老年慢性阻塞性肺疾病患者出院后随访干预的应用效果

Application effect of hospital discharge follow-up intervention in elderly patients with chronic obstructive pulmonary disease

目的探讨出院后随访干预在慢性阻塞性肺疾病患者中的应用效果。方法将本院呼吸内科收治的112例老年慢性阻塞性肺疾病患者随机分为观察组和对照组各56例,在两组患者出院时均实施常规出院宣教,观察组在常规出院宣教基础上实施出院随访干预。分别对两组患者出院1、3、6个月时进行问卷调查,比较两组患者西雅图阻塞性肺疾病问卷(SOLDQ)及自我效能量表评分的差异。结果随访干预后观察组与对照组患者的自我效能量表总评分比较差异有统计学意义(P<0.05);随访干预后两组患者在SOLDQ得分方面比较差异有统计学意义(P<0.05)。结论出院后随访干预可提高阻塞性肺疾病患者的自我效能,可明显改善患者心理及社会功能,显著提高了患者的生活质量。

Objective To discuss the application effect of hospital discharge follow-up intervention in elderly patients with chronic obstructive pulmonary disease （COPD）. Methods One hundred and twelve elderly patients suffered from COPD admitted into our respiratory medicine department were randomly divided into observation group （n = 56） and control group （n = 56）. The conventional health care knowledge was informed in both groups after being discharged. While in observation group, follow-up intervention was additionally implemented. Questionnaire survey was conducted to participants in both groups after discharge in one, three, and six months respectively. Differences of seattle obstructive lung disease questionnaire （SOLDQ） and self-efficacy scale score were compared in the two groups. Results Through follow-up intervention, there were significant differences in total scores of self-efficacy scale and scores of SOLDQ between observation group and control group （P 0.05）. Conclusion The hospital discharge follow-up intervention can enhance self-efficacy of COPD patients, significantly improve their psychological and social function, and remarkably advance their quality of life.