多学科协作下的延续护理模式在慢性阻塞性肺疾病患者中的应用效果

Application Effect of Continuous Care Model Under Multidisciplinary Collaboration in Patients with Chronic Obstructive Pulmonary Disease

目的探讨多学科协作下的延续护理在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2020年3月至2022年9月河南省直属机关第二门诊部出院的86例COPD患者作为研究对象,按随机数字法分为观察组(43例)和对照组(43例),对照组接受常规延续护理,观察组在此基础上接受多学科协作下的延续护理模式。采用6 min步行距离(6MWD)、用力肺活量(FVC)和第1秒用力呼气量(FEV_(1))进行心肺功能评价,采用COPD评估测试(CAT)进行症状控制评价,采用生活质量综合评定问卷-74(GQOLI-74)进行生活质量评价。结果延续护理干预后,两组患者6MWD、FVC和FEV_(1)均升高,且观察组高于对照组(P<0.05);延续护理干预后,观察组症状控制情况优于对照组(P<0.05);延续护理干预后,两组患者GQOLI-74中躯体功能、心理功能、社会功能以及物质生活状态维度得分均有升高,且观察组高于对照组(P<0.05)。结论多学科延续护理模式能够有效改善COPD患者心肺功能,提升出院后生活质量,症状控制效果显著。

Objective To explore the application effect of continuous care model under multidisciplinary collaboration in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 86 COPD patients discharged from the Second Out-Patient of Henan Province-Direct Organizations from March 2020 to September 2022 were selected as the study objects,and were divided into observation group(43 cases)and control group(43 cases)by random number method.The control group was given routine extended care,and the observation group was given continuous care mode under multidisciplinary collaboration on this basis.6-minute walking distance(6MWD),forced vital capacity(FVC)and forced expiratory volume in first second(FEV_(1))were used to evaluate cardiopulmonary function,COPD assessment test(CAT)was used to evaluate symptom control,and generic quality of life inventory(GQOLI-74)was used to evaluate quality of life.Results After extended nursing intervention,cardiopulmonary function indexes of 6MWD,FVC and FEV_(1) in both groups were increased,and the levels of observation group was higher than those of control group(P<0.05).The symptom control of observation group was better than that of control group(P<0.05).The scores of physical function,psychological function,social function and material life status in both groups were increased,and the GQOLI-74 scores of observation group was higher than those of control group(P<0.05).Conclusion The continuous care model under multidisciplinary collaboration could effectively improve the cardiopulmonary function of COPD patients,enhance the quality of life after discharge,and have a remarkable effect on symptom control.