Abstract: Objective　To explore the effect of continuous nursing intervention under quantitative evaluation strategy in patients with chronic obstructive pulmonary disease (COPD). Methods　A prospective study was conducted. A total of 78 patients with COPD treated in Shangqiu First People's Hospital from January 2020 to December 2021 were divided into a control group and an observation group according to the random number table method, with 39 cases in both groups. The control group [18 women and 21 men, with an age of (58.96±3.19) years old and a course of disease of (6.86±1.23) years] received routine nursing, while the observation group [19 women and 20 men, with an age of (58.94±3.21) years old and a course of disease of (6.83±1.25) years] received continuous nursing under quantitative evaluation strategy. Both groups received continuous nursing for 2 months. The self-perceived burden, pulmonary function, quality of life, and nursing satisfaction were compared between the two groups. Independent sample t test, paired t test, and χ² test were used for statistical analysis. Results　After nursing, the economic score [(3.29±0.37) point vs. (5.42±0.81) points], emotional score [(13.07±2.11) point vs. (15.67±2.14) points], and physical score [(4.09±0.42) point vs. (6.12±1.01) points] in the Self-Perceived Burden Scale (SPBS) of the observation group were all lower than those of the control group (t=14.937, 5.403, and 11.590; all P<0.001). After nursing, the forced expiratory volume in 1 s (FEV1) [(1.69±0.18) L vs. (1.31±0.16) L], forced vital capacity (FVC) [(2.28±0.29) L vs. (1.73±0.26) L], and peak expiratory flow (PEF) [(368.87±22.65) L/min vs. (326.93±22.54) L/min] in the observation group were higher than those in the control group (t=9.854, 8.819, and 8.197; all P<0.001). After nursing, the COPD Assessment Test (CAT) score of the observation group was lower than that of the control group [(20.78±3.10) points vs. (26.54±3.14) points], with a statistically significant difference (t=8.152, P<0.001). The total nursing satisfaction of the observation group was higher than that of the control group [94.87% (37/39) vs. 79.49% (31/39)], with a statistically significant difference (χ²=4.129, P=0.042). Conclusion　The continuous nursing under quantitative evaluation strategy for COPD patients can minimize their self-perceived burden, and promote the improvement of lung function and quality of life, so as to improve the patient satisfaction.

Key words: Chronic obstructive pulmonary disease, Quantitative evaluation strategy, Continuous nursing, Self-perceived burden, Pulmonary function

摘要： 目的　探讨在慢性阻塞性肺疾病（COPD）患者中采取量化评估策略下的延续性护理的效果。方法　采取前瞻性研究，将商丘市第一人民医院2020年1月至2021年12月期间收治的COPD患者78例，依照随机数字表法分为对照组和观察组，每组39例。对照组男21例，女18例，年龄（58.96±3.19）岁，病程（6.86±1.23）年，采取常规护理。观察组男20例，女19例，年龄（58.94±3.21）岁，病程（6.83±1.25）年，实施量化评估策略下的延续性护理。两组均持续护理2个月。比较两组自我感受负担、肺功能、生活质量和护理满意度。统计学方法采用独立样本t检验、配对t检验、χ²检验。结果　护理后，观察组患者自我感受负担量表中的经济评分［（3.29±0.37）分比（5.42±0.81）分］、情感评分［（13.07±2.11）分比（15.67±2.14）分］、身体评分［（4.09±0.42）分比（6.12±1.01）分］均低于对照组（t=14.937、5.403、11.590，均P<0.001）。护理后，观察组患者的第1秒用力呼气容积（FEV1）［（1.69±0.18）L比（1.31±0.16）L］、用力肺活量（FVC）［（2.28±0.29）L比（1.73±0.26）L］、呼气峰流速（PEF）［（368.87±22.65）L/min比（326.93±22.54）L/min］均高于对照组（t=9.854、8.819、8.197，均P<0.001）。护理后，观察组COPD评估测试（CAT）评分低于对照组［（20.78±3.10）分比（26.54±3.14）分］，差异有统计学意义（t=8.152，P<0.001）。观察组患者的护理总满意度高于对照组［94.87%（37/39）比79.49%（31/39）］，差异有统计学意义（χ²=4.129，P=0.042）。结论　COPD患者采用量化评估策略下的延续性护理，能够最大限度地降低患者自我感受负担，促进肺功能的改善及生活质量的提升，从而提升患者满意度。

关键词: 慢性阻塞性肺疾病, 量化评估策略, 延续性护理, 自我感受负担, 肺功能