CAJ | 학술논문

探讨协同护理模式对慢性阻塞性肺疾病(chronic obstructive pulmo- nary disease,COPD)出院患者自护能力的影响.方法便利抽样选取2012年1-12月入住长沙市中心医院的COPD患者90例,按入院时间先后分为观察组和对照组各45例；对照组按COPD患者常规护理进行住院和出院后的指导,观察组在此基础上应用协同护理模式进行4个月的护理干预.比较两组患者不同时段自我护理行为评分情况.结果观察组干预后2、4个月的自我护理评分均显著高于对照组(均P＜0．01),且自我护理行为总分及各维度得分在干预方法和干预时间上有一定的交互作用(P＜0．01).结论以协同护理模式为基础的护理干预能提高COPD患者自我护理能力,改善其生活质量.
탐토협동호리모식대만성조새성폐질병(chronic obstructive pulmo- nary disease,COPD)출원환자자호능력적영향.방법편리추양선취2012년1-12월입주장사시중심의원적COPD환자90례,안입원시간선후분위관찰조화대조조각45례；대조조안COPD환자상규호리진행주원화출원후적지도,관찰조재차기출상응용협동호리모식진행4개월적호리간예.비교량조환자불동시단자아호리행위평분정황.결과관찰조간예후2、4개월적자아호리평분균현저고우대조조(균P＜0．01),차자아호리행위총분급각유도득분재간예방법화간예시간상유일정적교호작용(P＜0．01).결론이협동호리모식위기출적호리간예능제고COPD환자자아호리능력,개선기생활질량.
Objective To explore the effects of the collaboration care model (CCM)for out-patients’self-care behaviors with chronic obstructive pulmonary disease (COPD).Methods Totally 90 out-patients were randomly selected and divided equally into observation group and control group.The patients in control group had routine guidelines during hospitalization and after discharged,while patients in observation group had 4 months nursing intervention on the basis of routine nursing.The patients were investigated with the self-care behaviors of patients with COPD before and after intervention.Results After 2 or 4 months intervention,the total scores of self-care behaviors in the observation groups were higher than the control group’s(P<0.01).There was interaction effect in the total score of self-care behavior with different intervention method and time of intervention (P<0.01).Conclusion The collaboration care model can significantly improve the patients’self-care ability and quality of life.