护理管理干预对减少慢性阻塞性肺疾病患者住院费用的效果及影响因[摘要]目的分析护理管理干预对减少慢性阻塞性肺疾病患者住院费用的效果及影响因素。方法回顾性分析我院2015年2月～2017年2月90例慢性阻塞性肺疾病患者的临床资料，根据护理管理方法分为两组，每组45例。常规组实施常规护理管理；全面组实施全面护理管理。比较两组患者的住院时间、住院费用、护理管理满意度、护理纠纷发生率；比较两组患者的治疗总有效率、护理前后患者焦虑、抑郁等不良情绪状况和生活质量。结果全面组护理管理满意度明显高于常规组，护理纠纷发生率明显低于常规组，住院时间明显短于常规组，住院费用明显少于常规组，差异均有统计学意义（P<0.05）。全面?M治疗总有效率明显高于常规组（P<0.05）。护理前两组SAS评分、SDS评分和SF-36评分相似（P>0.05）；护理后全面组患者SAS评分、SDS评分和SF-36评分均优于常规组（P<0.05）。结论全面护理管理干预可有效减少患者不良情绪，加速疾病康复，缩短住院时间，减少住院费用，促进患者生活质量的提升和满意度的提高，减少护理纠纷的发生，值得推广。[关键词]护理管理干预；慢性阻塞性肺疾病；住院费用；效果；影响因素[]R473.5[文献标识码]A[]1674-4721（2017）09（c）-0102-03[Abstract]ObjectiveToanalysistheeffectofnursingmanagementinterventiononhospitalizationexpensesofpatientswithchronicobstructivepulmonarydiseaseanditsinfluencingfactors.MethodsClinicaldataof90casesofchronicobstructivepulmonarydiseaseinourhospitalfromFebruary2015toFebruary2017wereretrospectivelyanalyzed.Accordingtothenursingmanagementmethod，thepatientsweredividedintotwogroups，45casesineachgroup.Theroutinegroupwastreatedwithroutinenursingmanagement，andthecomprehensivegroupwasgiventhecomprehensivenursingmanagement.Theprevalenceofhospitalization，hospitalizationandnursingmanagementsatisfactionandtheincidenceofnursingdisputeswerecomparedbetweenthetwogroups.Thetotaleffectiverateoftreatmentofchronicobstructivepulmonarydisease，anxietyanddepressionofpatientsbeforeandaftertreatmentwerecompared.ResultsInthecomprehensivegroup，thesatisfactionrateofnursingwassignificantlyhigherthanthatoftheconventionalgroup，theincidenceofcomprehensivegroupwassignificantlylowerthanthatoftheconventionalgroup，thehospitalizationtimeofthepatientswassignificantlyshorterthanthatoftheconventionalgroup，andthecostofhospitalizationwassignificantlylowerthanthatoftheconventionalgroup，thedifferenceswerestatisticallysignificant（P<0.05）.Thetotaleffectiverateofcomprehensivegroupwassignificantlyhigherthanthatofconventionalgroup（P<0.05）.ThescoresofSAS，SDS，SF-36ofthetwogroupsweresimilarbeforenursing（P>0.05）；aftertreatment，thescoresofSAS，SDS，SF-36inthecomprehensivegroupweresignificantlybetterthanthoseintheconventionalgroup（P<0.05）.ConclusionThecomprehensivenursingmanagementinterventioncaneffectivelyreducethepatients′badmood，speeduptherehabilitationofthedisease，shortenthehospitalizationtime，reducethehospitalizationexpenses，improvethequalityoflifeandthesatisfaction，andreducetheincidenceofcaredisputes，soitisworthpromoting.[Keywords]Nursingmanagementintervention；Chronicobstructivepulmonarydisease；Hospitalizationexpenses；Effect；Influencingfactors慢性阻塞性肺疾病发病具有进行性加重的特点，且肺功能为不可逆气流受限，可对患者生活质量产生严重影响。另外，慢性阻塞性肺疾病患者因活动受限，社会活动减少，加上病情迁延不愈，从而给患者带来极大的治疗费用负担和精神压力，可出现焦虑、抑郁等异常心理状态，不利于治疗的顺利进行，?可对患者生活质量带来不良影响[1-2]。因此，在慢性阻塞性肺疾病治疗的同时加强对患者的有效...