摘要
目的了解老年慢性阻塞性肺疾病（COPD）患者医疗社会支持和自我感受负担现状，为护理人员更有针对性提高其社会支持，改善患者氧疗依从性和生命质量提供参考。方法采用方便抽样的方法对2014年1月在成都市4所三级甲等医院住院治疗的124例老年COPD患者进行问卷调查，并对调查结果进行分析。结果124例患者日常生活能力情况得分为（20．19±7．10）分，42例患者13常生活能力正常，44例患者存在缺陷，38例明显缺陷；16例患者所获医疗社会支持状况处于临界水平，66例所获医疗社会支持状况一般，42例所获医疗社会支持状况良好。不同日常生活能力的COPD患者医疗社会支持各维度中，实际性支持维度评分比较，差异有统计学意义，P〈0．05；其他维度评分比较差异无统计学意义，P〉0．05。使用系统家庭氧疗COPD患者自我感受负担得分为（18．65±3．97）分，未用氧疗患者自我感受负担得分为（17．69±6．24）分，二者比较差异有统计学意义，t=6．015，P〈0．05。使用系统家庭氧疗患者医疗社会支持得分为（282．11±37．47）分，未用氧疗患者医疗社会支持得分为（262．26±61．14）分，二者比较差异有统计学意义，t=6．624，P〈0．05。结论老年COPD患者整体医疗社会支持水平有待提高，照护者及医护人员可通过对家庭氧疗患者提供指导，
Objective To analyze the situation of medical social support and self-perceived burden in elderly patients with chronic obstructive pulmonary diseases （COPD） in Chengdu, explore the influence of medical social support for patients with family oxygen cure. Methods A convenient sampling was conducted in 4 hospitals in Chengdu, and selected totally 124 elderly patients with COPD in January 2013 as the research object. Results Those patients＇ average daily life ability score was （20.19±7.10） points, 42 cases＇ daily life ability was normal, 44 had deficiency in daily life, 38 had obvious flaws; 16 cases received medical social support condition at a critical level, 66 at a general level, 42 in good condition; the difference of the abihty of daily life between actual support and other supports was statistically significant （P〈 0.05）; the difference in patients with self-perceived burden and medical social support was not statistically significant （P 〉0.05）. Patients with long term oxygen therapy had higher self-perceived burden than patients without oxygen therapy at home [（15.65±3.97） points vs. （17.69±6.24） points, t=6.015, P〈0.05], but patients with long term oxygen therapy had better medical and social support condition than those without oxygen therapy at home [（282.11±37.47） points vs. （262.26±61.14） points, t=6.624, P〈0.05]. Conclusions The level of medical and social support in elderly patients with COPD need improve. Nurses need to provide better guidance for patients with long term oxygen therapy, ensure them obtain adequate information, improve their emotional support and social interaction, enhance their medical social support condition.
出处
《中国实用护理杂志》
2015年第22期1691-1694,共4页
Chinese Journal of Practical Nursing
关键词
老年人
肺疾病
慢性阻塞性
医疗社会支持
自我感受负担
Aged
Pulmonary disease, chronic obstructive
Medical social support
Self- perceived burden
