陈珊珊 杨林霞 周静 刘志强 李芳 蔡慧

[摘要] 目的 分析优质护理模式在呼出气一氧化氮测定哮喘患者气道炎性反应评估中的效果。 方法 2019年10月至2020年6月，选取本院接收的56例哮喘患者作为观察对象，并通过随机数字表法将其分为两组，即常规组和研究组，每组各28例。在患者接受呼出气一氧化氮测定过程中，常规组实施常规护理模式，而研究组在常规护理基础上实施优质护理模式，就两组的测定完成情况、检查舒适度、检测期间不良反应发生率及护理满意度评分进行比较。 结果 研究组的测定完成有效率为96.43%、检查舒适度为92.86%均明显高于常规组的75.00%、71.43%（P<0.05）;同时研究组检测期间的不良反应发生率（7.14%）明显低于常规组（35.71%）（P<0.05）;且研究组的护理满意度评分高于常规组（P<0.05）。 结论 在呼出气一氧化氮测定哮喘患者气道炎性反应评估中实施优质护理模式，能进一步提高测定有效率及检查舒适度，并减少检测过程中的不良反应，提升患者对护理的满意度。

[关键词] 呼出气一氧化氮测定;哮喘;气道炎性反应;优质护理模式

[中图分类号] R473.72          [文献标识码] B          [文章编号] 1673-9701（2021）31-0185-04

[Abstract] Objective To analyze the effect of high-quality nursing mode in the evaluation of airway inflammatory response of asthmatic patients by determination of exhaled nitric oxide. Methods A total of 56 asthma patients admitted to our hospital from October 2019 to June 2020 were selected as objects. They were divided into two groups by random number table method， namely， the conventional group and the experimental group， with 28 cases in each group. In the process of measurement of exhaled nitric oxide， the conventional group received the conventional nursing mode， while the experimental group received the high-quality nursing mode on the basis of conventional nursing. The measurement completion， examination comfort， incidence of adverse reactions during the measurement and patients′ satisfaction with nursing of the two groups were compared and analyzed. Results The effective rate and comfort level were both significantly higher in the experimental group （96.43% and 92.86%） than those of the conventional group （75.00% and 71.43%） （P<0.05）. The incidence of adverse reactions was significantly lower in the experimental group （7.14%） than that in the conventional group （35.71%）（P<0.05）. The patients′ satisfaction with nursing was higher in the experimental group than that of the conventional group（P<0.05）. Conclusion In the determination of exhaled nitric oxide， high-quality nursing mode can improve the determination efficiency and examination comfort， reduce adverse reactions in the detection process， and improve patients′ satisfaction with nursing in the assessment of airway inflammatory reaction of asthma patients.

[Key words] Determination of exhaled nitric oxide; Asthma; airway inflammatory reaction;High quality nursing model

哮喘主要由氣道炎性反应引起，故在临床治疗中，准确评估患者的气道炎性反应对改善其预后具有重要意义[1-3]。目前，临床评估哮喘患者的气道炎性反应主要采用呼出气一氧化氮测定，测定后所获得的呼出气一氧化氮浓度能有效反映患者的气道炎性反应程度[4-5]。但在测定过程中，患者的呼吸量、无效腔气体、软腭闭合等均可影响测定的准确性，为了保证呼出气一氧化氮测定准确性，临床必须予以患者有效的干预，以尽可能减少影响测定因素[6-7]。然而，以往常采用的常规护理模式，因缺乏针对性、全面性难以获得理想的干预效果。故临床急需一种更为有效的方案。优质护理是一种从患者行为、心理等方面来实施护理措施的干预模式，其在改善患者心理状况、纠正不良行为等方面具有重要作用。……