摘要
目的构建并实施以个案管理师为主导的肺康复门诊,为慢性阻塞性肺疾病患者全程肺康复管理提供借鉴。方法构建由个案管理师,呼吸科、心理科、营养科、康复科医生组成的多学科团队,依托肺康复门诊,对106例慢性阻塞性肺疾病患者实施以个案管理师为主导的全程肺康复模式。评价入院时、出院前和出院后3个月患者的肺功能指标及入院时、出院前的健康心理控制源倾向。结果患者入院时、出院前和出院后3个月的肺功能指标比较,差异有统计学意义(均P<0.01);出院前患者健康心理控制源内控评分显著高于入院时,他控和机遇控评分显著低于入院时(均P<0.01)。结论依托肺康复门诊,实施以个案管理师为主导的全程肺康复模式,规范推进慢性阻塞性肺疾病患者肺康复开展,可以改善患者肺功能指标,提高患者健康心理控制能力,从而改善照护结局,提高患者生活质量。
Objective To construct and implement a case manager-led pulmonary rehabilitation outpatient clinic, and to provide refe-rence for the whole-course pulmonary rehabilitation management of COPD patients.Methods A case manager-led multidisciplinary team including respiratory physicians, psychological counselors, nutritionists and rehabilitation therapists was built and provided whole-course pulmonary rehabilitation for 106 COPD patients attending a pulmonary rehabilitation clinic. Parameters of pulmonary function were assessed at admission, before discharge and 3 months after discharge and locus of control at admission and before discharge was also evaluated.Results Significant differences in pulmonary function indexes were found at different time points(P<0.01 for all).The score of internal health locus of control was significantly higher before discharge than that at admission, whereas the scores of powerful others health locus of control and chance health locus of control were significantly lower before discharge compared with baseline values at admission(P<0.01 for all).Conclusion Case manager-led whole-course pulmonary rehabilitation in pulmonary rehabilitation clinic can standardize pulmonary rehabilitation practices for COPD patients, improve their pulmonary function and locus of control, thus to enhance care outcomes and patients′ quality of life.
作者
程鹤
刘晔
蒋岩
谷桂芳
訾希存
贺茜
Cheng He;Liu Ye;Jiang Yan;Gu Guifang;Zi Xicun;He Qian(Department of Respiratory Medicine,Qilu Hospital of Shandong University(Qingdao),Qingdao 266035,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第21期87-90,共4页
Journal of Nursing Science
基金
山东省重点研发计划项目(2019GSF108049)
山东大学齐鲁医院(青岛)护理科研创新项目(QDKY2019HL05)。
