集束化护理干预对慢性阻塞性肺疾病患者自我效能及依从性的影响  

Influence of Care Bundle on Self-efficacy and Compliance of Patients with Chronic Obstructive Pulmonary Disease

作　　者：潘建芬[1] 李琴珍 

机构地区：[1]江苏省溧阳市人民医院呼吸科,江苏溧阳213300

出　　处：《检验医学与临床》2016年第A02期28-31,共4页Laboratory Medicine and Clinic

基　　金：江苏省常州市科技西进指导性计划项目（CY20130028）.

摘　　要：目的了解集束化延续护理干预对慢性阻塞性肺疾病（cCOPD）稳定期患者自我效能以及患者依从性的影响。方法选择本院呼吸内科连续收治的COPD稳定期患者。干预组接受集束化护理干预，对照组接收常规康复指导。观察指标包括：COPD自我效能量表、患者对肺康复锻炼的依从性、住院费用、住院天数、出院后30天内再住院率。两组均随访6个月，比较各项指标组间差异。结果入组患者包括干预组29例，年龄66．34±7．54岁；对照组30例，年龄（58．24±20．58）岁。集束化护理干预能显著减少cOPD患者的住院天数（P〈0．05）、平均住院费用（P〈0．05）、提高COPD患者的自我效能，并且患者对康复锻炼的依从性显著高于对照组。结论集束化延续护理干预能显著提升COPD稳定期患者的自我效能；同时，患者对集束化康复策略的依从性较高，可用于进一步的临床实践。Objeetive The aim 05 this study is to present the influence of care bundle on self-efficacy and compliance of patients with stable chronic obstructive pulmonary disease （COPD）. Methods Patients with stable COPD admitted in the respiration department of our hospital were included in this study. In the intervening group, patients were instructed with rehabilitation care bundle. In the control group, patients were provided with the traditional rehabilitation guidance. The outcome measures included COPD self-effieacy scale,patients＇ compliance with the care bundle,hospital length of stay, hospital charge and the incidence of readmission within 30 days post-discharge. Results A total of 59 patients were included in this study,with 30 patients in the intervening group with the＇average age of 66.34±7.54 years,and 29 patients in the control group with the average age of 58.24±20.58 years. The care bundle can significantly decrease the average hospital length of stay （P〈0.05）, the average hospital charges （P〈0.05）, and increase the self-efficacy of COPD patients and patients＇ compliance with the rehabilitation process. Conclusion The care bundle can significantly increase the self-efficacy of COPD patients and patients＇ compliance with the rehabilitation process,which can be wide-ly used in the clinical activities.

关 键 词：集束化干预 慢性阻塞性肺疾病 自我效能 依从性 

分 类 号：R563.05[医药卫生—呼吸系统]