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·胸部疾病·

护理干预对慢性阻塞性肺疾病稳定期患者自我管理能力的影响 研究

作者:张真真

所属单位:河南省漯河市第三人民医院呼吸内科 (河南 漯河 462000)

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摘要

目的 研究护理干预对慢性阻塞性肺疾病(COPD)稳定期患者自我管理能力的影响。方法 选取我院2014年9月-2015年 6月呼吸科收治病情稳定主治医生获准出院的80例COPD患者,分配为对照组(40例)和实验组(40例),对照组:实行 常规护理,出院时行常规的COPD疾病护理指导和出院后电话指导;实验组:在实行常规的护理基础上还接受4个月 的护理干预,干预方案由我院呼吸科成立的专业小组实行;采取《慢阻肺自我管理表》对对照组和实验组干预前后 均实行测评,并统计分析结果。结果 实验组干预前自我管理能力得分明显比干预后分值低,干预前和干预后比较 差异具有统计学意义(P<0.05);实验组干预后分值比对照组分值明显高,两组间差异具有统计学意义(P<0.05)。结 论 护理干预能够对COPD稳定期患者的自我管理能力能够有效的提高,有效的提高医护人员的干预水平,值得临床 上采用和推广。

Objective To study the effect of nursing intervention on self-management ability of patients with chronic obstructive pulmonary disease (COPD) in stable stage. Methods From Sep. 2014 to Jun. 2015, a total of 80 patients with stable COPD allowed to discharge in our respiratory department were divided into control group(40 cases) and experimental group(40 cases). Both groups were given routine nursing, conventional nursing guidance at discharge time and telephone instruction after discharge, besides, the experimental group was given additional nursing intervention for 4 months (the intervention program was implemented by a professional team established in our department of respiration). The two groups were evaluated by "slow lung obstruction self-management table", and their results were statistically analyzed. Results After intervention, the self-management ability score in the experimental group was significantly increased, and the difference before and after intervention was statistically significant (P<0.05), the selfmanagement ability score in the experimental group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Nursing intervention can effectively improve not only the self-management ability of patients with stable COPD, but also the intervention level of medical staff. Thus, it is worthy of clinical application and promotion.

【关键词】护理干预;慢性阻塞性肺疾病;自我管理能力;临床价值

【中图分类号】R563.3;R473.5

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.06.005

前言

慢性阻塞性肺疾病 ( C h r o n i c o b s t r u c t i v e pulmonary disease,COPD)在临床上被简称为慢阻 肺,是一类破坏性肺疾病,在呼吸系统中的疾病发生 率高,严重降低了人类的生活质量水平,加大了经济 压力,主要的临床症状有慢性咳嗽、咳痰、气短或者 呼吸困难、喘息或者胸闷,但慢阻肺是一类可以预防 和治疗的慢性炎症性呼吸道疾病,在当前的临床治疗 上无法将慢阻肺治疗痊愈,慢阻肺患者病情一般为稳定期,发病急且住院时间短[1-2]。在国际上的研究文 献表示,慢阻肺如做到对自我进行专业的护理,能够 提高慢阻肺患者的生活质量,降低慢阻肺患者的经济 压力,因而有必要提高患者的自身护理能力,但患者 的自我护理能力的提高医护人员具有一定的责任和义 务,也是医护人员所关心的重点[3]。对此我院2014年 9月~2015年6月呼吸科收治的80例COPD患者,均于病 情稳定主治医生获准出院,成立干预小组并实行护理干预方案,记录详细过程,分析过程和结果,最后得 出结论,为提高COPD患者的自我管理能力,为临床提 供可有力的参考,过程如下。