协同护理模式对慢性阻塞性肺疾病出院患者自护能力的影响  

Effects of the Collaboration Care Model for Out-Patients' Self-Care Behaviors with Chronic Obstructive Pulmonary Disease

作　　者：骆永梅 席明霞[2] 卿利敏[2] 王慧荣[3] 李文菁[3] 

机构地区：[1]长沙卫生职业学院护理系,湖南长沙410100 [2]长沙市中心医院护理部,湖南长沙410004 [3]南华大学护理学院,湖南衡阳421001

出　　处：《解放军护理杂志》2014年第12期32-34,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：湖南省科技<应用技术研究与开发>项目(2013FJ6033)

摘　　要：目的探讨协同护理模式对慢性阻塞性肺疾病(chronic obstructive pulmo-nary disease,COPD)出院患者自护能力的影响。方法便利抽样选取2012年1-12月入住长沙市中心医院的COPD患者90例,按入院时间先后分为观察组和对照组各45例;对照组按COPD患者常规护理进行住院和出院后的指导,观察组在此基础上应用协同护理模式进行4个月的护理干预。比较两组患者不同时段自我护理行为评分情况。结果观察组干预后2、4个月的自我护理评分均显著高于对照组(均P<0.01),且自我护理行为总分及各维度得分在干预方法和干预时间上有一定的交互作用(P<0.01)。结论以协同护理模式为基础的护理干预能提高COPD患者自我护理能力,改善其生活质量。Objective To explore the effects of the collaboration care model （CCM）for out-patients’self-care behaviors with chronic obstructive pulmonary disease （COPD）.Methods Totally 90 out-patients were randomly selected and divided equally into observation group and control group.The patients in control group had routine guidelines during hospitalization and after discharged,while patients in observation group had 4 months nursing intervention on the basis of routine nursing.The patients were investigated with the self-care behaviors of patients with COPD before and after intervention.Results After 2 or 4 months intervention,the total scores of self-care behaviors in the observation groups were higher than the control group’s（P〈0.01）.There was interaction effect in the total score of self-care behavior with different intervention method and time of intervention （P〈0.01）.Conclusion The collaboration care model can significantly improve the patients’self-care ability and quality of life.

关 键 词：协同护理模式 慢性阻塞性肺疾病 自护能力 生活质量 

分 类 号：R563[医药卫生—呼吸系统]