徐洪霞 谭平 龙文秀

[摘要] 目的 通过对比家庭赋权管理和常规护理在慢性阻塞性肺疾病中的应用效果，分析家庭赋权管理的应用价值。方法 选择本院2017年1月～2018年1月期间收治的80例慢性阻塞性肺疾病患者作为研究对象，随机分为实验组与对照组，对照组给予常规护理，实验组在常规护理基础上给予家庭赋权管理，对比两组患者护理前后肺功能和生活质量的变化，分析家庭赋权管理在慢性阻塞性肺疾病中应用价值。 结果 两组患者护理前PEF、PEV1、PaCO2、PaO2等肺功能无明显差异（P>0.05），护理后实验组患者的PEF、PEV1、PaCO2、PaO2等肺功能明显优于对照组，差异具有统计学意义（P<0.05）;实验组患者护理后社会功能、心理健康、躯体健康以及总体生存健康评分均明显高于对照组患者，差异具有统计学意义（P<0.05）。 结论 家庭赋权管理策略应用于慢性阻塞性肺疾病中的应用效果显著，能够明显改善患者肺功能，提高患者的生活质量，具有一定的临床应用价值，值得大力推广应用。

[关键词] 家庭赋权管理;慢性阻塞性肺疾病;肺功能;生活质量

[中图分类号] R587.2          [文献标识码] B          [文章编号] 1673-9701（2019）19-0144-03

[Abstract] Objective To analyze the application value of family empowerment management by comparing the application effects of family empowerment management and routine nursing in chronic obstructive pulmonary disease. Methods 80 patients with chronic obstructive pulmonary disease admitted in our hospital from January 2017 to January 2018 were enrolled in the study. They were randomly divided into the experimental group and the control group. The control group received routine nursing and the experimental group received family empowerment management based on the routine nursing. The changes of lung function and quality of life before and after nursing were compared between the two groups. And the application value of family empowerment management in chronic obstructive pulmonary disease was analyzed. Results There were no significant differences in lung function such as PEF， PEV1， PaCO2 and PaO2 between two groups before nursing（P>0.05）. The lung function of PEF， PEV1， PaCO2 and PaO2 in the experimental group was significantly better than that in the control group， and the difference was statistically significant（P<0.05）. The scores of social function， mental health， physical health and overall survival health of the experimental group were significantly higher than those of the control group after nursing， and the difference was statistically significant（P<0.05）. Conclusion The application of family empowerment management strategy in chronic obstructive pulmonary disease has significant effects. It can significantly improve the lung function of patients and improve their quality of life. It has certain clinical application value and is worthy of popularization and application.

[Key words] Family empowerment management; Chronic obstructive pulmonary disease; Pulmonary function; Quality of life

慢性阻塞性肺疾病是臨床中常见的慢性病，临床特点是发病率高、死亡率高，对患者的身心健康均造成不同程度的影响，需要积极采取有效的治疗和护理干预方法[1-2]。家庭赋权管理近些年来被广泛应用于临床多种慢性病的护理之中，取得了相对显著的效果，但在慢性阻塞性肺疾病中的应用很少[3]。本院为了验证家庭赋权管理在慢性阻塞性肺疾病中的应用效果，以本院收治的部分患者作为研究对象进行分组对照研究，现报道如下。

1 资料与方法

1.1 一般资料

选择本院于2017年1月～2018年1月期间收治的80例慢性阻塞性肺疾病患者作为研究对象，所有患者均符合慢性阻塞性肺疾病的诊断标准，且意识清晰，同意参与本次研究。随机……