李莹

【摘要】 目的：探討风险意识护理在慢性阻塞性肺疾病中的应用效果。方法：选择2018年5月-2019年5月笔者所在医院收治的慢性阻塞性肺疾病患者106例，按入院时间先后分为对照组（n=53）和观察组（n=53），对照组给予常规护理，观察组给予风险意识护理，比较两组护理前后自我护理能力及心理健康状态，比较临床指标及临床疗效，比较不良事件发生情况、护理满意度及投诉率。结果：观察组护理后各项自我护理能力评分均高于对照组，差异均有统计学意义（P<0.05）。护理后两组SAS、SDS得分均低于护理前，且观察组SAS、SDS得分均低于对照组，差异均有统计学意义（P<0.05）。观察组护理后PaO2、PaCO2均优于对照组，观察组治疗总有效率（96.22%）高于对照组（83.02%），差异均有统计学意义（P<0.05）。观察组不良事件发生率（9.43%）低于对照组（28.30%），观察组护理总满意率（96.23%）高于对照组（84.91%），投诉率（0）低于对照组（16.98%），差异均有统计学意义（P<0.05）。结论：在慢性阻塞性肺疾病患者的临床护理中实施风险意识护理，能显著提高临床疗效，改善患者不良情绪，规避护理风险，提高患者护理满意度，具有临床推广应用意义。

【关键词】 风险意识 护理 慢性阻塞性肺疾病

doi：10.14033/j.cnki.cfmr.2020.20.038 文献标识码 B 文章编号 1674-6805（2020）20-00-04

Application Effect of Risk-conscious Nursing in Chronic Obstructive Pulmonary Disease/LI Ying. //Chinese and Foreign Medical Research， 2020， 18（20）： -98

[Abstract] Objective： To explore the effect of risk-conscious nursing in chronic obstructive pulmonary disease. Method： From May 2018 to May 2019， 106 patients with chronic obstructive pulmonary disease treated in our hospital were selected and divided into the control group （n=53） and the observation group （n=53） according to the admission time. The control group was given routine nursing， and the observation group was given risk-conscious nursing. The self-care ability and mental health status before and after nursing were compared between the two groups， clinical indicators and clinical efficacy were compared， adverse event occurrence， nursing satisfaction and complaint rate were compared. Result： The score of self-care ability in the observation group was higher than that in the control group after nursing， the difference was statistically significant （P<0.05）. After nursing， the SAS and SDS scores in the two groups were lower than those before nursing， and the SAS and SDS scores in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. After nursing， both PaO2 and PaCO2 in the observation group were better than those in the control group. The total effective rate of treatment in the observation group （96.22%） was higher than that in the control group （83.02%）， the differences were statistically significant （P<0.05）. The incidence of adverse events in the observation group （9.43%） was lower than that in the control group （28.30%）， the total satisfaction rate of nursing care in the observation group （96.23%） was higher than that in the control group （84.91%）， and the complaint rate （0） was lower than that in the control group （16.98%）， the differences were statistically significant （P<0.05）. Conclusion： The implementation of risk-conscious nursing in the clinical nursing of patients with chronic obstructive pulmonary disease can significantly improve the clinical efficacy， improve SAS， avoid the nursing risk， and increase the patients nursing satisfaction， which has clinical application significance.

[Key words] Risk-conscious Nursing Chronic obstructive pulmonary disease

First-authors address： No.1 Hospital of Nanping City， Nanping 353000， China

慢性阻塞性肺疾病是呼吸内科常见病症，由于社会环境的严重污染，我国慢性阻塞性肺疾病发生率持续上升[1]。目前，临床尚无可以治愈的方法，长期的治疗过程易导致患者滋生焦虑、抑郁等不良情绪，增加了疾病进一步恶化的风险[2]。且慢性阻塞性肺疾病在治疗的过程中经常会采用各种导管，风险事件发生率较高，从而影响临床效果[3]。风险意识护理能通过科学的预测，在护理工作中，有效规避各种护理风险对慢性阻塞性肺疾病的临床治疗和预后等方面具有重要作用[4]，因此，本文以笔者所在医院收治的慢性阻塞性肺疾病患者作为对象，采用随机对照方法，探讨分析风险意识护理在慢性阻塞性肺疾病中的应用效果，报道如下。

1 资料与方法

1.1 一般资料

选取2018年5月-2019年5月笔者所在医院收治的慢性阻塞性肺疾病患者106例。所有患者均经检查确诊为慢性阻塞性肺疾病，排除传染性疾病、重要脏器损伤或恶性肿瘤、精神及认知障碍者。……