摘要
目的观察延续性随访护理方案对慢性阻塞性肺疾病(COPD)稳定期患者正确使用气雾剂治疗的影响。方法个案护士对40例COPD稳定期出院的患者于出院前制定个体化的出院计划,提供常规的出院健康教育,并进行出院后延续性随访护理(2次上门访视和4次电话随访)。由个案护士使用问卷评估家庭随访前后患者正确使用气雾剂的情况,干预前后的数据采用卡方检验进行统计学分析。结果出院前患者使用气雾剂的合格率为25%;第2次家庭随访后,患者使用气雾剂合格率为95%,合格率明显高于出院前(P<0.05)。结论延续性随访护理方案可以明显改善稳定期COPD患者使用气雾剂的行为,有效提高患者对正确使用气雾剂的掌握程度,保证药物的临床疗效。
Objective To explore the effects of continuous visiting nursing care on using of inhalation in patients with stable chronic obstructive pulmonary disease（COPD）. Methods Case Nurse made individual plans for the patients of stable COPD be- fore they discharged, offered the healthy knowledge and used continued revisit nursing,which included 2 home revisit and 4 tele- phones follow-up. Before and after the home follow-up, Case Nurse evaluated the patients＇ state of using inhalation aerosol. The data was tested with chi-square test. Results The percentage of patients who could use aerosol correctly was 25% before dis- charge and 95% after the continuous visiting nursing care. The patients can use inhalation aerosol accurately after the continuous visiting nursing care （P 〈 0.05 ）. Conclusion The continuous visiting nursing care can efficiently improve the using of inhalation in patients with COPD,increase the clinical effect of inhalation aerosol.
出处
《中华全科医学》
2012年第3期481-481,491,共2页
Chinese Journal of General Practice
关键词
延续性随访护理
慢性阻塞性肺疾病
气雾剂
Continuous visiting nursing care
Chronic obstructive pulmonary disease
Inhalation aerosol
