出院计划联合延续性护理在COPD患者中的应用效果  

Application effect of discharge planning combined with continuous nursing in patients with COPD

作　　者：刘宁宁[1] 杨晓梅[1] 万玉峰[1] 付忠琴 葛晓红[1] 

机构地区：[1]江苏省淮安市第二人民医院呼吸科,223002

出　　处：《中华现代护理杂志》2017年第5期667-670,共4页Chinese Journal of Modern Nursing

基　　金：2015年淮安市科技计划项目（HAS2015011-1）

摘　　要：目的 探讨出院计划联合延续性护理在COPD患者中的应用效果.方法选取2015年12月─2016年8月淮安市第二人民医院收治的92例COPD患者为研究对象,采用随机数字法分为观察组和对照组,各46例.对照组采用延续护理模式,观察组在此基础上给予出院计划指导.比较干预前后两组患者自我效能水平、焦虑、抑郁情绪,以及治疗依从性.结果干预后观察组患者安全行为、环境与温度、体力活动、情感波动、呼吸困难管理方面的自我效能得分分别为（3.45±0.15）、（2.96±0.24）、（2.92±0.26）、（2.97±0.24）、（2.91±0.23）分,高于对照组得分（3.15±0.17）、（2.72±0.17）、（2.81±0.18）、（2.76±0.17）、（2.83±0.14）分,差异有统计学意义（P＜0.05）.观察组SDS、SAS得分为（21.45±2.02）、（31.21±3.45）分,低于对照组得分（35.43±2.54）、（44.46±4.21）分,差异有统计学意义（P＜0.05）.观察组患者治疗完全依从性优于对照组,差异有统计学意义（P＜0.05）.结论对COPD患者给予出院计划联合延续性护理,可以明显改善患者的自我效能水平和焦虑、抑郁情绪,并可以在一定程度上提高患者的治疗依从性,效果良好,可行性较强.Objective To study the application effect of discharge planning combined with continuous nursing in patients with chronic obstructive pulmonary disease （COPD）.Methods From May 2014 to April 2015,92 cases of COPD patients in our hospital were selected as the research object,and they were divided into the observation group and the control group according to random number table,with 46 cases in each group. Patients in the control group received continuous nursing,while patients in the observation group were given discharge planning guidance on the basis of continuous nursing. The level of self-efficacy,anxiety, depression,and the treatment compliance of patients before and after intervention were compared between two groups.Results After intervention,the self-efficacy scores of safe behavior,environment and temperature, physical activity,emotional fluctuations,and dyspnea management in the observation group [（3.45±0.15）, （2.96±0.24）,（2.92±0.26）,（2.97±0.24）,（2.91±0.23）] were significantly higher than those in the control group [（3.15±0.17）,（2.72±0.17）,（2.81±0.18）,（2.76±0.17）,（2.83±0.14）] （P〈0.05）. The scores of self-rating depression scale （SDS） and self-rating anxiety scale （SAS） in the observation group were significantly lower than the control group [（21.45±2.02）,（31.21±3.45） VS （35.43±2.54）,（44.46±4.21）] （P〈0.05）. The treatment compliance in the observation group was significantly better than that in the control group （P〈0.05）. Conclusions For patients with COPD,discharge planning combined with continuous nursing can obviously improve patient＇s level of self-efficacy,anxiety,depression,and improve patients＆#39; treatment compliance to a certain extent. The effect is good with strong feasibility.

关 键 词：出院计划 延续性护理 慢性阻塞性肺病 

分 类 号：R473.5[医药卫生—护理学]