摘要
目的 探析基于医共体共享平台的延续性护理对中重度慢性阻塞性肺疾病(COPD)稳定期患者家属照护能力的影响。方法 选取2021年6月-2022年5月于南通瑞慈医院诊治的120例中重度COPD稳定期患者,根据不同护理模式分为2组:常规护理组与延续护理组,每组60例。常规护理组实施常规护理,延续护理组实施基于医共体共享平台的延续性护理,对比2组患者家属的照护能力(ECTI评分)以及患者的负性情绪(SAS评分、SDS评分)、肺功能(FEV_(1)、FVC、FEV_(1)/FVC)、运动耐力(6 min步行试验)、自我护理能力(ESCA评分)、健康行为(HPL评分)、生活质量(CAT评分)以及护理满意度。结果 延续护理组患者家属护理后的ECTI评分低于常规护理组(P<0.05);延续护理组患者护理后的SAS、SDS评分低于常规护理组(P<0.05);延续护理组患者护理后的FEV_(1)、FVC、FEV_(1)/FVC高于常规护理组(P<0.05);延续护理组患者护理后的6 min步行距离大于常规护理组(P<0.05);延续护理组患者护理后的ESCA评分高于常规护理组(P<0.05);延续护理组患者护理后的HPL评分高于常规护理组(P<0.05);延续护理组患者护理后的CAT评分低于常规护理组(P<0.05);延续护理组患者的护理满意度为98.33%,高于常规护理组的86.67%(P<0.05)。结论 基于医共体共享平台的延续性护理在中重度COPD稳定期患者中的实施效果较好,能够提高家属照护能力,改善患者负性情绪,增强肺功能、运动耐力、自我护理能力,改善健康行为与生活质量,护理满意度较常规护理显著提高。
Objective To explore the efect of continuous nursing based on the medical community sharing platform on the nursing ability of family members of patients with moderate to severe COPD in stable stage.MethodsFrom June 2021 to May 2022,120 patients with moderate to severe COPD in stable stage diagnosed and treated in our hospital were selected and divided into groups according to different nursing modes:routine nursing group and continuous nursing group,with 60 cases in each group.The routine nursing group received routine nursing,and the continuous nursing group implemented continuous nursing based on the medical community sharing platform.The nursing ability(ECTI score),negative emotions(SAS score,SDS score),pulmonary function of the family members of the two groups of patients were compared between the two groups.(FEVr,FVC,FEV,/FVC),exercise tolerance(6 min walk test),self-care ability(ESCA score),health behavior(HPL score),quality of life(CAT score),and nursing satisfaction.ResultsThe ECTI score of the patients in the extended nursing group after nursing was lower than that in the routine nursing group(P<0.05);the SAS and SDS scores of the patients in the extended nursing group after nursing were lower than those in the routine nursing group(P<0.05);FEVi,FVC and FEV,/FVC were higher than those in the routine nursing group(P<0.05).The 6 min walking distance after nursing in the continuous nursing group was greater than that in the routine nursing group(P<0.05).The ESCA score of the patients in the continuous nursing group afer nursing was higher than that in the routine nursing group(P<0.05).The HPL score of the patients in the continuation nursing group afer nursing was higher than that of the routine nursing group(P<0.05).The CAT score of the patients in the continuation nursing group afer nursing was lower than that of the routine nursing group(P<0.05).The nursing satisfaction of the patients in the continuation nursing group degree(98.33%)was higher than that of the routine nursing group(86.67%)(P<0.05).Concl
作者
胡传凤
Hu Chuanfeng(The Nantong Ruici Hospital(The Fourth Clinical Medical College),Nantong,Jiangsu 2226010)
出处
《基层医学论坛》
2023年第21期16-19,共4页
The Medical Forum
关键词
中重度COPD稳定期
医共体共享平台
延续性护理
家属照护能力
肺功能
生活质量
Moderate to severe COPD stable period
Medical community sharing plaform
Continuous nursing
Family care ability
Pulmonary function
Quality of life
