CAJ | 학술논문

目的：探讨护理随访对慢性阻塞性肺疾病（COPD）长期家庭氧疗患者的影响。方法选择出院后需实施长期家庭氧疗的COPD患者85例，随机分为观察组43例和对照组42例，对照组出院时实施出院指导，观察组在对照组的基础上通过电话随访、上门家访、门诊随访等形式对患者进行护理随访，随访时间为6个月。干预前后采用COPD生活质量评分表（QLICD-COPD）比较两组患者生活质量、长期家庭氧疗的依从性及不良反应情况。结果干预后观察组患者依从率95．3％，对照组45．2％，两组比较差异有统计学意义（χ2＝25．699，P＜0．01）；观察组患者氧疗不良反应率为6．97％，对照组为54．76％，差异有统计学意义（χ2＝5．362，P＜0．01）；观察组患者 COPD 生活质量总分为（83．69±5．41）分，对照组为（73．63±7．78）分，差异有统计学意义（t＝6．935，P＜0．01）。结论对长期家庭氧疗的COPD患者实施护理随访可提高患者依从性，降低患者氧疗不良反应率，提高患者自我效能及生活质量。
목적：탐토호리수방대만성조새성폐질병（COPD）장기가정양료환자적영향。방법선택출원후수실시장기가정양료적COPD환자85례，수궤분위관찰조43례화대조조42례，대조조출원시실시출원지도，관찰조재대조조적기출상통과전화수방、상문가방、문진수방등형식대환자진행호리수방，수방시간위6개월。간예전후채용COPD생활질량평분표（QLICD-COPD）비교량조환자생활질량、장기가정양료적의종성급불량반응정황。결과간예후관찰조환자의종솔95．3％，대조조45．2％，량조비교차이유통계학의의（χ2＝25．699，P＜0．01）；관찰조환자양료불량반응솔위6．97％，대조조위54．76％，차이유통계학의의（χ2＝5．362，P＜0．01）；관찰조환자 COPD 생활질량총분위（83．69±5．41）분，대조조위（73．63±7．78）분，차이유통계학의의（t＝6．935，P＜0．01）。결론대장기가정양료적COPD환자실시호리수방가제고환자의종성，강저환자양료불량반응솔，제고환자자아효능급생활질량。
Objective To explore the effect of the follow-up nursing on compliance in chronic obstructive pulmonary disease (COPD) patients with long-term home oxygen therapy.Methods Eighty-five COPD patients who needed the long-term home oxygen therapy after discharge from June 2011 to June 2012 were randomly divided into the observation group ( n =43) and the control group ( n =42).The control group received discharge instructions, and the observation group received the telephone follow-up, home visits, outpatient follow-up and other forms of follow-up nursing on the basis of discharge instructions , and the follow-up time was six months.The quality of life, long-term home oxygen therapy compliance and adverse reactions were evaluated by the quality of life of COPD score sheet (QLICD-COPD).Results The rate of compliance in the observation group was 95.3%after intervention, and was 45.2% in the control group, and the difference was statistically significant (χ2 =25.699, P<0.01).The rate of adverse reactions for patients with oxygen therapy was 6.97%in the observation group, and was 54.76%in the control group, and the difference was statistically significant (χ2 =5.362, P<0.01).The overall score of QLICD-COPD was (83.69 ±5.41) in the observation group, and was (73.63 ±7.78) in the control group, and the difference was statistically significant (t=6.935,P<0.01).Conclusions The implementation of follow-up nursing on long-term home oxygen therapy in patients with COPD can improve compliance , reduce the rate of adverse reactions for patients with oxygen therapy , and improve patients’ self-efficacy and quality of life.