医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
29期
32-33
,共2页
慢性阻塞性肺病%延期护理%集束化护理
慢性阻塞性肺病%延期護理%集束化護理
만성조새성폐병%연기호리%집속화호리
Chronic obstructive pulmonary disease%Continuing nursing%Clustered nursing
目的：探讨集束化延续护理对慢性阻塞性肺疾病（COPD）患者自我效能感和生活质量的作用。方法选择稳定期 COPD患者70例，将其随机分为干预组29例和对照组41例。对照组给予常规健康教育和出院指导；干预组通过出院指导、电话随访、家庭个体辅导等方法实施包括鼓励戒烟、坚持用药、呼吸锻炼、长期氧疗等措施在内的集束化延续性护理。两组分别于出院前、出院后3个月采用一般自我效能量表评价患者自我效能水平；同时于出院前及出院后1、2、3个月使用慢性阻塞性肺疾病评估量表评估生活质量。结果干预组出院后3个月的自我效能感显著高于对照组；同时，出院后1、2、3个月的生活质量也显著优于对照组，差异均有统计学意义(P<0．05)。结论实施包括鼓励戒烟、坚持用药、呼吸锻炼、长期氧疗等措施在内的延续性护理能显著提高稳定期COPD患者的自我效能水平和患者病情，提高其生活质量。
目的：探討集束化延續護理對慢性阻塞性肺疾病（COPD）患者自我效能感和生活質量的作用。方法選擇穩定期 COPD患者70例，將其隨機分為榦預組29例和對照組41例。對照組給予常規健康教育和齣院指導；榦預組通過齣院指導、電話隨訪、傢庭箇體輔導等方法實施包括鼓勵戒煙、堅持用藥、呼吸鍛煉、長期氧療等措施在內的集束化延續性護理。兩組分彆于齣院前、齣院後3箇月採用一般自我效能量錶評價患者自我效能水平；同時于齣院前及齣院後1、2、3箇月使用慢性阻塞性肺疾病評估量錶評估生活質量。結果榦預組齣院後3箇月的自我效能感顯著高于對照組；同時，齣院後1、2、3箇月的生活質量也顯著優于對照組，差異均有統計學意義(P<0．05)。結論實施包括鼓勵戒煙、堅持用藥、呼吸鍛煉、長期氧療等措施在內的延續性護理能顯著提高穩定期COPD患者的自我效能水平和患者病情，提高其生活質量。
목적：탐토집속화연속호리대만성조새성폐질병（COPD）환자자아효능감화생활질량적작용。방법선택은정기 COPD환자70례，장기수궤분위간예조29례화대조조41례。대조조급여상규건강교육화출원지도；간예조통과출원지도、전화수방、가정개체보도등방법실시포괄고려계연、견지용약、호흡단련、장기양료등조시재내적집속화연속성호리。량조분별우출원전、출원후3개월채용일반자아효능량표평개환자자아효능수평；동시우출원전급출원후1、2、3개월사용만성조새성폐질병평고량표평고생활질량。결과간예조출원후3개월적자아효능감현저고우대조조；동시，출원후1、2、3개월적생활질량야현저우우대조조，차이균유통계학의의(P<0．05)。결론실시포괄고려계연、견지용약、호흡단련、장기양료등조시재내적연속성호리능현저제고은정기COPD환자적자아효능수평화환자병정，제고기생활질량。
Objective To investigate the ef ect of clustered continuing nursing on patients with chronic obstructive pulmonary disease. Methods Seventy cases of patients with stable chronic obstructive pulmonary disease were randomized into intervention group (n=29) and control group (n=41). Victims in control group received conventional healthy education, while the ones in intervention group were subjected to extra clustered continuing nursing including mobilizing quit ing smoke, drugs instruction, respiring exercise and long-term oxygen treatment via discharge guidance, telephone fol ow-up or family visit. The self ef icacy of patients from two groups were compared in 3 months after discharge, while the live quality of victims before discharge and 1, 2, 3 months after discharge were also analyzed. Results Intervention group presents with significant high self-ef icacy level and live quality as contrasted with control group (P<0.05). Conclusion The clustered continuing nursing which including mobilizing quit ing smoke, drugs instruction, respiring exercise and long-term oxygen treatment, could markedly elevated the self ef icacy level and live quality in patients with stable chronic obstructive pulmonary disease.
