无缝隙护理管理应用于慢性阻塞性肺疾病中的效果观察

Evaluation of Seamless Nursing Management in Chronic Obstructive Pulmonary Disease

目的探讨无缝隙护理管理措施在慢性阻塞性肺疾病治疗中的应用效果分析。方法选取我院2014年1月-2016年1月期间收治的66例慢性阻塞性肺疾病患者作为本研究对象,按随机数字表的方法分为观察组和对照组,各33例。对照组仅实施常规的院内健康教育,观察组则实施医院到社区的无缝隙护理管理模式。分别就2组的治疗依从性、自我管理能力等相关指标进行客观比较,同时采用圣乔治呼吸问卷调查表对2组的生活质量进行比较。结果经比较,观察组的治疗总依从性率明显更高于对照组(P <0.05);观察组的自我管理能力相关指标明显更优于对照组(P <0.05);同时,观察组治疗后患者的症状、活动能力以及日常生活影响评分亦明显更优于对照组和治疗前,差异有统计学意义(P <0.05)。结论无缝隙护理管理可以有效提高慢性阻塞性肺疾病患者健康知识知晓率,促进患者对自身疾病的有效管理,以及预后的生活质量,因而值得临床中推广应用。

Objective To explore the seamless nursing management measures in the analysis of application effect in the treatment of chronic obstructive pulmonary disease. Methods 66 cases of patients with chronic obstructive pulmonary disease admitted in our hospital from January 2014 to January 2016 were randomly divided into observation group(n = 33) and control group(n = 33). The control group was only given the regular hospital health education, and the observation group was given seamless nursing management model from hospital to the community. The treatment adherence and self-management ability of the two groups were compared objectively, and the quality of life of the two groups was compared by St. George’s Respiratory Questionnaire. Results The total compliance rate is significantly higher in the observation group than in the control group(P < 0.05);the self-management ability index is significantly better in the observation group than in the control group(P < 0.05). At the same time, the symptoms, activities and daily life impact scores of the patients in the observation group after treatment were significantly better than those in the control group and before treatment, and the difference was statistically significant(P < 0.05). Conclusion Seamless nursing management can effectively improve the awareness rate of health knowledge of patients with chronic obstructive pulmonary disease, promote the effective management of their own diseases, and the quality of life of prognosis, so it is worthy of clinical application.