中国典型病例大全

目的 研究优质护理干预措施对老年慢阻肺患者护理效果的影响。方法 选择巴彦淖尔市医院2022年4月—2024年8月收治的96例老年慢阻肺患者为研究对象，通过随机数字表法均分为对照组和观察组，各48例。对照组采用常规护理，观察组在对照组的基础上实施优质护理。比较两组患者的各项护理指标。结果 护理后，观察组患者用力肺活量(forced vital capacity,FVC)、第一秒用力呼气容积(forced expiratory volume in one second,FEV1)、第一秒用力呼气容积与用力肺活量的比值(forced expiratory volume in one second/forced vital capacity,FEV1/FVC)高于对照组(t=4.838;t=11.879;t=15.284,P<0.001)；生活质量评分小于对照组(t=22.512,P<0.001)；睡眠质量评分小于对照组(t=16.694,P<0.001)；并发症总发生率少于对照组(χ²=4.019,P<0.001)。结论 老年慢阻肺患者加强优质护理干预，能够对患者的诸多方面产生积极影响，更好地实现护理目标，保证患者健康，有重要的推广和应用价值。

Objective To study the effect of high-quality nursing intervention measures on nursing effect of elderly patients with chronic obstructive pulmonary disease(COPD). Methods 96 elderly patients with COPD in Bayannur City Hospital from April 2022 to August 2024 were selected as the research subjects. They were randomly divided into a control group and an observation group, with 48 cases in each group, using a random number table method. The control group received routine nursing, while the observation group received highquality nursing on the basis of the control group. Compare the nursing indicators of two groups of patients.Results After the care, forced lung living capacity of patients(FVC), forced expiratory volume in one second(FEV1), the ratio of forced expiratory volume to forced lung capacity in the first second(FEV1/FVC)in the observation group was higher than that of the control group(t=4.838;t=11.879;t=15.284,P<0.001); Quality of life score was less than the control group(t=22.512,P<0.001); Sleep quality score was less than the control group(t=16.694, P<0.001); The overall incidence of complications was less than the control group(χ²=4.019,P<0.001). Conclusion Strengthening high-quality nursing intervention in elderly COPD patients had a positive impact on many aspects of patients, better achieve nursing goals, ensure the health of patients, and have important promotion and application value.