延续护理对慢性阻塞性肺疾病患者生存质量的影响

The effects of transitional care on the quality of life in patients with chronic obstructive pulmonary disease

目的探讨延续护理对慢性阻塞性肺疾病(COPD)患者生存质量的影响。方法选择广州市某三级甲等综合性医院住院的COPD患者56例进行延续护理,患者出院前1周进行全面的护理评估并制订出院护理处方,出院后对患者进行随访3个月,同时采用圣乔治呼吸问卷(St George's Respiratory Questionnaire,SGRQ)、12项一般健康问卷(12-item General HealthQuestionnaire,GHQ-12)、体质指数(Body Mass Index,BMI)进行评定,比较干预前后患者生存质量。结果实施延续护理后,SGRQ中症状、活动受限、疾病影响各维度及总分、患者心理障碍发生率较干预前均有所下降,BMI较干预前有所提高,差异有统计学意义(P<0.01)。结论延续护理可提高COPD患者的生存质量。

Objectives To evaluate the effect of transitional care on the quality of life in patients with chronic obstructive pulmonary disease（COPD）. Methods Fifty-seven COPD inpatients were recruited and received transitional care. During hospi- talization,the nurses conducted comprehensive nursing assessment for the patients and developed a discharged nursing pre- scription. After discharge ,the patients received the follow-up intervention for three months,compared the patient＇s quality of life before and after the intervention. The patient were assessed by the St George＇s Respiratory Questionnaire （SGRQ）,12-item General Health Questionnaire（GHQ-12） and the body mass index（BMI）. Results After transitional care,the factors scores of sympt0ms,activity and impacts in SGRQ as well as the rate of mental disorders were significantly lower than before（P〈0.01）, the BMI was significantly increased after the intervention（P〈0.01）. Conclusion Transitional care can improve the quality of life in COPD patients.