护生进社区在慢性阻塞性肺疾病患者延续性护理中的作用评价  

Role evaluation of the nursing students in the community in the continuous nursing of patients with chronic obstructive pulmonary disease

作　　者：谢艳[1] 詹友洲 陈瑶 赵天霞[1] XIE Yan;ZHAN You-zhou;CHEN Yao;ZHAO Tian-xia(Department of Respiratory Medicine,People's Hospital of Deyang City,Sichuan Province,Deyang,618000,China)

机构地区：[1]四川省德阳市人民医院呼吸内科,四川德阳618000

出　　处：《中国当代医药》2018年第35期178-180,共3页China Modern Medicine

基　　金：成都医学院教育教学改革研究资助项目

摘　　要：目的评价护生进社区在慢性阻塞性肺疾病(COPD)患者延续性护理中的效果。方法选取2016年6月～2017年2月在我科住院、家在市区的101例COPD确诊患者作为研究对象,其中男57例,女44例,按照护理方案的不同将其分为对照组(50例)和观察组(51例)。对照组患者给予常规护理,观察组患者出院后由护生为其进行延续性护理。比较两组患者的出院后感冒、再住院情况,并应用西雅图阻塞性肺疾病问卷评分(SOLDQ)评估患者出院后的生活质量。结果观察组患者的出院后再住院及感冒发生情况均显著低于对照组,差异有统计学意义(P<0.05)。观察组患者的SOLDQ评分明显高于对照组,差异有统计学意义(P<0.05)。结论由带教老师组织护生进社区为COPD患者进行延续性护理既能缓解临床用人压力,又能降低患者出院后感冒及因COPD再住院发生率,延缓疾病进展,提高患者生活质量。Objective To evaluate the effect of nursing students in the community in continuous nursing of patients with chronic obstructive pulmonary disease(COPD). Methods A total of 101 patients with COPD who were living in the urban area and hospitalized in our department from June 2016 to February 2017 were selected as objects. Among them,there were 57 male patients and 44 female patients and they were divided into the control group(50 cases) and the observation group(51 cases) according to the different nursing methods. The control group was given the routine nursing,and the observation group was given continuous nursing care by the nursing students after discharge from the hospital.Post-discharge colds and rehospitalization were compared between two groups, and the Seattle obstructive lung disease questionnaire(SOLDQ) scores were used to assess the life quality of patients after discharge. Results The incidence of rehospitalization and colds after discharge in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05). The SOLDQ score of the observation group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Continuous nursing of COPD patients by instructor-organized nursing students entering the community can not only relieve the pressure of clinical use of personnel, but also reduce the incidence rates of rehospitalization and colds after discharge, which delays the progress of the disease and improves patients′ quality of life.

关 键 词：护生 慢性阻塞性肺疾病 延续性护理 个体化 

分 类 号：R563.05[医药卫生—呼吸系统]