问题导向模式联合预知护理在慢性阻塞性肺疾病患者中的应用

Application of Problem-Oriented Model Combined with Predictive Care in Patients with COPD

目的:探讨问题导向模式联合预知护理在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法:选取2022年1月1日~2023年1月1日收治的120例COPD患者作为研究对象,遵循抽签双盲法分为对照组和研究组各60例,对照组实施预知护理干预,研究组在对照组基础上实施问题导向模式;比较两组干预前后肺功能指标、生活质量[采用圣乔治呼吸问卷(SGRQ)]、自我管理能力(采用自我管理量表)、自我护理能力[采用自我护理能力测定量表(ESCA)],并发症发生情况。结果:干预后,研究组肺功能各项指标、SGRQ评分、自我管理能力均优于对照组(P<0.01);干预后,两组ESCA评分均高于干预前(P<0.01),且研究组高于对照组(P<0.01);研究组并发症发生率低于对照组(P<0.05)。结论:问题导向模式联合预知护理在COPD患者中效果显著,可以有效改善患者肺功能,提高患者生活质量、自我护理及自我管理能力,从而降低并发症发生率。

Objective:To investigate the application effect of problem-oriented model combined with predictive care in patients with chronic obstructive pulmonary disease(COPD).Method:A total of 120 COPD patients admitted to our hospital from January 1,2022 to January 1,2023 were selected as the study subjects.They were divided into control group and study group,with 60 cases in each group,using a double-blind lottery method.The control group implemented predictive care intervention,while the research group implemented a problem-oriented model on the basis of the control group.The lung function indicators,quality of life using the St.George′s Respiratory Questionnaire(SGRQ),self-management ability using the self-management scale,self-care ability using the Exercise of Self-Care Agency Scale(ESCA),and complications were compared between the two groups before and after intervention.Results:After intervention,the study group had better lung function indicators,SGRQ score,and self-management ability than those of the control group(P<0.01).After intervention,the ESCA scores of both groups were higher than before intervention(P<0.01),and the study group was higher than the control group(P<0.01).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:The problem-oriented model combined with predictive care has a significant effect on COPD patients,which can effectively improve lung function,enhance their quality of life,self-care and self-management abilities,and reduce the incidence of complications.