基于数字化平台KTH模式对COPD稳定期患者生活质量的干预效果

Intervention effect of life quality of COPD patients in stable stage by KTH model based on digitization

目的评价基于数字化平台知信行、跨理论和健康信念3种模式融合而成的护理干预模式(KTH模式)对慢性阻塞性肺疾病(COPD)稳定期患者生活质量的干预效果。方法收集西南交通大学附属医院暨成都市第三人民医院诊治的2018年1月-2019年7月200例COPD稳定期患者,随机分为实验组和对照组,其中实验组行数字化平台KTH整合式护理,对照组行常规护理。结果KTH组肺功能指标二氧化碳分压(PaCO_(2))、动脉血氧分压(Pa0_(2))、最大用力呼气峰流量(PEF)的改善均优于对照组(P<0.05);第1秒用力呼气量(FEV,)未见明显改变(P>0.05);与对照组相比,KTH组COPD患者生活质量评估(CAT)、一般效能(GSES)、汉密顿焦虑(HAMA)、汉密顿抑郁(HAMD)评分明显优于对照组,差异有统计学意义(P<0.05)。结论基于数字化平台KTH模式对提高COPD稳定期患者肺功能的作用明显,预后良好。

Objective To evaluate the intervention effect of KTH model based on digitization in improving the quality of life of COPD patients in stable stage.Methods 200 patients from January 2018 to July 2019 in our hospital were randomly divided into two groups(KTH group and control group).Results Compared with the control group,the improvement of pulmonary function indexes(PaC02 xPa02,PEF)in KTH group were better,and the difference was significant(P<0.05).The same result was also shown in the score of CAT,HAMA and HAMD(P<0.05).However,FEV,was not changed(P>0.05).Conclusion The quality of life of COPD patients in stable stage is effectively improved by KTH model based on digitization.