医院-社区-家庭联动护理模式对慢性阻塞性肺疾病患者自我管理行为及肺功能恢复的影响

Influence of hospital-community-family linkage nursing model on self-management behavior and pulmonary function recovery of patients with chronic obstructive pulmonary disease

目的探讨医院-社区-家庭联动护理模式对慢性阻塞性肺疾病(COPD)患者应用效果。方法选择2018年3月—2019年10月本院收治的86例COPD患者为研究对象,按随机数表法分为对照组和观察组两组,每组各43例。对照组给予常规护理,观察组在对照组基础上采用医院-社区-家庭联动护理模式。干预前和干预6个月后对比两组自我管理行为、肺功能及生活质量。结果干预前,两组自我管理行为、肺功能、生活质量比较,差异无统计学意义(P>0.05);干预6个月后,两组自我管理行为评分与肺功能指标均高于干预前,差异有统计学意义(P<0.05);干预6个月,观察组自我管理行为评分、肺活量(VC)、第1秒用力呼气容积(FEV1)分别为(145.53±9.47)分、(2.73±0.52)L、(1.89±0.51)L,高于对照组的(129.74±10.38)分、(2.14±0.17)L、(1.47±0.38)L,差异均有统计学意义(P<0.05);观察组生活质量评分为(49.87±6.74)分,低于对照组的(56.77±6.39)分,差异有统计学意义(P<0.05)。结论医院-社区-家庭联动护理模式能够提高COPD患者自我管理行为,改善肺功能及生活质量。

Objective To explore the application effect of hospital-community-family linkage nursing mode in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 86 patients with COPD admitted to our hospital from March 2018 to October 2019 were selected as the research object and they were divided into control group and observation group according to random number table method,with 43 patients in each group.The control group was given routine nursing,and the observation group was given hospital-community-family linkage nursing mode on the basis of the control group.Self-managed behavior,lung function,and quality of life were compared between the two groups before intervention and 6 months after intervention.Results Before intervention,there were no significant differences in self-management behavior,lung function and quality of life between the two groups(P>0.05).After 6 months of intervention,the self-management behavior score and pulmonary function indexes in both groups were higher than those before intervention,with statistical significance(P<0.05).After 6 months of intervention,the self-management behavior score,vital capacity(VC)and forced expiratory volume(FEV1)of the observation group were(145.53±9.47)points,(2.73±0.52)L and(1.89±0.51)L,respectively,which were higher than those of the control group[(129.74±10.38)points,(2.14±0.17)L and(1.47±0.38)L],with statistical significance(P<0.05).The quality of life score of the observation group was(49.87±6.74)points,which was lower than(56.77±6.39)points of the control group,the difference was statistically significant(P<0.05).Conclusions Hospital-community-family linkage nursing mode could improve self-management behavior,lung function and quality of life of patients with COPD.