简介：摘要目的探讨整体护理在慢性阻塞性肺疾病稳定期患者中的护理效果,以期提高护理质量.方法将我院２０１３年１月至２０１４年１月收录的２８６例处于稳定期的慢性阻塞性肺疾病患者随机分为２组整体护理组,普通护理组,比较两种护理方法在稳定期慢性阻塞性肺疾病中的护理效果,包括患者生活质量、病情情况、肺功能、急性发作情况.结果入选患者共２８６例,两组患者经不同护理措施后,６米步行试验、SGRQ分值均较前有所改善,但整体护理组患者的６米步行试验优于普通护理组(P＜０．０５),而SGRQ评分低于普通护理组(P＜０．０５);整体护理组患者的FEV１、FEV１占预计值％以及FEV１/FVC(％)均高于普通护理组(P＜０．０５);整体护理组患者的急性发作率以及平均急性发作次数均低于普通护理组(P＜０．０５).结论整体护理更有利于稳定期慢性阻塞性肺疾病的治疗与康复.关键词整体护理;慢性阻塞性肺疾病;稳定期;护理TheefficacyofholisticnursinginpatientswithstablechronicobstructivepulmonarydiseaseAbstractObjectiveToinvestigatetheeffectofholisticcareinpatientswithstablechronicobstructivepulmonarydiseaseandtoimprovethequalityofcarenpaＧtients．Methods２８６casesinourhospitalfromJanuary２０１３toJanuary２０１４withstablechronicobstructivepulmonarydiseasewererandomlydividedinto２groupsholisticcaregroupandgeneralcaregroup．Thecareeffectsincludingthequalityoflifeofpatients,thediseaseconditions,thelungfunction,acuteepisodeswerecomＧparedaftertwomethodsofcarewereperformedinstablechronicobstructivepulmonarydisease．Results２８６patientswereenrolledinthisstudy．６－MWTvaluesandSGRQscoreswereimprovedaftertwodifferentcares,butthe６－MWTvaluesinpatientsofholisticcareissuperiorthangeneralcaregroup(P＜０．０５),whiletheSGRQscorewaslowerthangeneralcaregroup(P＜０．０５);FEV１,FEV１％predictedandFEV１/FVC(％)inpatientsofholisticcaregroupwerehigherthangeneralcaregroup(P＜０．０５);theacuteexacerbationrateandtheaveragenumberofepisodespatientsofholisticcaregroupwerelowerthangeneralcaregroup(P＜０．０５)．Conclusionholisticcareismoreconducivetothetreatmentandrehabilitationofstablechronicobstructivepulmonarydisease．KeywordsHolisticcare;Chronicobstructivepulmonarydisease;Stablestage;Nursing中图分类号R４７３文献标识码B文章编号１００８－６３１５(２０１５)１０－０５３２－０２