云随访对慢性阻塞性肺疾病患者的延续护理研究  

Continued-nursing of cloud follow-up for patients with chronic obstructive pulmonary disease

作　　者：陈小芬[1] 缪初蕾 钟青青 黄国平[1] 

机构地区：[1]浙江省平阳县人民医院呼吸内科,325400

出　　处：《中国药物与临床》2018年第2期178-181,共4页Chinese Remedies & Clinics

基　　金：浙江省平阳县社会发展科技计划项目(Y2016A11)

摘　　要：目的研究云随访对慢性阻塞性肺疾病(COPD)患者延续护理的效果。方法将2016年3月至12月在我院治疗后的120例COPD患者分为2组,每组60例。对照组采用常规出院指导;观察组出院后采用云随访进行跟踪随访。观察比较2组患者在服药和饮食依从性、再入院次数和COPD加重次数,生命质量因子(包含社会活动能力、日常生活能力、抑郁程度和焦虑程度)、生活质量(包括呼吸功能改善、生活自理、再次住院、发生肺心病和死亡人数)以及满意度上的差异。结果观察组不服药依从性为0%、做不到饮食依从性为0%,均明显优于对照组的10%和13%,差异均有统计学意义(P<0.05)。出院6个月后,观察组的再入院次数、COPD加重次数和生命质量因子得分均明显低于对照组,其差异均有统计学意义(P<0.05)。观察组在呼吸功能改善(88%)、生活自理(90%)远远大于对照组的7%和42%,而再次住院(3%)、发生肺心病(2%)和死亡人数(0%)则明显低于对照组的38%、22%和10%,差异均有统计学意义(P<0.05)。观察组满意度为93%显著高于对照组的73%,差异均有统计学意义(P<0.05)。结论云随访对COPD患者延续护理效果显著,在临床中值得应用推广。Objective To investigate the effect of continued-nursing of cloud ibllow-up ibr patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 120 COPD patients, who were hospitalized in our hospital between March 2016 and December 2016, were randomly divided into two groups （n=60 each）. The control group re- ceived routine discharge guidance, and the study group received cloud follow-up after discharge. The differences in the medication and diet compliance, rehospitalization times and COPD exacerbation times, life quality factors （including the ability of social activities, daily living ability, and degrees of depression and anxiety）, quality of life （including respirato- ry function improvement, self-care ability, rehospitalization, occurrence of pulmonary heart disease and mortality） and degree of satisfaction between the two groups. Results The medication compliance and diet compliance in the study group were significantly better than those in the control group （0% vs 10%, 0% vs 13%）, and the differences were sta- tistically significant （P〈0.05）. At six months after discharge, the rehospitalization times, COPD exacerbation times and scores of life quality factors in the study group were significantly lower than those in the control group （P〈0.05）. The respiratory function improvement and self-care ability in the study group were significantly higher than those in the control group （88% vs 7%, 90% vs 42%）, whereas the rehospitalization, ~currence of pulmonary heart disease and mortality in the study group were significantly lower than those in the control group （3% vs 38%, 2% vs 22%, 0% vs 10%）. There were statistically significant differences （P〈0.05）. The satisfaction rate of the observation group was 93%, which was significantly higher than that of the control group （73%）, the difference was statistically significant （P〈0.05）. Conclusion The cloud follow-up shows significant effect on the continued-nursing in COPD patients,which justifi

关 键 词：肺疾病 慢性阻塞性 云随访 延续护理 生活质量 

分 类 号：R473.5[医药卫生—护理学]