摘要
目的分析同伴对老年人慢性阻塞性肺疾病(COPD)患者自我管理及生活质量价值。方法选择2018年9月~2019年9月浙江省中西医结合医院治疗的老年COPD患者113例,计算机随机编码法将患者随机分为对照组(56例)和观察组(57例)。对照组实施常规护理干预,观察组在常规护理基础上实施同伴支持干预,观察对比两组患者自我管理、肺功能和生活质量情况。结果与干预前相比,干预后两组症状管理、情绪管理、日常生活管理、自我效能、信息管理得分均升高,差异有统计学意义(P<0.05);干预后观察组患者症状管理、情绪管理、日常生活管理、自我效能、信息管理得分比对照组高,差异有统计学意义(P<0.05);与干预前相比,干预后两组第一秒用力呼气容积占预计值的百分率(FEV1%)、最大呼气流量(PEF)、用力肺活量(FVC)水平均升高,差异有统计学意义(P<0.05);干预后观察组患者FEV1%、PEF、FVC水平比对照组高,差异有统计学意义(P<0.05)。与干预前相比,干预后两组患者心理、生理、环境、社会关系、精神/宗教、独立性得分均升高,差异有统计学意义(P<0.05)。结论同伴支持干预应用于COPD患者,可提升患者自我管理水平,改善患者呼吸功能,提高患者生活质量。
Objective To discuss the impact of peer support on self-management and quality of life(QOL)of elder patients with chronic obstructive pulmonary disease(COPD).Methods 113 elder patients with COPD treated in geriatrics department of Zhejiang Integrated Traditional Chinese and Western Medicine Hospital from September 2018 to September 2019 were randomly divided into control group(56 cases)and observation group(57 cases)by computer random coding method.Patients in the control group received routine nursing intervention,while those in the observation group received peer support intervention on top of routine nursing.The self-management ability,lung function and QOL of the two groups were evaluated and compared.Results After the intervention,the scores of symptom management,emotion management,daily life management,self-efficacy and information management significantly increased in both groups(P<0.05)and were significantly higher in the observation group than in control group(P<0.05).After the intervention,the FEV1%,PEF and FVC increased in the two groups(P<0.05),and were significantly higher in the observation group than in control group(P<0.05).After the intervention,the psychological,physiological,environmental,social,spiritual/religious,and independence scores increased in both groups(P<0.05),and were significantly higher in the observation group than in control group(P<0.05).Conclusions Peer support intervention in patients with COPD can significantly improve their self-management ability,respiratory function and quality of life,which is worthy of.clinical application.
作者
刘苹
包晓萍
刘康敏
LIU Ping;BAO Xiao-ping;LIU Kang-min(Department of Geriatrics,Zhejiang Integrated Traditional Chinese and Western Medicine Hospital,Hangzhou,Zhejiang 310003,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
2020年第6期641-645,共5页
Chinese Preventive Medicine
基金
浙江省医药卫生科研基金项目(2017KY155)
