连续性协同护理模式在COPD稳定期患者肺康复训练中的应用  

The application of continuous collaborative care model in pulmonary rehabilitation training for patients with chronic obstructive pulmonary disease

作　　者：席明霞[1] 覃琴[2] 卿利敏[3] 唐朝[2] 骆咏梅 

机构地区：[1]长沙市中心医院护理部,410001 [2]南华大学护理学院,衡阳市421001 [3]湖南省肿瘤医院重症医学科,长沙市410001

出　　处：《护理管理杂志》2015年第3期189-191,共3页Journal of Nursing Administration

基　　金：2013年湖南省科技计划项目(2013FJ6033)

摘　　要：目的探讨连续性协同护理模式在COPD稳定期患者肺康复训练中的应用。方法将201例病情稳定的患者采用随机数字表法分为观察组(100例)和对照组(101例)。观察组患者实施连续性协同护理模式,包括知识指导、康复训练、随访干预。对照组患者接受常规护理,出院后进行不定期随访。比较干预前后两组患者肺功能和自我护理行为情况。结果干预后观察组患者肺功能和自我护理行为明显优于对照组,差异具有统计学意义(P<0.01或P<0.05)。结论连续性协同护理模式有利于增强COPD患者肺康复依从性,改善其肺功能和自我护理行为,最终提高患者的生活质量。Objective To explore the application and effects of continuous collaborative care model in pulmonary rehabilitation training for patients with chronic obstructive pulmonary disease （COPD）. Methods Totally,201 COPD patients in stable condition were divided into the experimental group （ 100 cases） and the control group （ 101 cases） using random number table. Patients in the experimental group received continuous collaborative care model including knowl- edge instruction, rehabilitation guidance and follow - up intervention. Patients in the control group received conventional care, unscheduled follow - up service af- ter discharge. Pulmonary function and self - care behavior of patients in the two groups were compared before and after intervention. Results After intervention, pulmonary function and self - care of patients in the experimental group were better than those of the control group （ P 〈 0.01 or P 〈 0.05 ）. Conclusion The continuous collaborative care model can improve pulmonary rehabilitation compliance, pulmonary function and selfcare, and then improve the quality of life in COPD patients.

关 键 词：慢性阻塞性肺疾病 连续性 协同护理模式 肺康复 

分 类 号：R473[医药卫生—护理学]