王春艳 平玉卓 赵秀芹 包玉双 尉荣翠

摘 要：目的 对我院慢阻肺患者运用协同护理干预模式，观察该护理模式对患者预后的积极影响及对于患者自我护理能力的提升，为今后该疾病的治疗提供理论依据。方法 选取2016年8月～2017年8月我院收治的慢阻肺患者60例，随机分为观察组和对照组。对照组采用传统护理方式护理，观察组在对照组基础上采用协同护理干预模式。观察护理后两组患者的自我护理能力评分和肺功能。结果 两组患者护理干预前自我护理能力比较，差异无统计学意义（P>0.05）。护理干预后，观察组患者的自我护理能力评分、肺功能均优于对照组，差异有统计学意义（P<0.05）。结论 协同护理干预方式能够显著改善慢阻肺患者的预后以及提升患者自我护理能力，为后续的治疗奠定良好的基础。

关键词：慢阻肺；协同护理干预模式；自我护理能力

中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.13.057

文章编号：1006-1959（2018）13-0181-03

Abstract：Objective To observe the positive effect of the cooperative nursing mode on the prognosis of patients with chronic obstructive pulmonary disease（COPD）and the improvement of their self-care ability，so as to provide theoretical basis for the treatment of the disease in the future.Methods From August 2016 to August 2017，60 patients with COPD were randomly divided into observation group and control group.The traditional nursing mode was used in the control group，and the cooperative nursing intervention model was used in the observation group on the basis of the control group.The scores of self-nursing ability and pulmonary function were observed after nursing.Results There was no significant difference in self-care ability between the two groups before nursing intervention（P>0.05）.After nursing intervention，the self-care ability score and lung function of the observation group were better than those of the control group，the difference was statistically significant（P<0.05）.Conclusion The cooperative nursing intervention can improve the prognosis of the patients with chronic obstructive pulmonary disease and improve the self nursing ability of the patients，and lay a good foundation for the follow-up treatment.

Key words：Chronic obstructive pulmonary disease；Cooperative nursing intervention mode；Self nursing ability

慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）簡称慢阻肺，是一种常见的以持续气流受限为特征的可以预防和治疗的疾病，气流受限进行性发展，与气道和肺脏对有毒颗粒或气体的慢性炎性反应增强有关[1]。慢阻肺常发生在中老年患者中，该疾病具有发病率高，死亡率高，发病过程长，患者恶化快的特点，患者病情随着发病次数逐渐恶化，降低患者对于疾病的抵抗力，导致肺部出现阻碍，发生各种临床症状，影响患者身体健康，降低患者生活质量[2]。因此，慢阻肺除了有效的治疗外，患者日常有效的自我护理也是遏制疾病发展的关键。本研究对慢阻肺患者运用协同护理干预，以期提升患者自我护理能力，改善患者预后，现将研究结果报道如下。