个性化护理干预对预防风湿免疫疾病患者肺部并发症的作用分析

连丽娥 　郑雪晶

【摘要】 目的：分析在風湿免疫疾病患者肺部并发症预防中应用个性化护理干预的作用。方法：选取笔者所在医院2018年1-12月收治的68例风湿免疫疾病患者作为研究对象，应用随机数字表法将其分为对照组和研究组，每组34例。对照组给予常规护理干预，研究组在常规护理基础上给予个性化护理干预，对两组干预前后患者的生活质量及肺部并发症发生情况进行对比分析。结果：研究组患者肺部并发症发生率2.94%，显著低于对照组的17.65%，差异有统计学意义（P<0.05）。两组患者干预前生活质量评分差异无统计学意义（P>0.05），干预后两组患者生活质量评分均有所升高，且研究组患者干预后的生活质量评分显著优于对照组，差异均有统计学意义（P<0.05）。结论：个性化护理干预对预防风湿免疫疾病患者肺部并发症的作用显著，可有效提升患者生活质量，减少肺部并发症的发生，有很高的临床应用价值。

【关键词】 个性化护理 风湿免疫疾病 肺部并发症 生活质量评分

doi：10.14033/j.cnki.cfmr.2019.28.051 文献标识码 B 文章编号 1674-6805（2019）28-0-03

Effect of Individualized Nursing Intervention on Prevention of Pulmonary Complications in Patients with Rheumatic Immune Diseases/LIAN Lie， ZHENG Xuejing. //Chinese and Foreign Medical Research， 2019， 17（28）： -124

[Abstract] Objective： To analyze the effect of individualized nursing intervention in the prevention of pulmonary complications in patients with rheumatic immune diseases. Method： Sixty-eight patients with rheumatic immune diseases admitted to our hospital from January to December 2018 were selected as the research subjects. They were divided into control group and research group， with 34 cases in each group， by random number table method. The control group was given routine nursing intervention， while the research group was given personalized nursing intervention on the basis of routine nursing. The quality of life and the occurrence of pulmonary complications of the two groups before and after the intervention were compared and analyzed. Result： The incidence of pulmonary complications in the study group was 2.94%， significantly lower than 17.65% in the control group， the difference was significant （P<0.05）. There was no significant difference in quality of life score between the two groups before intervention （P>0.05）. After the intervention， the scores of quality of life in the two groups were increased， and the quality of life score of the study group after intervention was significantly better than that of the control group， the differences were significant （P<0.05）. Conclusion： Individualized nursing intervention has a significant effect on preventing pulmonary complications in patients with rheumatic immune diseases. It can effectively improve the quality of life of patients and reduce the occurrence of pulmonary complications. It has a high clinical value.

[Key words] Individualized nursing Rheumatic immune disease Pulmonary complications Quality of life score

First-authors address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China

风湿免疫疾病是骨关节炎、强直性脊柱炎、类风湿性关节炎、系统性红斑狼疮等疾病的总称，属于全身性免疫系统疾病，在临床上较为常见[1]。该疾病可累及患者机体多个系统、脏器，肺部是最常见的累及脏器，随着病程的迁延和药物治疗的影响，患者的肺功能会出现降低的情况，极易受到粉尘、病原菌等因素的影响，从而使得患者肺纤维化、肺部感染及间质性肺炎等，肺部并发症的风险性增加，降低患者生活质量[2-3]。目前临床上主要通过药物免疫抑制及临床护理干预等方式预防患者肺部并发症的发生，个性化护理是一种针对性较高的护理方式，可对患者的个性化护理需求进行满足[4]。……