应用CAT量表评价门诊-病房-家庭三位一体护理模式对COPD患者生活质量的影响  

Application of CAT scale to evaluate the effect on quality of life for patients with COPD by clinic-ward-family three in one nursing mode

作　　者：冯琼[1] 郭莉[1] 徐满丽[1] 叶羽[1] 曹琴琴[1] 

机构地区：[1]江汉大学附属医院呼吸科,湖北武汉430015

出　　处：《护士进修杂志》2015年第17期1547-1549,共3页Journal of Nurses Training

基　　金：湖北省武汉市卫生局2012年度临床医学科研项目(编号:WX12D07)

摘　　要：目的探讨应用慢性阻塞性肺疾病评估测试（COPD AssessmentTest，CAT）量表评价门诊-病房-家庭三位一体护理模式对慢性阻塞性肺疾病（COPD）患者生活质量的影响。方法将人选的102例患者按数字表法随机分成2组，观察组52例采用门诊-病房-家庭三位一体护理模式进行干预；对照组50例执行传统护理模式。应用CAT量表评价两组患者生活质量。结果与对照组相比，观察组患者的CAT评分分值减少更明显（P〈0．01）；肺功能指标1S用力呼气容积占预计值百分比（FEV1％pre）及最大呼气中段流量（FEF25％～75％）均有显著改善（P〈0．05）。结论门诊-病房-家庭三位一体的护理模式可有效改善COPD患者的生活质量，部分改善肺功能，有利于和谐医患关系。Objective To study the application of chronic obstructive pulmonary disease （COPD） assessment test scale to evaluate the effect on quality of life for patients with COPD adapted the clinic-unit-family three in one nursing mode. Method 102 patients with COPD were randomly divided into 2 groups, 52 patients in observation group was clinic-ward-family three in one mode nursing intervention, 50 patients in control group was given traditional nursing mode. CAT scale was applied to evaluate the quality of life for the two group. Result The CAT score in observation group was significantly decreased compared with control group （P〈0.01）. The lung function indices in forced expiratory volume in 1 second prediction percentage （FEV1% pre） and maximal mid expiratory flow （FEF25 % -75 %） were significantly improved （P〈0.05）. Conclusion The clinic-ward-family three in one nursing mode can effectively improve the quality of life for patients with COPD. It＇s helpful partially improving lung function and according the relationship between doctors and patients.

关 键 词：慢性阻塞性肺疾病 生活质量 CAT量表 护理 

分 类 号：R473.5[医药卫生—护理学] R563[医药卫生—临床医学]