difference in R5 and R20 values before intervention between groups(P>0.05).After intervention,the values of R5(0.39±0.06)kPa·L-1·s-1 and R20(0.23±0.03)kPa·L-1·s-1 in the observation group were significantly lower than those of the control group(P<0.05).There was no significant difference in Pittsburgh Sleep Quality Index(PSQI)score between groups before intervention(P>0.05).After intervention,the score of the observation group(9.31±1.05)was significantly lower than that of the control group(P<0.05).Conclusion Solution-focused nursing mode can better control the clinical symptoms of COPD patients,improve their respiratory function and sleep quality,which is worthy of clinical promotion and reference.

chronic obstructive pulmonary diseasesolution-focused nursingrespiratory functionsleep qualitysymptoms improve

陆淑梅、周丽、陈华茂、朱梅冬、黄颖华、黄小红、汤志远、邹莉莉

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226000 江苏省南通市,南通大学附属医院呼吸与危重症医学二病区

226000 江苏省南通市,南通大学附属医院药学部

慢性阻塞性肺疾病 聚焦解决模式护理 呼吸功能 睡眠质量 症状改善

国家自然科学基金青年科学基金

81503143

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(11)
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