医护合作型团队干预对医养结合机构慢性病患者自我效能及生活质量的影响

Effect of Medical Cooperation Team Intervention on Self-efficacy and Quality of Life of Patients with Chronic Diseases in Medical and Nursing Institutions

【目的】探讨医护合作型团队干预对医养结合机构慢性病患者自我效能及生活质量的影响。【方法】选择本医养结合机构收治的120例慢性病患者,采用前瞻性研究的方法随机分为观察组和对照组,每组各60例。对照组给予慢性病患者常规护理干预,试验组联合应用医护合作型团队干预。干预3个月,比较两组患者自我效能、服药依从性、生活质量等指标。【结果】两组均完成研究各58例。随访3个月,两组患者症状管理评分均明显高于干预前,观察组患者症状管理、情绪控制、沟通功能等评分明显高于对照组,其差异均有统计学意义(P<0.05)。随访3个月,两组患者服药依从性均明显高于干预前,观察组患者服药依从性为96.55%(56/58),高于对照组的86.21%(50/58),差异均有统计学意义(P<0.05)。随访3个月,两组患者躯体功能等评分均明显高于干预前,观察组躯体功能、情绪功能、认知功能评分明显高于对照组,差异有统计学意义(P<0.05)。【结论】医护合作型干预有助于促进慢性病患者自我效能的养成,提高服药依从性,改善患者生活质量。

【Objective】To explore the effect of medical cooperation team intervention on self-efficacy and quality of life of patients with chronic diseases in medical and nursing institutions.【Methods】A total of 120 patients with chronic diseases admitted to our hospital were randomly divided into observation group and control group,60 cases in each group.The control group was given routine nursing intervention for patients with chronic diseases,and the experimental group was intervened by medical cooperation team.After 3 months of intervention,the self-efficacy,medication compliance and quality of life were compared between the two groups.【Results】Both groups completed the study with 58 cases in each group.After 3 months of follow-up,the symptom management scores of the two groups were significantly higher than those before the intervention,and the scores of symptom management,emotional control and communication function in the observation group were significantly higher than those in the control group(P<0.05).After 3 months of follow-up,the medication compliance of the two groups was significantly higher than that before the intervention.The medication compliance of the observation group was 96.55%(56/58),which was higher than 86.21%(50/58)of the control group,and the differences were statistically significant(P<0.05).After 3 months of follow-up,the scores of physical function,emotional function and cognitive function in the observation group were significantly higher than those in the control group(P<0.05).【Conclusion】Medical cooperation intervention can promote the development of self-efficacy of patients with chronic diseases,improve medication compliance,and improve the quality of life of patients.