多学科合作延续护理对慢性阻塞性肺疾病患者生命质量的影响  

The multidisciplinary cooperative continue nursing on the quality of life of patients with chronic ob- structive pulmonary disease

作　　者：吕建萍[1] 丁淑芳[2] 周志庆[2] 王明月[2] 刘杏杏[2] 徐文科[3] 刘瑶[4] 王莹[2] 

机构地区：[1]皖南医学院第一附属医院护理部,芜湖241001 [2]皖南医学院第一附属医院呼吸科,芜湖241001 [3]皖南医学院第一附属医院药剂科,芜湖241001 [4]皖南医学院第一附属医院营养部,芜湖241001

出　　处：《中国实用护理杂志》2015年第22期1657-1661,共5页Chinese Journal of Practical Nursing

基　　金：基金项目：芜湖市科技计划（2011卫生-1）

摘　　要：目的 探讨多学科合作延续护理对良性阻塞性肺疾病（COPD）患者生命质量的影响。方法选择2012年12月至2014年4月住院病情趋稳定即将出院的符合入选标准的COPD患者，便利抽取实验病区70例，完成随访64例（实验组）；对照病区61例，完成随访50例（对照组）。对照组采用常规出院指导，实验组采用多学科合作延续护理。调查2组干预前后生命质量问卷（SGRQ）得分、呼吸困难分级（MMRc）、体质量指数（BMI）、6min步行试验距离（6MWD）等指标并比较。结果实验组患者在干预6个月后，其SGRQ总分及疾病症状、活动受限、疾病影响3个维度得分分别为（48．53±15．78）、（35．38±18．61）、（57．95±23．69）、（52．28±15．27）分，较干预前的（61：29±15．22）、（52．03±15．60）、（68．96±18．72）、（62．87±21．26）分明显下降，差异有统计学意义，t值为2．918～5．487，P值均〈0．01；且实验组上述指标与对照组干预6个月后的（60．24±10．14）、（52．76±12．36）、（68．34±15．59）、（58．55±11．79）分比较明显降低，差异均有统计学意义，t值为-5．692-2．399，P〈0．01或0．05。实验组患者在干预6个月后，6MWD为（267．46±64．64）m，较干预前的（169．42±48．46）m增加，差异有统计学意义，t=-9．709，P〈0．0l，且效果优于对照组。实验组患者在干预6个月后，BMI、MMRC均较干预前改善，差异有统计学意义，Z值分别为-2．451、-6．901，P〈0．05或0．01，且2组间干预后比较，实验组MMRC好于对照组，差异有统计学意义，P〈0．01。结论多学科合作对出院后COPD患者延续的健康教育指导，可显著提高患者生命质量。Objective To explore the effects of the muhidisciplinary cooperative continue nursing on the quality of life of patients with chronic obstructive pulmonary disease （COPD）. Methods From December 2012 to April 2014, choosing hospitalized COPD patients who were of the stable and would soon discharge, and met the criteria standards. Convenient extracted 64 of 70 patients who completed follow-up as experimental group in one ward and 50 of 61patients who completed follow-up as control group in the other ward. Conventional discharge guidance were employed in the control group, while the continuation of care before discharge and after discharge 1, 3, 6 months were employed in the experimental group. Results Six months later, scores of quality of life scale and each dimension （ symptoms, activities, influence ） in the experimental group were （48.53±15.78） points, （35.38±18.61） points, （57.95±23.69） points, （52.28±15.27） points, which were significant lower than the former value （61.29±15.22） points, （52.03±15.60） points, （68.96±18.72） points, （62.87±21.26） points （t=2.918-5.487, P 〈0.01）. After intervention, scores of experimental group were higher than that of control group which were （60.24±10.14） points, （52.76±12.36） points, （68.34±15.59） points, （58.55±11.79） points （t=-5.692-2.399, P 〈0.01 or 0.05）. After intervention,the walking distance of 6 minutes of experimental group was （267.46±64.64） m, which was significant longer than that of before （169.42±48.46） m （t= -9.709, P〈 0.01 ）. Body mass index and grade of dyspnea were significant better in experimental group compared with before （Z=-2.451, -6.901, P 〈 0.05 or 0.01）. Besides, grade of dyspnea （MMRC） was also significant better than that in the control group （P〈0.01）. Conclusions The quality of life of patients with COPD can be significantly improved by the multidisciplinary cooperative continue nursing education after discharge.

关 键 词：肺疾病 慢性阻塞性 生活质量 多学科合作 延续护理 

分 类 号：R473.5[医药卫生—护理学]