延续性护理对COPD稳定期患者自我效能及生活质量的影响  

Influence of continuing nursing on self efficacy and quality of life in patients with stable chronic obstructive pulmonary disease

作　　者：余艳[1,2] 崔焱[1] 刘玉环[2] 方岁妹[2] 朱桂菊[2] 

机构地区：[1]南京医科大学护理学院,江苏南京210029 [2]上海交通大学医学院苏州九龙医院,江苏苏州215021

出　　处：《实用临床医药杂志》2013年第18期78-81,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨集束化理念指导下的延续性护理对稳定期慢性阻塞性肺疾病(COPD)患者的一般自我效能感及生活质量的影响。方法选择稳定期COPD患者80例,将其随机分为干预组41例和对照组39例。对照组给予常规健康教育和出院指导;干预组通过现场指导、电话随访、短信提示、个别或群体辅导等方法实施集束化理念指导下的延续性护理,主要措施包括戒烟、坚持用药、康复锻炼、长期氧疗。2组均随访3个月,并分别于出院前、出院后3个月采用一般自我效能量表评价患者自我效能;并于出院前与出院后1周、1个月、2个月、3个月使用慢性阻塞性肺疾病评估量表比较2组的生活质量。结果干预组出院后3个月的自我效能感较出院前显著提高,且显著高于对照组,差异均有统计学意义(P<0.01);干预组出院后2个月、3个月的生活质量显著高于对照组,差异具有统计学意义(P<0.05)。结论实施集束化理念指导下的延续性护理,有利于提高稳定期COPD患者的自我效能水平,并改善COPD患者病情,提高其生活质量。Objective To explore the influence of continuing nursing on the self efficacy and quality of life in patients with stable chronic obstructive pulmonary disease （COPD） under the guid- ance of the bundle - nursing theory. Methods 80 patients with stable COPD were selected and randomly divided into intervention group （n = 41） and control group （n = 39）. The control group was conducted with conventional health education and discharge guidance, while the intervention group was conducted with continuing nursing under the guidance of the bundle - nursing theory, in- cluding measures such as field guidance, telephone follow - up, message feedback, private tutor or group counseling. Quit of smoking, drug administration, rehabilitation exercise and long - term oxygen therapy were also implemented. All patients were followed - up with 3 months, and the General Self-efficacy Scale （GSES） was used to assess the self efficacy of patients at the time points of before discharge and 3 months after discharge. Meanwhile, in order to compare quality of life in the two groups, the COPD assessment tests （CAT） were applied for patients at the time of？ before discharge, first week, 1, 2 and 3 months after discharge respectively. Results 3 months after discharge, the score of GSES in the intervention group increased obviously, and also was sig- nificantly higher than the control group （P 〈 0.01 ） ; quality of life in the intervention group was significantly higher than those in the control group at the time points of 2 and 3 months after hospital discharge （ P 〈 0.05）. Conclusion Implementation of continuing nursing under the guidance of the bundle - nursing theory can increase the self efficacy level of patients with stable COPD, alleviate the condition of disease and improve the quality of life of patients.

关 键 词：慢性阻塞性肺疾病 延续性护理 集束化护理 自我效能感 生活质量 

分 类 号：R473.5[医药卫生—护理学]