摘要
[目的]探讨三主体双轨道交互式护理干预模式在空巢老年慢性阻塞性肺气肿病人中的应用效果。[方法]选取2013年12月—2015年12月我院门诊确诊的慢性阻塞性肺气肿病人132例,按照单纯随机抽样的方式分为研究组和对照组;对照组病人采用常规化的护理方法,即病人在出院后进行电话回访1次,提供给病人相应的自我管理的知识和宣传教育;研究组病人采用三主体双轨道交互式护理干预模式,构建以空巢老年慢性阻塞性肺气肿病人及医院专科护士为主体的医院延续护理干预轨道和以空巢老年慢性阻塞性肺气肿病人及社区护士为主体的社区干预轨道,增强三主体双轨道的交互作用;干预3个月后评估两组病人生活质量焦虑自评量表(SAS)与抑郁自评量表(SDS)评分以及总有效率、满意度。[结果]研究组病人总体健康得分(61.6分±4.6分)高于对照组(53.6分±3.7分),研究组病人SAS与SDS评分低于对照组,研究组病人的总有效率(92.4%)高于对照组(60.6%),研究组病人的满意度(97.0%)高于对照组(72.7%),两组比较差异均有统计学意义(P<0.05)。[结论]三主体双轨道交互式护理干预模式激发病人的主观能动性,改善病人的心理状态,提高病人的生存质量。
Objective： To probe into the application effect of three main body double track interactive nursing model used for the empty nester patients with chronic obstructive pulmonary emphysema. Methods： A total of 132 patients with chronic obstructive pulmonary emphysema diagnosed in our hospital from December 2013 to December 2015 were divided into experimental group and control group according to the simple random sampling method. Patients in control group were treated with routine nursing care：one call return visit service after discharge, which provided the knowledge of self - management and education to the patients;patients in experimental group were treated with the three main body double track interactive nursing model to build two continuous nursing intervention tracks：one is between empty nester with chronic obstructive emphysema and hospital nurses,and the other one is between empty nester with chronic obstructive emphysema and community nurses to enhance the interaction of three main body double track. The quality of life score,SAS/SDS scores, efficiency and satisfaction degree of patients in the two groups were assessed after three months of intervention. Results： After intervention,the overall health score of patients in experimental group（61. 6±4. 6） was higher than that in control group（53. 6±3. 7） ;the SAS and SDS scores of patients in experimental group were lower than that in control group;the total efficiency score of patients in experimental group（92. 4 % ） was higher than that in the control group（60. 6%） ; the satisfaction of patients in the experimental group（97. 0%） was higher than the control group（72. 7%） ;all the difference was statistically significant（P 〈0. 05）. Conclusions： Using the three main body double track interactive nursing model could stimulate the patient＇s subjective initiative, improve the patient＇s psychological state and quality of life.
出处
《护理研究（上旬版）》
2016年第10期3479-3482,共4页
Chinese Nursing Researsh
基金
国家临床重点专科建设项目经费资助
编号:2012-649
关键词
慢性阻塞性肺气肿
三主体双轨道交互式护理干预模式
空巢老人
社区护士
专科护士
延续性护理
chronic obstructive pulmonary emphysema
three main body double track interactive nursing model
empty nester
community nurses
nurse specialist
continuing nursing
