中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2014年
7期
541-544
,共4页
认知行为干预%慢性阻塞性肺病%临床疗效
認知行為榦預%慢性阻塞性肺病%臨床療效
인지행위간예%만성조새성폐병%림상료효
Cognitive behavioral intervention%COPD%Treatment effectiveness
目的 探讨认知行为干预在慢性阻塞性肺疾病护理中的应用效果.方法 将80例慢性阻塞性肺疾病患者随机分为实验组和对照组各40例,2组均给予内科治疗,对照组采用常规护理,实验组在对照组基础上进行团体认知行为干预护理及个性化认知行为干预护理.比较2组患者的治疗依从性、1年内平均住院时间、1年内再入院率、戒烟率情况及2组患者生活质量评估测试量表评分.结果 实验组患者1年内平均住院时间较对照组明显缩短,实验组的服药依从性良好率为90%,明显高于对照组的65%.实验组1年中再入院率为10%,明显好于对照组的17.5%,1年中2次以上再入院率实验组为5%,明显优于对照组的10%.1年后实验组戒烟率为45%,明显高于对照组的27.5%.1年后实验组吸烟量减少率为72.5%,明显高于对照组的42.5%.实验组患者的生活质量评分低于对照组,生活质量明显提高.结论 认知行为干预护理可显著提高慢性阻塞性肺疾病患者的临床疗效.
目的 探討認知行為榦預在慢性阻塞性肺疾病護理中的應用效果.方法 將80例慢性阻塞性肺疾病患者隨機分為實驗組和對照組各40例,2組均給予內科治療,對照組採用常規護理,實驗組在對照組基礎上進行糰體認知行為榦預護理及箇性化認知行為榦預護理.比較2組患者的治療依從性、1年內平均住院時間、1年內再入院率、戒煙率情況及2組患者生活質量評估測試量錶評分.結果 實驗組患者1年內平均住院時間較對照組明顯縮短,實驗組的服藥依從性良好率為90%,明顯高于對照組的65%.實驗組1年中再入院率為10%,明顯好于對照組的17.5%,1年中2次以上再入院率實驗組為5%,明顯優于對照組的10%.1年後實驗組戒煙率為45%,明顯高于對照組的27.5%.1年後實驗組吸煙量減少率為72.5%,明顯高于對照組的42.5%.實驗組患者的生活質量評分低于對照組,生活質量明顯提高.結論 認知行為榦預護理可顯著提高慢性阻塞性肺疾病患者的臨床療效.
목적 탐토인지행위간예재만성조새성폐질병호리중적응용효과.방법 장80례만성조새성폐질병환자수궤분위실험조화대조조각40례,2조균급여내과치료,대조조채용상규호리,실험조재대조조기출상진행단체인지행위간예호리급개성화인지행위간예호리.비교2조환자적치료의종성、1년내평균주원시간、1년내재입원솔、계연솔정황급2조환자생활질량평고측시량표평분.결과 실험조환자1년내평균주원시간교대조조명현축단,실험조적복약의종성량호솔위90%,명현고우대조조적65%.실험조1년중재입원솔위10%,명현호우대조조적17.5%,1년중2차이상재입원솔실험조위5%,명현우우대조조적10%.1년후실험조계연솔위45%,명현고우대조조적27.5%.1년후실험조흡연량감소솔위72.5%,명현고우대조조적42.5%.실험조환자적생활질량평분저우대조조,생활질량명현제고.결론 인지행위간예호리가현저제고만성조새성폐질병환자적림상료효.
Objective To explore the application effect of cognitive behavioral intervention on chronic obstructive pulmonary disease nursing care.Methods 80 patients with chronic obstructive pulmonary disease were randomly divided into an experimental group and a control group(n=40).Both groups were given medical treatment and conventional nursing care,and the control group was given the cognitive behavioral intervention nursing care additionally.The average days of stay,the ratio of readmission,the treatment adherence,and smoking cessation rate in one year were recorded.Moreover,the life quality of the two groups was analyzed with a CAT assessment test.Results Compared with the control group,the experimental group achieved shorter average days of stay,higher medication adherence and smoking cessation rate,lower readmission rate and admission rate.The experimental group achieved better life quality with lower CAT value than the control group.Conclusion Cognitive behavioral intervention can obviously improve the treatment effectiveness of patients with chronic obstructive pulmonarv disease.