摘要
目的探讨家庭养疗分级管理模式在老年COPD患者院外护理中的应用效果。方法采用以社区为单位的整群分组法,将2个社区中老年COPD稳定期患者随机分为观察组(n=33)和对照组(n=31)。观察组接受家庭养疗分级管理,对照组接受社区慢性病常规护理,采用自我护理能力测定量表(ESCA)和健康促进生活方式量表(HPLP)比较两组干预效果,统计两组干预期间COPD急性发作情况。结果干预前,两组患者ESCA量表和HPLP量表各维度得分比较,差异均无统计学意义(P>0.05)。干预12个月后,观察组患者ESCA量表健康知识水平维度(41.76±6.20)分、自我责任感维度(22.94±8.22)分、自我护理技能维度(25.85±6.46)分,均高于对照组,差异有统计学意义(t值分别为2.894、4.138、6.096;P<0.05);观察组HPLP量表健康责任维度(23.79±7.44)分,精神成长维度(16.70±3.73)分,压力管理(17.09±5.44)分,人际关系(17.97±4.54)分,体育运动(15.70±4.57)分,营养(16.70±4.10)分,均高于对照组,差异均有统计学意义(t值分别为3.184、3.365、3.212、5.277、5.131、4.589;P<0.05)。干预12个月内,观察组中无COPD急性发作患者11例,对照组4例,两组比较差异有统计学意义(Z=2.166,P<0.05)。结论家庭养疗分级管理能够有效提升老年COPD患者家庭氧疗及康复训练依从性,从而改善患者预后。
Objective To explore the effect of hierarchical management mode in family rehabilitation in out-of-hospital nursing of elderly patients with chronic obstructive pulmonary disease (COPD). Methods The elderly patients with COPD at stable stage in two communities were divided into the observation group (n=33) and the control group (n=31) based on the unit of community. The observation group was managed by family oxygen therapy and rehabilitation training guided by hierarchical management mode, while the control group received routine community care for chronic diseases. Exercise of Self-Care Agency Scale (ESCA) and Health Promoting Lifestyle Profile (HPLP) were used to compare the intervention effect of the two groups and count the acute episodes of COPD during the intervention period of the two groups. Results Before intervention, there were no statistical differences in both of the dimensional scores of ESCA and HPLP scales between the two groups (P> 0.05). After 12 months of intervention, the dimensional scores of "health knowledge"(41.76±6.20),"self-responsibility"(22.94±8.22), and "self-nursing skills"(25.85±6.46) in ESCA of the observation group were higher than those of the control group with statistical significance (t=2.894, 4.138, 6.096;P< 0.05);in the observation group, the dimensional score of "health responsibility" was (23.79±7.44),"mental growth" was (16.70±3.73),"stress management" was (17.09±5.44),"interpersonal relationship" was (17.97±4.54),"sports activity" was (15.70±4.57),"nutrition" was (16.70±4.10), all higher than the control group with statistical significance (t=3.184, 3.365, 3.212, 5.277, 5.131, 4.589;P<0.05). Within the 12 months of intervention, there were 11 cases in the observation group and 4 cases in the control group without acute episodes of COPD, and the difference was statistically significant (Z=2.166, P<0.05). Conclusions Hierarchical management mode infamily rehabilitation can effectively improve the elderly COPD patients' compliance of family oxygen therapy and reha
作者
崔嬿嬿
王晓东
崔凌涵
Cui Yanyan;Wang Xiaodong;Cui Linghan(Department of Critical Care Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China;Department of Respiratory Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)
出处
《中华现代护理杂志》
2019年第28期3588-3592,共5页
Chinese Journal of Modern Nursing
基金
2015河南省科技攻关计划项目(15A320079).
关键词
老年人
肺疾病
慢性阻塞性
分级管理
社区管理
稳定期
Aged
Pulmonary disease, chronic obstructive
Hierarchical management
Community management
Stable stage
