目的 评估综合康复护理措施应用在老年慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)患者中的效果及对其满意度的影响.方法 方便选取2022年3月—2023年7月苏州市相城区漕湖人民医院收治的79例老年COPD患者为研究对象,采用随机数字表法分为两组.对照组(40例)给予常规护理措施,观察组(39例)给予综合康复护理措施,比较两组满意度、慢性阻塞性肺疾病评估测试(Chronic Obstruc-tive Pulmonary Disease Assessment Test,CAT)、改良呼吸困难量表(Modified British Medical Research Council,mMRC).结果 观察组总满意率(94.87%)较对照组(75.00%)更高,差异有统计学意义(P<0.05).护理前,组间CAT、mMRC差异无统计学意义(P>0.05);护理后,观察组CAT(14.93±1.25)分、mMRC(0.93±0.12)分较对照组的(17.69±1.45)分、(1.37±0.17)分更低,差异有统计学意义(t=9.052、13.259,P均<0.001).结论 对老年COPD患者采取综合康复护理措施,可以改善生活质量,减轻呼吸困难程度,提高满意度.
Application Effects of Comprehensive Rehabilitation Nursing Mmeasures on Pulmonary Function and Total Effective Rate in Elderly Patients with COPD
Objective To evaluate the effect of comprehensive rehabilitation nursing measures on elderly patients with chronic obstructive pulmonary disease(COPD)and their satisfaction.Methods A total of 79 elderly patients with COPD in Xiangcheng District Caohu People's Hospital of Suzhou City from March 2022 to July 2023 were conve-niently selected as study objects and divided into two groups by random number table method.The control group(40 cases)was given routine nursing measures,and the observation group(39 cases)was given comprehensive rehabilita-tion nursing measures.The satisfaction,chronic obstructive pulmonary disease assessment test(CAT)and Modified British Medical Research Council(mMRC)were evaluated.Results The total satisfaction rate of the observation group(94.87%)was higher than that of the control group(75.00%),and the difference was statistically significant(P＜0.05).Before nursing,there was no significant difference in CAT and mMRC between the two groups(P＞0.05);after nursing,CAT was(14.93±1.25)points and mMRC was(0.93±0.12)points in the observation group,which were lower than(17.69±1.45)points and(1.37±0.17)points in the control group,and the differences were statistically significant(t=9.052,13.259,both P＜0.001).Conclusion Comprehensive rehabilitation nursing measures for elderly patients with COPD can improve the quality of life,reduce the degree of dyspnea and improve satisfaction.
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