CAJ | 학술논문

目的：探讨三级整体护理模式对改善老年慢性阻塞性肺疾病（COPD）患者肺功能及生活质量的影响。方法：采用随机对照研究方法，将150例老年 COPD 患者分为干预组与对照组各75例，对照组给予常规护理，干预组给予三级护理模式。经干预12个月后，比较两组肺功能、呼吸困难程度、生活质量及心理状况。结果：干预组干预后肺功能、呼吸困难程度、生活质量及心理状况评分均优于对照组（P ﹤0.05，P ﹤0.01）。结论：三级整体护理模式可增强老年 COPD 患者肺功能，降低其呼吸困难程度，从而提高患者生活质量。
목적：탐토삼급정체호리모식대개선노년만성조새성폐질병（COPD）환자폐공능급생활질량적영향。방법：채용수궤대조연구방법，장150례노년 COPD 환자분위간예조여대조조각75례，대조조급여상규호리，간예조급여삼급호리모식。경간예12개월후，비교량조폐공능、호흡곤난정도、생활질량급심리상황。결과：간예조간예후폐공능、호흡곤난정도、생활질량급심리상황평분균우우대조조（P ﹤0.05，P ﹤0.01）。결론：삼급정체호리모식가증강노년 COPD 환자폐공능，강저기호흡곤난정도，종이제고환자생활질량。
Objective:To investigate the effect of three - level holistic nursing model on improving lung function and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD). Methods:150 elderly patients with COPD were randomly divided into the intervention group and the control group(75 cases in each group). The routine nursing care was given to the patients in the control group and the three - level holistic nursing model was adopted in the intervention group. After 12 months of intervention,the lung function, the degree of difficulty in breathing,the quality of life and psychological status of the patients were compared between the two groups. Re-sults:The scores of lung function,the degree of difficulty in breathing,the quality of life and psychological status of the patients were supe-rior in the intervention group to those in the control group(P ﹤ 0. 01,P ﹤ 0. 05). Conclusion:The three - level holistic nursing model can enhance the lung function of elderly patients with COPD,reduce the degree of difficulty in breathing so as to improve the quality of life of the patients.