基于慢性疾病轨迹模式护理干预在慢性阻塞性肺疾病患者中的应用效果分析

Analysis aboutapplication effect of nursing intervention based on chronic illness trajectory model in patients with chronic obstructive pulmonary disease

目的 探讨基于慢性病轨迹模式护理干预在慢性阻塞性肺疾病(COPD)患者中的运用效果。方法 选取2019年1月-2020年11月就诊于本院的92例COPD患者作为研究对象,按随机数字表法分为两组,各46例。对照组给予常规护理,在此基础上,观察组实施基于慢性病轨迹模式护理干预,持续3个月。比较两组体重指数、气流受限、呼吸困难、运动耐力(BODE)指数、COPD评估测试量表(CAT)评分及生活质量[圣乔治呼吸问卷(SGRQ)]。结果 观察组干预后BODE指数、CAT及SGRQ评分均低于对照组,差异有统计学意义(P <0.05)。结论 基于慢性病轨迹模式护理干预能够改善COPD患者健康状况,减轻疾病症状,有效提升生活质量。

Objective To explore the effect of nursing intervention based on chronic disease trajectory model in patients with chronic obstructive pulmonary disease(COPD).Methods 92 patients with COPD treated in our hospital from January 2019 to November 2020 were selected as the research objects.They were randomly divided into two groups,with 46 cases in each group.The control group was given routine nursing.On this basis,the observation group implemented nursing intervention based on chronic disease trajectory model for three months.The body mass index,airflow restriction,dyspnea,exercise endurance(BODE)index,COPD evaluation test scale(CAT)score and quality of life[through St.George's Respiratory Questionnaire(SGRQ)]were compared between the two groups.Results After intervention,BODE index,CAT and SGRQ scores in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on chronic disease trajectory model can improve the health status of COPD patients,reduce disease symptoms and effectively improve the quality of life.