Application of general nursing to elderly patients with chronic obstructive pulmonary disease
全科护理对老年慢性阻塞性肺疾病患者的应用

摘要

目的 探讨全科护理对老年慢性阻塞性肺疾病患者的应用。方法 选取2024年1月-2025年1月内接收的老年慢性阻塞性肺疾病患者92例，按随机数字表分对照组和观察组，各46例。其中对照组采取常规护理方法，观察组采用全科护理。对比两组的护理效果。结果 干预前，两组患者的肺功能指标、生活质量评分、呼吸困难程度评分和运动耐力情况方面，均未呈现出具有统计学意义的显著性差异（P＞0.05）。经干预后对比观察组与对照组数据发现，观察组各项肺功能指标均优于对照组（P＜0.05），各项生活质量评分均高于对照组（P＜0.05），呼吸困难程度评分和6分钟步行距离优于对照组（P＜0.05）。观察组护理满意度高于对照组（P＜0.05）。结论 实施全科护理能有效改善患者肺功能，呼吸困难程度与运动耐力等指标，进一步提高患者生活质量，提高护理满意度，有较高应用价值。

Abstract

Objective To explore the application of general practice nursing in elderly patients with chronic obstructive pulmonary disease (COPD).
Methods A total of 92 elderly COPD patients admitted to the 2024.1-2025.1 department were randomly assigned into a control group and an observation group (46 cases each) through a random number table. The control group received conventional nursing methods, while the observation group was provided with general practice nursing. The effectiveness of the two groups was compared.
Results Before intervention, there were no statistically significant differences between the two groups in pulmonary function indicators, quality of life scores, dyspnea severity scores, and exercise tolerance (P>0.05). After intervention, comparative data showed that the observation group demonstrated significantly better pulmonary function indicators (P<0.05), higher quality of life scores (P<0.05), improved dyspnea severity scores, and better 6-minute walk distance (P<0.05) compared to the control group. Additionally, the observation group exhibited higher nursing satisfaction than the control group (P<0.05).
Conclusion   Implementing general practice nursing can effectively improve patients' pulmonary function, dyspnea severity, and exercise tolerance, thereby enhancing quality of life and nursing satisfaction. This approach demonstrates significant clinical value.