CAJ | 학술논문

目的：探讨应用慢性阻塞性肺疾病评估测试（COPD Assessment Test ，CAT ）量表评价门诊－病房－家庭三位一体护理模式对慢性阻塞性肺疾病（COPD）患者生活质量的影响。方法将入选的102例患者按数字表法随机分成2组，观察组52例采用门诊－病房－家庭三位一体护理模式进行干预；对照组50例执行传统护理模式。应用CAT量表评价两组患者生活质量。结果与对照组相比，观察组患者的CAT评分分值减少更明显（P＜0．01）；肺功能指标1 s用力呼气容积占预计值百分比（FEV1％ pre）及最大呼气中段流量（FEF25％～75％）均有显著改善（P＜0．05）。结论门诊－病房－家庭三位一体的护理模式可有效改善COPD患者的生活质量，部分改善肺功能，有利于和谐医患关系。
목적：탐토응용만성조새성폐질병평고측시（COPD Assessment Test ，CAT ）량표평개문진－병방－가정삼위일체호리모식대만성조새성폐질병（COPD）환자생활질량적영향。방법장입선적102례환자안수자표법수궤분성2조，관찰조52례채용문진－병방－가정삼위일체호리모식진행간예；대조조50례집행전통호리모식。응용CAT량표평개량조환자생활질량。결과여대조조상비，관찰조환자적CAT평분분치감소경명현（P＜0．01）；폐공능지표1 s용력호기용적점예계치백분비（FEV1％ pre）급최대호기중단류량（FEF25％～75％）균유현저개선（P＜0．05）。결론문진－병방－가정삼위일체적호리모식가유효개선COPD환자적생활질량，부분개선폐공능，유리우화해의환관계。
Objective To study the application of chronic obstructive pulmonary disease (COPD) assessment test scale to evaluate the effect on quality of life for patients with COPD adapted the clinic‐unit‐family three in one nurs‐ing mode .Method 102 patients with COPD were randomly divided into 2 groups ,52 patients in observation group was clinic‐ward‐family three in one mode nursing intervention ,50 patients in control group was given traditional nursing mode .CAT scale was applied to evaluate the quality of life for the two group .Result The CAT score in ob‐servation group was significantly decreased compared with control group(P< 0 .01) .The lung function indices in forced expiratory volume in 1 second prediction percentage (FEV1% pre ) and maximal mid expiratory flow (FEF25% ~75% ) were significantly improved (P<0 .05) .Conclusion The clinic‐ward‐family three in one nursing mode can effectively improve the quality of life for patients with COPD .It’s helpful partially improving lung func‐tion and according the relationship between doctors and patients .