东方食疗与保健
東方食療與保健
동방식료여보건
DONGFANG SHILIAO YU BAOJIAN
2015年
2期
90-92
,共3页
COPD%出院过渡期%生存质量%以家庭为中心
COPD%齣院過渡期%生存質量%以傢庭為中心
COPD%출원과도기%생존질량%이가정위중심
COPD%Transitional Period of discharge%Quality of life%Family-oriented
目的：探讨以家庭为中心的护理模式对出院过渡期COPD患者的生存质量的影响；方法以61例出院过渡期的COPD患者为研究对象，按随机分组的原则进行分组，其中对照组30例患者采取常规护理方案，干预组31例采取以家庭为中心的随访管理方案，比较各组患者干预前后生活质量、自我效能变化情况和随访期间急性加重及医疗负担情况；结果干预后，干预组患者的生活质量及自我效能的总分及各因子得分均高于干预前水平和对照组同期水平（P<0.05），干预组患者随访期急性加重次数、因急性加重需住院或急诊次数及医疗费用情况均明显低于对照组（P<0.05）；结论以家庭为中心的随访管理是一种有效的管理模式，可改善COPD出院过渡期患者的生存质量，提升患者的自我效能感，减少出院后的急性加重情况，改善患者的预后。
目的：探討以傢庭為中心的護理模式對齣院過渡期COPD患者的生存質量的影響；方法以61例齣院過渡期的COPD患者為研究對象，按隨機分組的原則進行分組，其中對照組30例患者採取常規護理方案，榦預組31例採取以傢庭為中心的隨訪管理方案，比較各組患者榦預前後生活質量、自我效能變化情況和隨訪期間急性加重及醫療負擔情況；結果榦預後，榦預組患者的生活質量及自我效能的總分及各因子得分均高于榦預前水平和對照組同期水平（P<0.05），榦預組患者隨訪期急性加重次數、因急性加重需住院或急診次數及醫療費用情況均明顯低于對照組（P<0.05）；結論以傢庭為中心的隨訪管理是一種有效的管理模式，可改善COPD齣院過渡期患者的生存質量，提升患者的自我效能感，減少齣院後的急性加重情況，改善患者的預後。
목적：탐토이가정위중심적호리모식대출원과도기COPD환자적생존질량적영향；방법이61례출원과도기적COPD환자위연구대상，안수궤분조적원칙진행분조，기중대조조30례환자채취상규호리방안，간예조31례채취이가정위중심적수방관리방안，비교각조환자간예전후생활질량、자아효능변화정황화수방기간급성가중급의료부담정황；결과간예후，간예조환자적생활질량급자아효능적총분급각인자득분균고우간예전수평화대조조동기수평（P<0.05），간예조환자수방기급성가중차수、인급성가중수주원혹급진차수급의료비용정황균명현저우대조조（P<0.05）；결론이가정위중심적수방관리시일충유효적관리모식，가개선COPD출원과도기환자적생존질량，제승환자적자아효능감，감소출원후적급성가중정황，개선환자적예후。
Objective explore the effects of family-oriented follow-up visit on the survival quality of discharged COPD Patients in transition-al period. Methods 61 discharged COPD patients in the transition period were randomly divided into the intervention group and the con-trol group. And the control group consisted of 30 patients, and the intervention group consisted of 31 patients. The intervention group re-ceived the management of family-oriented follow-up visit, and the control group received the conventional nursing. Compare these two groups’quality of life and self-efficiency before and after intervention, as well as acute exacerbation and medical burden in the period of follow-up visit. Results After intervention, the total scores of the quality of life and self-efficiency and the scores of every factor are higher than those before the intervention and those of the control group(P<0.05). as for the intervention group, the times of acute exacerbation in the period of follow-up visit, the times of hospitalization due to acute exacerbation or emergency treatment and medical expenses are obvi-ously lower than those of the control group(P<0.05). Conclusions The management of family-oriented follow-up visit is an efficient man-agement model, which can improve the survival quality discharged COPD patients in transitional period, enhance patients’self-efficien-cy , reduce acute exacerbation after patients discharged from the hospital and improve the prognosis.
