何代兰

【摘要】 目的：探讨在慢性支气管哮喘治疗中应用系统化护理干预的效果。方法：选取2015年7月-2016年11月在笔者所在医院呼吸科接受治疗的92例慢性支气管哮喘患者作为研究对象，随机将其分为对照组和干预组，每组46例。两组患者入院后均依据“支气管防治指南”中的要求进行治疗。对照组患者接受常规护理干预，干预组患者接受系统化护理干预。比较两组患者的治疗效果、肺功能各项指标、复发情况、治疗依从性及护理满意度等指标。结果：干预组治疗症状缓解率为95.7%，明显高于对照组的60.9%，差异有统计学意义（P<0.05）；干预组患者复发率为2.2%，明显低于对照组的23.9%，差异有统计学意义（P<0.05）。干预组患者肺功能各项指标均明显优于对照组，治疗依从性情况明显优于对照组，对护理服务的满意度评分明显高于对照组，差异均有统计学意义（P<0.05）。結论：系统化护理干预措施应用于慢性支气管哮喘患者，有助于护理人员系统、科学、完整地实施护理工作，能够明显提高患者治疗依从性，增强治疗效果，减少复发，有助于改善患者的预后和生活质量，值得临床推广应用。

【关键词】 慢性支气管哮喘； 系统化护理； 依从性； 治疗效果

doi：10.14033/j.cnki.cfmr.2017.25.040 文献标识码 B 文章编号 1674-6805（2017）25-0077-04

【Abstract】 Objective：To investigate the effect of systematic nursing intervention in the treatment of chronic bronchial asthma.Method：92 cases of chronic bronchial asthma in our hospital were selected as the research object from July 2015 to November 2016，and were randomly divided into the control group and the intervention group，each group of 46 cases.Two groups of patients were treated according to the requirements of the“guidelines for prevention and treatment of bronchial asthma”.Patients in the control group received routine nursing intervention，while patients in the intervention group received systematic nursing intervention.Two groups of patients were compared with the treatment effect，pulmonary function indicators，recurrence，treatment compliance and nursing satisfaction indexs.Result：The treatment effect in the intervention group was 95.7%，which was significantly higher than the the control group of 60.9%（P<0.05）.The recurrence rate of the intervention group was 2.2%，which was significantly lower than the control group of 23.9%（P<0.05）.The lung function indexes of the intervention group patients were significantly better than those of the control group，treatment compliance was significantly better than the control group，and the nursing service satisfaction scores were significantly higher than the control group（P<0.05）.Conclusion：Systematic nursing intervention applied in patients with chronic bronchial asthma can help nursing staff to carry out nursing work systematically，scientifically and completely，can significantly improve patient compliance，improve the curative effect，reduce recurrence，help to improve the prognosis and quality of life of patients，is worthy of clinical application.

【Key words】 Chronic bronchial asthma； Systematic nursing； Compliance； Treatment effect

First-authors address：Naval Hospital of Anqing，Anqing 246003，Chinaendprint

慢性支气管哮喘是由多种细胞和细胞组分参与的慢性炎症性疾病，患者主要表现出反复喘息、胸闷、咳嗽、气急等症状，是临床的常见病和多发病。慢性支气管哮喘到目前为止仍然无法彻底治愈，且具有反复发作的特点，尤其是若患者出现严重急性发作，抢救不及时可能会致命。而反复发作的哮喘会导致患者出现肺气肿、阻塞性肺疾病、肺心病、呼吸衰竭、心功能衰竭等并发症，严重影响患者的身心健康[1-2]。而慢性支气管哮喘的治疗又是一个长期的过程，患者很容易出现不配合治疗的情况，导致治疗效果不佳。因此，对慢性支气管哮喘患者进行治疗的同时配合以有效的护理干预措施对于保证治疗效果极为重要。选取2015年7月-2016年11月在笔者所在医院呼吸科接受治疗的96例慢性支气管哮喘患者进行研究，主要对系统化护理干预措施在该疾病治疗中的应用效果进行探讨，从而为其临床应用提供参考。……