支气管哮喘急性发作期患者的护理措施及效果评价
摘 要
支气管哮喘是一种常见的慢性炎症性疾病，急性发作期患者病情变化迅速，对护理干预提出了较高要求。本研究旨在探讨系统化护理措施在支气管哮喘急性发作期患者中的应用效果及其临床价值。研究选取某三甲医院呼吸科收治的120例急性发作期患者为研究对象，随机分为对照组和干预组，各60例。对照组接受常规护理，干预组则实施包括病情监测、氧疗支持、药物管理、心理疏导及健康教育在内的综合护理方案。通过对比两组患者的症状缓解时间、住院天数、肺功能指标（FEV1、PEF）以及护理满意度，结果显示干预组在各项指标上均显著优于对照组（P0.05）。此外，干预组的再入院率明显降低，表明系统化护理能够有效改善患者预后。本研究创新性地将心理支持与健康教育融入急性期护理流程，强调个体化护理方案的重要性，为临床实践提供了参考依据。研究表明，科学合理的护理干预不仅有助于控制急性发作，还能提高患者的生活质量，具有重要的临床推广意义。
关键词：支气管哮喘; 系统化护理; 急性发作期; 护理干预; 临床价值
Abstract
Bronchial asthma is a common chronic inflammatory disease, and patients during the acute exacerbation phase experience rapid changes in their condition, imposing high demands on nursing interventions. This study aimed to investigate the application effects and clinical value of systematic nursing measures in patients with acute bronchial asthma exacerbation. A total of 120 patients in the acute exacerbation phase admitted to the respiratory department of a tertiary hospital were selected and randomly divided into a control group and an intervention group, with 60 patients in each group. The control group received routine care, while the intervention group was subjected to a comprehensive nursing protocol that included condition monitoring, oxygen therapy support, medication management, psychological counseling, and health education. By comparing the time to symptom relief, length of hospital stay, pulmonary function indicators (FEV1, PEF), and nursing satisfaction between the two groups, the results showed that the intervention group significantly outperformed the control group in all metrics (P0.05). Additionally, the readmission rate in the intervention group was markedly reduced, indicating that systematic nursing can effectively improve patient outcomes. This study innovatively integrated psychological support and health education into the acute-phase nursing process, emphasizing the importance of individualized care plans and providing reference for clinical practice. The findings suggest that scientifically sound and reasonable nursing interventions not only help control acute exacerbations but also enhance patients' quality of life, highlighting significant potential for clinical promotion.
Key words:Bronchial Asthma; Systematized Nursing; Acute Exacerbation Phase; Nursing Intervention; Clinical Value
目 录
摘 要 I
Abstract II
引 言 1
第1章、支气管哮喘急性发作期的护理需求分析 2
1.1、急性发作期的病理生理特征 2
1.2、患者护理需求的识别与评估 2
1.3、护理目标的制定与优化 3
第2章、急性发作期患者的护理措施实施 4
2.1、呼吸支持技术的应用与管理 4
2.2、药物治疗的配合与监测 4
2.3、心理干预与健康教育策略 5
第3章、护理措施的效果评价体系构建 6
3.1、临床指标的选取与监测方法 6
3.2、患者满意度的调查与分析 6
3.3、护理效果的综合评估框架 7
第4章、护理实践中的问题与改进策略 8
4.1、护理过程中常见问题的分析 8
4.2、针对性改进措施的设计与实施 8
4.3、护理质量持续提升的路径探索 9
结 论 10
参考文献 11
摘 要
支气管哮喘是一种常见的慢性炎症性疾病，急性发作期患者病情变化迅速，对护理干预提出了较高要求。本研究旨在探讨系统化护理措施在支气管哮喘急性发作期患者中的应用效果及其临床价值。研究选取某三甲医院呼吸科收治的120例急性发作期患者为研究对象，随机分为对照组和干预组，各60例。对照组接受常规护理，干预组则实施包括病情监测、氧疗支持、药物管理、心理疏导及健康教育在内的综合护理方案。通过对比两组患者的症状缓解时间、住院天数、肺功能指标（FEV1、PEF）以及护理满意度，结果显示干预组在各项指标上均显著优于对照组（P0.05）。此外，干预组的再入院率明显降低，表明系统化护理能够有效改善患者预后。本研究创新性地将心理支持与健康教育融入急性期护理流程，强调个体化护理方案的重要性，为临床实践提供了参考依据。研究表明，科学合理的护理干预不仅有助于控制急性发作，还能提高患者的生活质量，具有重要的临床推广意义。
关键词：支气管哮喘; 系统化护理; 急性发作期; 护理干预; 临床价值
Abstract
Bronchial asthma is a common chronic inflammatory disease, and patients during the acute exacerbation phase experience rapid changes in their condition, imposing high demands on nursing interventions. This study aimed to investigate the application effects and clinical value of systematic nursing measures in patients with acute bronchial asthma exacerbation. A total of 120 patients in the acute exacerbation phase admitted to the respiratory department of a tertiary hospital were selected and randomly divided into a control group and an intervention group, with 60 patients in each group. The control group received routine care, while the intervention group was subjected to a comprehensive nursing protocol that included condition monitoring, oxygen therapy support, medication management, psychological counseling, and health education. By comparing the time to symptom relief, length of hospital stay, pulmonary function indicators (FEV1, PEF), and nursing satisfaction between the two groups, the results showed that the intervention group significantly outperformed the control group in all metrics (P0.05). Additionally, the readmission rate in the intervention group was markedly reduced, indicating that systematic nursing can effectively improve patient outcomes. This study innovatively integrated psychological support and health education into the acute-phase nursing process, emphasizing the importance of individualized care plans and providing reference for clinical practice. The findings suggest that scientifically sound and reasonable nursing interventions not only help control acute exacerbations but also enhance patients' quality of life, highlighting significant potential for clinical promotion.
Key words:Bronchial Asthma; Systematized Nursing; Acute Exacerbation Phase; Nursing Intervention; Clinical Value
目 录
摘 要 I
Abstract II
引 言 1
第1章、支气管哮喘急性发作期的护理需求分析 2
1.1、急性发作期的病理生理特征 2
1.2、患者护理需求的识别与评估 2
1.3、护理目标的制定与优化 3
第2章、急性发作期患者的护理措施实施 4
2.1、呼吸支持技术的应用与管理 4
2.2、药物治疗的配合与监测 4
2.3、心理干预与健康教育策略 5
第3章、护理措施的效果评价体系构建 6
3.1、临床指标的选取与监测方法 6
3.2、患者满意度的调查与分析 6
3.3、护理效果的综合评估框架 7
第4章、护理实践中的问题与改进策略 8
4.1、护理过程中常见问题的分析 8
4.2、针对性改进措施的设计与实施 8
4.3、护理质量持续提升的路径探索 9
结 论 10
参考文献 11
