5E康复护理模式在COPD患者肺康复中的应用  

Effects of 5E rehabilitation nursing model in lung rehabilitation of patients with chronic obstructive pulmonary disease

作　　者：徐淑芬[1] 孙华宁 张雪梅 宋霜霜 赵凌燕[3] 杜田田 董梅红 Xu Shufen;Sun Huaning;Zhang Xuemei;Song Shuangshuang;Zhao Lingyan;Du Tiantian;Dong Meihong(Department of Respiratory and Critical Care Medicine,Yantai Yuhuangding Hospital,Shandong Province,Yantai 264000,China;Department of Respiratory Medicine,Yantaishan Hospital,Shandong Province,Yantai 264000,China;Department of Nursing,Yantai Yuhuangding Hospital,Shandong Province,Yantai 264000,China)

机构地区：[1]山东省烟台毓璜顶医院呼吸与危重症医学科,264000 [2]山东省烟台市烟台山医院呼吸内科,264000 [3]山东省烟台毓璜顶医院护理部,264000

出　　处：《中华现代护理杂志》2020年第23期3230-3233,共4页Chinese Journal of Modern Nursing

基　　金：烟台市科技计划项目(2020YD020)。

摘　　要：目的:探讨5E康复护理模式对COPD患者自我管理行为和疲乏症状的影响。方法:采用便利抽样法,选取2018年10月—2019年9月在山东省烟台毓璜顶医院住院的110例COPD患者为研究对象,采用随机数字表法分为对照组(53例)和试验组(57例)。排除失访和资料收集不完整的患者后,最后对照组纳入患者48例,试验组纳入患者51例。对照组采用医院常规护理及健康指导,试验组采用5E康复护理模式。采用COPD患者自我管理量表、慢性病治疗功能评估-疲劳量表(FACIT-F)评估两组干预的效果。结果:干预前两组患者的自我管理量表各维度评分比较,差异均无统计学意义(P>0.05);出院后12周试验组患者的自我管理量表各维度评分均高于对照组,差异有统计学有意义(P<0.05)。干预前、出院后12周两组患者的疲乏情况得分比较,差异均无统计学意义(P>0.05)。结论:基于5E康复护理模式能够提高COPD患者的自我管理行为,但不能改善患者的疲乏症状,将来需要进一步开展大样本、多中心、长时间研究以探讨5E康复护理模式对患者疲乏症状的影响。Objective To explore the effects of 5E rehabilitation nursing model on self-management behavior and fatigue symptoms of patients with chronic obstructive pulmonary disease(COPD).Methods Totally 110 COPD patients admitted in Yantai Yuhuangding Hospital from October 2018 to September 2019 were selected by convenient sampling,and divided into the control group(n=53)and the experimental group(n=57)according to the random number table.Excluding missing patients and patients with incomplete data,finally 48 patients were included in the control group and 51 patients were included in the experimental group.Patients in the control group received routine care and health guidance,while patients in the experimental group received care based on the 5E rehabilitation nursing model.The Self-Management Scale for COPD Patients and the Functional Assessment of Chronic Illness Therapy-Fatigue Scale(FACIT-F)were used to evaluate the effects of interventions in the two groups.Results There was no statistically significant difference in the scores of the Self-Management Scale between the two groups before intervention(P>0.05);the scores of all dimensions the Self-Management Scale of the experimental group were higher than those of the control group 12 weeks after discharge,and the differences were statistically significant(P<0.05).There was no statistically significant difference in fatigue scores between the two groups before intervention and 12 weeks after discharge(P>0.05).Conclusions The 5E rehabilitation nursing model can improve the self-management behavior of COPD patients,but it cannot ameliorate the fatigue symptoms of patients.Large-sample,multi-center,and long-term research will be further needed in the future to explore the effects of the 5E rehabilitation nursing model on patients'fatigue symptoms.

关 键 词：肺疾病 慢性阻塞性 5E康复护理模式 肺康复 自我管理 疲乏 

分 类 号：R473.5[医药卫生—护理学]