专职慢病管理对慢性阻塞性肺疾病患者居家自我管理效能及心理状态的影响

Effect of Full-Time Chronic Disease Management on Home Self-Management Efficacy and Psychological Status of Patients with Chronic Obstructive Pulmonary Disease

目的探究专职慢病管理对慢性阻塞性肺疾病(COPD)患者居家自我管理效能及心理状态的影响。方法选择医院2020年9月至2021年9月收治的COPD患者80例,按管理方式的不同分为观察组(居家自我管理方式)及对照组(基础干预),各40例。结果与对照组比较,观察组患者干预后的焦虑自评量表、抑郁自评量表评分均明显降低(P<0.05);观察组患者干预后的情绪、信息、自我效能、症状和日常生活管理评分的各项自我管理能力评分SAS、SDS均明显升高(P<0.05);观察组患者后的睡眠质量评分明显降低(P<0.05);观察组干预后的Brathel指数明显升高(P<0.05)。结论专职慢病管理下的居家自我管理的方式,可降低COPD患者不良心理状态,改善自我管理能力评分,提升生活自理能力,改善睡眠质量评分。

Objective To investigate the effect of full-time chronic disease management on home self-management efficacy and psychological status of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 80 patients with COPD admitted to the hospital from September 2020 to September 2021 were selected and divided into observation group(home self-management mode)and control group(basic intervention)according to different management modes,with 40 cases in each group.Results After the intervention,the scores of the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)in the observation group were significantly lower than those in the control group(P<0.05),the SAS and SDS scores of emotion,information,self-efficacy,symptoms and daily life management in the observation group were significantly higher than those in the control group(P<0.05),the sleep quality score in the observation group was significantly lower than those in the control group(P<0.05),the brashel index in the observation group was significantly higher than those in the control group(P<0.05).Conclusion The home self-management based on the full-time chronic disease management can reduce the bad psychological state of COPD patients,improve the self-management ability score,improve the self-care ability,and improve the sleep quality score.