邢占敏

[摘要]目的 探讨时效性激励护理对慢性阻塞性肺疾病（COPD）患者早期康复效果的影响。方法 选取2013年8月～2015年8月我院COPD患者76例，抽签随机将其分为观察组与对照组，各38例，对照组给予常规护理干预，观察组在对照组治疗基础上给予时效性激励护理，比较两组患者的治疗依从性，比较两组患者护理干预前后用力肺活量（FVC）、一秒钟用力呼气量（FEV1）、实际值与预计值的百分比（FEV1%）等肺功能指标以及血氧分压（PaO2）、动脉血二氧化碳分压（PaCO2）、氢离子浓度指数（pH）等血气指标水平变化情况。结果 观察组患者的治疗依从性为84.21%，显著高于对照组的57.89%（P<0.05）；护理干预后观察组患者的FVC、FEV1、FEV1%等肺功能指标显著高于对照组（P<0.05）；护理干预后观察组pH、PaO2水平显著高于对照组（P<0.05）；观察组PaCO2水平显著低于对照组（P<0.05）。结论 给予COPD患者时效性激励护理能显著提高患者治疗依从性，患者各项肺功能指标得到显著改善，动脉血气水平水平恢复正常，有利于患者的早期康复，值得临床应用推广。

[关键词]时效性激励护理；慢性阻塞性肺疾病；早期康复

[中图分类号] R563.5 [文献标识码] A [文章编号] 1674-4721（2017）01（c）-0170-03

[Abstract]Objective To explore the effect of time-efficient encouraging nursing on the early rehabilitation effects in patients with chronic obstructive pulmonary disease （COPD）.Methods 76 patients with COPD who were admitted to our hospital from August 2013 to August 2015 were randomly divided into the observation group and control group，38 cases in each group.The control group were given routine nursing intervention，and the observation group were given time-efficient encouraging nursing.The treatment compliance，pulmonary function indexes [forced vital capacity （FVC），forced expiratory volume in one second （FEV1），the ratio of actual value and the predicted value （FEV1%）] and blood gas indexes [partial pressure of arterial oxygen （PaO2），partial pressure of arterial carbon dioxide （PaCO2）， hydrogen ion concentration index （pH）] were compared between two groups.Results The treatment compliance of the observation group was 84.21%，significantly higher than that of the control group of 57.89%（P<0.05）.After nursing intervention，FVC，FEV1，FEV1% lung function index of observation group were significantly higher than those of control group（P<0.05）.After nursing intervention，levels of pH and PaO2 in the observation group were significantly higher than those in the control group （P<0.05），while PaCO2 was significantly lower than that in the control group （P<0.05）.Conclusion The application of time-efficient encouraging nursing in patients with COPD can significantly improve the treatment compliance and pulmonary function indexes of patients.The level of arterial blood gas can be restored.It is conducive to the early rehabilitation of patients and worthy of promotion.

[Key words]Time-efficient encouraging nursing；COPD；Early rehabilitation

慢性阻塞性肺疾病（COPD）是一種以具有气流阻塞为特征的疾病，患者的病情通常呈渐进性发展，在疾病的发展过程中，患者会表现出咳嗽、咳痰、呼吸变重等临床特征，严重危害了患者的生命健康[1-2]。临床上通常给予COPD患者药物及机械通气治疗，但住院时间长，费用高昂，且肺功能的改善往往不明显，为提高患者后期的生活质量，早期的护理干预是有重要意义的[3-4]。时效性激励护理是通过把握激励的有效时机，激发出患者的主观能动性，可引导患者积极主动的配合康复治疗[5-6]。本次研究选取我院COPD患者分别给予患者常规护理和时效性激励护理，现报道如下。

1资料与方法

1.1一般资料

选取2013年8月～2015年8月我院COPD患者76例，采取抽签随机的方法将其分为观察组与对照组，各38例。……