中国医药指南

目的 分析以预后指标为基础的互动达标护理模式用于老年慢性支气管炎患者中的应用效果。方法 选取2021年1月至2023年10月我院收治的老年慢性支气管炎患者200例，以随机信封法分组，接受常规护理干预的100例患者为对照组，接受以预后指标为基础的互动达标护理干预100例患者为观察组。对比临床症状缓解时间、依从性评分、主观幸福感[总体幸福感量表（GWB）]、生活质量[世界卫生组织生活质量量表简化版（WHOQOL-BREF）]。结果 观察组各项临床症状缓解时间用时均短于对照组（P <0.05）。干预前，两组患者依从性评分及GWB评分结果对比差异均不明显（P> 0.05）；干预后，观察组患者两项量表评分结果均高于对照组（P <0.05）。干预前，两组患者WHOQOL-BREF量表中各维度评分结果对比差异均无统计意义（P> 0.05）；干预后，观察组患者此表中各维度评分结果均高于对照组（P <0.05）。结论 老年慢性支气管炎病程长，易反复，对其采取以预后指标为基础的互动达标护理干预可有效促进患者症状改善，提高患者的依从性、主观幸福感以及生活质量，具有较高应用价值。

Objective To analyze the effect of interactive standard nursing model based on prognostic indicators in elderly patients with chronic bronchitis. Methods A total of 200 elderly patients with chronic bronchitis admitted to our hospital from January 2021 to October 2023 were selected and divided by random envelope method. 100 patients receiving routine nursing intervention were selected as control group, and 100 patients receiving interactive nursing intervention based on prognostic indicators were selected as observation group. Comparison measures: duration of clinical symptom resolution, compliance score, subjective well-being(GWB) score, and quality of life(WHOQOL-BREF) score. Results The remission time of clinical symptoms in observation group was shorter than that in control group(P<0.05). Before intervention, there were no significant differences in compliance scores and GWB scores between the two groups(P>0.05); After intervention, the scores of two scales in the observation group were higher than those in the control group(P<0.05). Before intervention, there were no significant differences in WHOQOLBREF scores between the two groups(P>0.05); After the intervention, the scores of all dimensions in the observation group were higher than those in the control group(P<0.05). Conclusions The course of chronic bronchitis in the elderly is long and easy to repeat. The interactive nursing intervention based on prognostic indicators can effectively improve the symptoms of patients, improve their compliance, subjective well-being and quality of life, and has high application value.