杨志萍

[摘要] 目的 探讨全方位护理对哮喘病人肺功能和住院满意度的影响。 方法 选取入该院呼吸内科接受治疗符合纳入标准的150例哮喘患者为研究对象，采用随机数字表法，将其分为试验组及对照组，对照组患者接受传统护理照护，试验组患者接受全方位护理照护，干预两周后比较两组患者的肺功能及患者的住院满意度。 结果 全方位护理可以降低哮喘病人的动脉血二氧化碳分压（PaCO2），提高动脉血氧分压（PaO2）及第一秒用力呼气容积（FEV1），试验组和对照组患者的住院满意度总分分别为（91.9±2.3）、（67.8±5.5），差异有统计学意义（P<0.01）。 结论 全方位护理可以改善哮喘病人的肺功能，提高住院满意度，是一种科学、行之有效的护理干预方法，值得在临床上推广应用。

[关键词] 全方位护理；哮喘；肺功能；满意度

[中图分类号] R471 [文献标识码] A [文章编号] 1674-0742（2015）03（a）-0157-03

Analysis of the Effect of Comprehensive Nursing Care on the Pulmonary Function and Satisfaction of Patients with Asthma

YANG Zhiping

Department of Internal Medicine， Lufeng Second People's Hospital， Chuxiong Yi Autonomous Prefecture，Lufeng， Yunnan Province， 651200，China

[Abstract] Objective To investigate the effect of comprehensive nursing care on the pulmonary function and satisfaction of patients with asthma. Methods 150 patients with asthma met the inclusion criteria admitted in Department of Respiratory Medicine of our hospital were selected as the subjects and divided into the experimental group and the control group in accordance with the random number table method. The control group were treated with traditional nursing care， and the experimental group were treated with comprehensive nursing care. And the pulmonary function and inpatient satisfaction were compared between the two groups two weeks after nursing intervention. Results Comprehensive nursing care can reduce the PaCO2， enhance the PaO2 and FEV1 of patients with asthma. The inpatient satisfaction in the experimental group and the control group was （91.9±2.3） points， （67.8±5.5） points， respectively， the difference was statistically significant（P<0.01）. Conclusion The comprehensive nursing care is a scientific and effective nursing intervention， which can improve the pulmonary function and enhance the satisfaction in patients with asthma， therefore it is worthy of clinical application and promotion.

[Key words] Comprehensive nursing care； Asthma； Pulmonary function； Satisfaction

支气管哮喘（bronchial asthma）简称哮喘，是由遗传因素及尘螨、花粉、细菌、病毒、鱼、虾等环境因素而引发的气道慢性炎症性病变，使得气道呈现高反应性和可逆性气流受限，该种疾病由多种细胞（嗜酸性粒细胞、肥大细胞、T淋巴细胞、中性粒细胞）和细胞组分共同参与，临床上患者主要表现为反复发作性的喘息、气急、胸闷和咳嗽等[1-3]，严重威胁着患者的生命健康。所以很有必要对哮喘患者进行全方位的治疗和护理。全方位护理是一种新型的护理干预方法，它是在基础护理和专科护理的基础上，提供饮食护理、分类护理、心理护理、健康宣教等全面的护理照护，旨在缩短哮喘患者的住院时间、提高护理品质[4-5]。该研究在2009年1月—2014年1月通过将全方位护理应用于哮喘病人，并探究其效果，现报道如下。……