医院-社区延续护理模式对老年COPD患者生活质量的影响  

Effect of Hospital-community Continuous Nursing Model on Overall Quality of Life in Elderly Patients with COPD

作　　者：刘燕华[1] 朱道平[1] 

机构地区：[1]四川省宜宾市第二人民医院老年病科,四川宜宾644000

出　　处：《医学临床研究》2014年第6期1118-1120,共3页Journal of Clinical Research

摘　　要：【目的】探讨采用医院-社区延续护理模式对老年慢性阻塞性肺疾病（COPD）患者整体生活质量的影响。【方法】将经本院确诊的93例老年 COPD患者分成两组，对照组按常规护理，延续护理组在常规护理基础上实施社区延续护理模式护理，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）观察两组患者治疗前及治疗3个月后的负面情绪情况以及延续护理组治疗后的整体生活质量（QLQ-C30）情况。【结果】治疗3个月后，延续护理组 QLQ-C30评分（81．3±6．4）显著优于对照组（65．8±10．3）（P ＜0．05）；SAS评分（27．7±7．1）显著低于对照组（49．6±8．4）（P ＜0．05）。延续护理组护理后 QLQ-C30功能量表总得分为（76．8±13．4）分，症状量表总得分为（23．7±8．5）分，护理后患者状态优于护理前，差异有统计学意义（P ＜0．05）。【结论】采用医院-社区延续护理模式能够改善老年COPD患者的整体生活机能，提高患者的生活质量，有利于疾病的治愈。[Obj ective]To explore the effect of hospital-community continuous nursing model on overall function of elderly patients with COPD.[Methods]Totally 93 elderly patients diagnosed in our hospital were divided into two groups.The control group received routine nursing care,while continuous nursing group re-ceived community continuous nursing model based on conventional care.Self-rating anxiety scale（SAS）and self-rating depression scale（SDS）were used to observe the negative emotions of patients in two groups before and after treatment and the overall quality of life in continuous nursing group after treatment.[Results]The score of quality of life in continuous nursing group was （81.3± 6.4）,which was markedly better than that in control group（65.8±10.3）（P 〈0.05）.The SAS score in continuous nursing group after nursing care was （27.7±7.1）,which was markedly lower than that in control group（49.6±8.4）（P〈0.05）.The total scores of functional scale and symptom scale in continuous nursing group were （76.8±13.4）and （23.7±8.5）% re-spectively,and those after nursing care were better than those before nursing care,and there was significant difference（P〈0.05）.[Conclusion]Hospital-community continuous nursing model can improve the overall life function in elderly patients with COPD and raise the quality of life of patients,so it is conducive to the cure of the disease.

关 键 词：肺疾病 慢性阻塞性 护理 生活质量 老年人 

分 类 号：R563[医药卫生—呼吸系统]