郑雪梅

[摘要]目的 探讨护理管理对老年慢性支气管炎患者负性情绪及生存质量的影响。方法 选取我院2015年1～12月收治的老年慢性支气管炎患者84例，将患者分成对照组、研究组，每组42例。对照组患者做好基础护理，研究组联合使用护理管理，比较两组患者的SAS、SDS评分，生存质量评分、护理满意度。结果 研究组的SAS、SDS评分分别为（41.6±2.5）、（42.2±2.1）分，低于对照组的（73.6±2.2）、（74.3±2.2）分，生存质量明显好于对照组，护理满意程度明显好于对照组（P<0.05）。结论 老年慢性支气管炎患者的基础护理与护理管理均需做好，以提高其生存质量。

[关键词]护理管理；基础护理；老年慢性支气管炎；负性情绪；生存质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2017）02（b）-0175-04

[Abstract]Objective To explore the influence of nursing management of negative emotions and quality of life in elderly patients with chronic bronchitis.Methods 84 elderly patients with chronic bronchitis treated in our hospital from January to December 2015 were selected and they were divided into control group （n=42） and study group （n=42）.Patients in the control group were given basic nursing，while the study group was given nursing management on the basis of basic nursing.SAS and SDS score，life quality score and satisfaction degree of nursing in patients between two groups were compared.Results SAS and SDS score in the study group [（41.6±2.5） points and （42.2±2.1）points] were lower than those of the control group [（73.6±2.2） points and （74.3±2.2） points]，and quality of life was significantly better than that of control group，and the satisfactory degree was obviously better than that of the control group （P<0.05）.Conclusion Basic nursing and nursing management have been done for elderly patients with chronic bronchitis to improve their quality of life.

[Key words]Nursing management；Basic nursing；Senile chronic bronchitis；Negative emotions；Quality of life

慢性支气管炎是指气管或支气管黏膜的慢性炎症，患者的主要临床症状是反复持续的咳嗽[1]。该病主要发病人群为中老年人，因为患者的反复发作并且日益加重，影响其日常生活。做好护理管理是改进护理效果的重要方法。我院对老年慢性支气管炎患者进行护理时，通过加强护理管理提高护理质量，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年1～12月收治的老年慢性支气管炎患者84例，男患者44例，女患者40例；年龄61～76岁，平均（69.1±1.9）岁，所有患者符合相关诊断标准[2]。入选标准：患者的临床表现包括咳嗽、胸闷以及乏力等，X线平面检查提示肺门阴影加深，同時患者存在肺部湿啰音，患者知情同意。排除标准：合并严重肝肾功能疾病以及妊娠哺乳期患者。本研究经我院医学伦理委员会通过，患者知情同意并签署知情同意书。将患者平均分成对照组、研究组，对照组男患者22例，女患者20例；……