跟踪式综合康复护理模式对农村慢性阻塞性肺疾病稳定期患者的影响  

Effect of tracking comprehensive rehabilitation nursing mode on stable COPD patients in the rural

作　　者：孙玉珍[1] 邹德奇 徐世玉[2] 张月玲[1] 张静[2] 张金梅[1] 

机构地区：[1]青岛大学医学院附属医院海阳分院呼吸内科,265100 [2]山东省海阳市第三人民医院呼吸内科,265100

出　　处：《中华现代护理杂志》2012年第31期3764-3767,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨跟踪式综合康复护理模式对农村慢性阻塞性肺疾病（COPD）稳定期患者的影响。方法将92例COPD稳定期患者随机分为干预组和对照组各46例，干预组患者采用跟踪式综合康复护理模式，即依托新型农村合作医疗卫生服务站，在常规治疗的同时进行呼吸功能、运动、营养、心理等康复护理，对照组患者采用常规治疗及自行锻炼，比较干预前及干预后6个月两组患者肺功能、George呼吸问卷（SGRQ）评分、急性发作例次数及住院例次数。结果干预前，两组患者用力肺活量（FVC）及第1秒用力呼气容积（FEV1）占预计值百分率比较，差异均无统计学意义（P〉0．05）；在干预6个月后，干预组患者的FVC和FEVl占预计值百分率分别为（1．824-0．14）L和（63．67±7．10）％，均明显优于对照组的（1．67±0．11）L和（53．29±6．93）％，差异均有统计学意义（t分别为5．54，6．90；P〈0．01）；干预前两组患者SGRQ评分比较，差异无统计学意义（P〉0．05）；干预6个月后，干预组患者SGRQ评分为（43．6±8．7）分，明显低于对照组的（55．4±7．0）分，差异有统计学意义（t=6．96，P〈0．01）；干预组与对照组无急性：发作的患者例数分别为27例和12例，因急性加重而住院的例次分别为6例次和15例次，差异均有统计学意义（X。分别为9．8g，5．36；P〈0．05）。结论跟踪式综合康复护理模式能有效改善农村COPD稳定期患者肺功能和生活质量。Objective To explore the effect of tracking comprehensive rehabilitation nursing model on patients with stable chronic obstructive pulmonary disease （COPD） in the rural. Methods 92 stable COPD patients were randomly divided into two groups, 46 in intervention group and 46 in control group. The intervention group, relying on new rural cooperative medical service station, received tracking comprehensive rehabilitation nursing model including training in respiratory function, exercise, nutrition intervention and psychological care in addition to conventional care, while the control group took only the conventional treatment and self-generated exercise. Lung function, symptoms （ times of acute attack and in-patients） and quality of life rated by St George＇ s Respiratory Questionnaire （SGRQ） were compared between two groups before and after 6 months＇ intervention. Results There was no significant difference in FVC and FEV1 pre% between two groups before, but after 6 months＇ intervention, the FVC and FEV1 pro% was （ 1. 82 ± 0. 14） L and （63.67 ± 7.10）% in the intervention group, obviously better than those in the control group [ （1.67 ± 0. 11 ）L and （53.29 ± 6.93 ） % ] , and the differences were statistically significant （ t = 5.54, 6.90, respectively; P 〈 0.01 ）. There was no significant difference in the score of SGRO between two groups before, but after 6 months＇ intervention, the score was （43.6 ± 8.7） in the intervention group and （55.4 ± 7.0） in the control group, and the difference was statistically significant （ t = 6. 96, P 〈 0.01 ）. 27 patients had no acute attack in the intervention group and 12 in the control group. 6 patients were hospitalized due to acute exacerbation in the intervention group and 15 in the control group, and the differences were statistically significant （X2 =9.84, 5.36, respectively ; P 〈 0.05 ）. Conclusions Tracking comprehensive rehabilitation nursing mode can improve the lung function and quality of life of stable CO

关 键 词：肺疾病 慢性阻塞性 跟踪式综合康复护理 稳定期 农村 

分 类 号：R473.56[医药卫生—护理学]