CAJ | 학술논문

目的：评价慢性阻塞性肺疾病（ COPD ）患者应用院外服务计划的实践成效。方法将86例COPD患者按照住院号的奇偶数随机分为对照组和干预组各43例，干预组实施院外服务计划，对照组按常规护理和随访。两组患者出院后30，60，180 d后进行西雅图阻塞性肺疾病问卷（ SOLDQ）的测量。结果经6个月干预，干预组患者的疾病复发次数、再入院次数及体质量指数分别为（1．08±0．53），（0．68±0．30），（22．64±3．60），优于对照组的（2．57±1．12），（1．70±0．80），（17．55±2．74），差异有统计学意义（t值分别为-2．957，-3．549，3．078；P＜0．05）。两组患者的自我管理认知水平入院时差异无统计学意义（P＞0．05），出院前干预组患者的自我管理认知水平评分为（15．23±3．59）分，高于对照组的（13．27±3．22）分，差异有统计学意义（t＝2．806，P＜0．05）；出院前，两组患者的SOLDQ评分差异无统计学意义（P＞0．05），干预后6个月，干预组患者的生理功能、情绪功能、护理满意度得分均高于对照组，差异有统计学意义（ t值分别为14．300，10．673，11．231；P＜0．05）。结论院外服务计划的实施可以提升COPD患者自我管理认知能力，减少疾病复发次数及再入院次数，提高生活质量。
목적：평개만성조새성폐질병（ COPD ）환자응용원외복무계화적실천성효。방법장86례COPD환자안조주원호적기우수수궤분위대조조화간예조각43례，간예조실시원외복무계화，대조조안상규호리화수방。량조환자출원후30，60，180 d후진행서아도조새성폐질병문권（ SOLDQ）적측량。결과경6개월간예，간예조환자적질병복발차수、재입원차수급체질량지수분별위（1．08±0．53），（0．68±0．30），（22．64±3．60），우우대조조적（2．57±1．12），（1．70±0．80），（17．55±2．74），차이유통계학의의（t치분별위-2．957，-3．549，3．078；P＜0．05）。량조환자적자아관리인지수평입원시차이무통계학의의（P＞0．05），출원전간예조환자적자아관리인지수평평분위（15．23±3．59）분，고우대조조적（13．27±3．22）분，차이유통계학의의（t＝2．806，P＜0．05）；출원전，량조환자적SOLDQ평분차이무통계학의의（P＞0．05），간예후6개월，간예조환자적생리공능、정서공능、호리만의도득분균고우대조조，차이유통계학의의（ t치분별위14．300，10．673，11．231；P＜0．05）。결론원외복무계화적실시가이제승COPD환자자아관리인지능력，감소질병복발차수급재입원차수，제고생활질량。
Objective To evaluate the effect of discharge planning services in patients with chronic obstructive pulmonary disease ( COPD ) .Methods Eighty six COPD patients were divided into two groups . There were 43 cases in each group .The patients in the experimental group received discharge planning services , while the control group received routine follow-up services.The quality of life was measured by the Seattle Obstructive Lung Disease Questionnaire (SOLDQ) and was compared between groups on the 30th, 60th and 180th days after discharge .Results After 6 month intervention , the incidence of disease , hospital readmission and body max index of the experimental group were (1.08 ±0.53), (0.68 ±0.30) and (22.64 ±3.60), respectively.Those in the control group were (2.57 ±1.12), (1.70 ±0.80) and (17.55 ±2.74).There were significant differences between the two groups (t=-2.957, -3.549, 3.078, respectively;P<0.05). There were no significant different in self care knowledge before admission to the hospital between the two groups (P>0.05).Before discharge, the self care knowledge in the experimental group were (15.23 ±3.59), which were significantly higher than (13.27 ±3.22) in the control group (t =2.806,P<0.05).There were no significant different in the SOLDQ score before admission to the hospital between the two groups (P>0.05). After 6 month intervention , the score of physical function , emotional function and satisfaction with self care in the experimental group were significantly higher than those in the control group (t=14.300, 10.673, 11.231, respectively;P<0.05).Conclusions Discharge planning services can enhance the ability of self-care and reduce the frequency of acute exacerbation .