摘要
目的:探讨以思维导图为指导的优质护理在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法:选取2019年9日1日~2020年5月31日收治的60例COPD患者为研究对象,按照随机数字表法分为研究组和对照组各30例,对照组采取常规护理干预,研究组实施以思维导图为指导的优质护理;比较干预前、干预1个月后两组肺功能[包括一秒用力呼气容积(FEV1%)、每分钟通气量(VE)、肺活量(VC)]、COPD症状严重程度[采用COPD评估测试问卷(CAT)]、COPD相关知识水平、自我效能感[采用COPD自我效能感问卷(CSES)]及生活质量[采用生活质量综合评定问卷(GQOLI-74)]变化。结果:干预1个月后,两组FEV1%、VE、VC水平高于干预前(P<0.01,P<0.05),且研究组高于对照组(P<0.05);干预1个月后,两组COPD知识问卷、CSES评分高于干预前(P<0.01,P<0.05),且研究组高于对照组(P<0.05);干预1个月后,两组CAT评分低于干预前(P<0.01,P<0.05),且研究低于对照组(P<0.05);干预1个月后,两组GQOLI-74中躯体功能、心理功能、社会功能、物质生活状态、总体生活质量得分高于干预前(P<0.01),且研究组高于对照组(P<0.05,P<0.01);结论:以思维导图为指导的优质护理可有效改善COPD患者临床症状和肺功能,提高患者COPD相关知识水平和自我效能感,改善患者生活质量。
Objective:To explore the application of mind map guided quality nursing in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 cases of COPD patients were selected as subjects,and were divided into the study group and the control group with 30 cases in each group according to the random number table method.The control group adopted routine nursing intervention,and the study group was given mind map guided quality nursing.Comparison was made before intervention and 1 month after intervention between the two groups on the lung function[forced expiratory volume in one second(FEV1%),per minute ventilation(VE),forced vital capacity(VC)],COPD symptom severity by COPD assessment test question air(CAT),the level of COPD related knowledge,self-efficacy by COPD self-efficacy questionnaire(CSES)and quality of life by quality of life comprehensive evaluation questionnaire(GQOLI-74).Results:After 1 month of intervention,the FEV1%,VE,VC levels in both groups were higher than those before intervention(P<0.01,P<0.05),and those in the study group were higher than those in the control group(P<0.05);the COPD knowledge questionnaire scores and CSES scores in both groups were higher than those before intervention(P<0.01,P<0.05),and those in the study group were higher than those in the control group(P<0.05);the CAT scores were lower than those before intervention(P<0.01,P<0.05),and those in the study group were lower than those in the control group(P<0.05);and the physical function,psychological function,social function and material life state,the overall quality of life scores in GQOLI-74 in both groups were higher than those before intervention(P<0.01),and those in the study group were higher than those in the control group(P<0.05,P<0.01).Conclusion:Mind map guided quality nursing can effectively improve the clinical symptoms and lung function in COPD patients,improve the knowledge level and self-efficacy in COPD patients,and improve their quality of life.
作者
郭雅迪
吴燕
梁嘉欣
Guo Yadi;Wu Yan;Liang Jiaxin(Guangzhou First People′s Hospital,Guangzhou Guangdong 510180,China)
出处
《齐鲁护理杂志》
2021年第19期17-20,共4页
Journal of Qilu Nursing
关键词
思维导图
优质护理
慢性阻塞性肺疾病
肺功能
生活质量
Mind mapping
Quality nursing
Chronic obstructive pulmonary disease
Lung function
Quality of life
