赋能理论在慢性阻塞性肺疾病患者延续护理中的应用

Application of Empowerment Theory in the Continuous Nursing of Patients with Chronic Obstructive Pulmonary Disease

目的:探究赋能理论在慢性阻塞性肺疾病(COPD)患者延续护理中的应用效果。方法:选取2017年1月-2019年12月新乡市中心医院收治的180例COPD患者作为研究对象,随机分为对照组和观察组,每组各90例。对照组予以常规延续护理,观察组予以基于赋能理论的延续护理,两组患者均于出院后干预3个月。比较两组患者干预前后疾病控制情况[CODP评估测试(CAT)]、心理状态[12项一般健康问卷(CHQ-12)]、自我护理能力[自我护理能力测量表(ESCA)]及生存质量[圣乔治呼吸问卷(SGRQ)]。结果:干预后与对照组相比,观察组CAT评分、SGRQ评分及心理障碍发生率均明显更低,ESCA评分则明显更高,组间比较差异有统计学意义(t=10.954、4.012、4.766,P<0.05;t=6.161,P<0.05)。结论:予以COPD患者基于赋能理论的延续护理,可帮助患者更好的控制病情,改善不良情绪,提高自我护理能力,提升生存质量。

Objective: To explore the application effects of empowerment theory in the continuous nursing of patients with chronic obstructive pulmonary disease(COPD). Methods: A total of 180 patients with COPD admitted to the hospital from January2017 to December 2019 were selected as the research subjects, and they were randomly divided into the control group and the observation group, with 90 cases in each group. The control group received routine continuous nursing while the observation group was given empowerment theory-based continuous nursing. Both groups of patients were intervened for 3 months after discharge.The disease control status(CODP Assessment Test [CAT]), psychological status(12-item General Health Questionnaire [CHQ-12]),self-care ability(Exercise of Self-Care Agency [ESCA]) and quality of life(St.George’s Respiratory Questionnaire [SGRQ]) were compared between the two groups before and after intervention. Results: After the intervention, compared with the control group,the CAT score, SGRQ score and the incidence of psychological disorders in the observation group were significantly lower, while the ESCA score was significantly higher, and the differences between the groups were statistically significant(t=10.954, 4.012,4.766, P<0.05, t=6.161, P<0.05). Conclusion: Empowerment theory-based continuous nursing for patients with COPD can help better control the disease condition, improve adverse emotions, enhance the self-care ability, and promote the quality of life.