慢性阻塞性肺疾病患者自我管理模式的应用研究  

Application of self-management model in nursing of patients with chronic obstructive pulmonary disease

作　　者：刘敏[1] 刘美芳[1] 王晓洁[1] LIU Min;LIU Meifang;WANG Xiaojie(Ward Ⅰ,Department of Respiratory,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院呼吸一病房,哈尔滨市150086

出　　处：《护理管理杂志》2020年第8期544-549,共6页Journal of Nursing Administration

基　　金：黑龙江省教育厅科学技术研究项目(2009LCZX91)。

摘　　要：目的探讨自我管理模式在慢性阻塞性肺疾病患者护理中的应用效果。方法选取170例慢性阻塞性肺疾病患者为研究对象。按照患者入院时间先后顺序分为对照组85例和干预组85例。对照组患者给予常规护理,干预组在常规护理基础上采用自我管理模式进行干预,在患者出院时和出院6个月后,评价自我管理能力、自我效能及生活质量。结果干预组慢性阻塞性肺疾病患者接受干预6个月后,自我管理能力得分、自我效能得分及生活质量各维度评分均显著高于对照组(P<0.01或P<0.05)。结论自我管理模式可以改善慢性阻塞性肺疾病患者自我管理能力,增强一般自我效能,并提高其生活质量。Objective To explore the effect of self-management intervention in the out-of-hospital care of patients with chronic obstructive pulmonary disease.Methods A total of 170 patients with chronic obstructive pulmonary disease were included in the study.Based on the time sequence of admission,the patients were divided into the control group(n=85)and the intervention group(n=85).Patients in the control group were given routine nursing care,and patients in the intervention group adopted self-management mode for intervention with basic routine nursing care.Six months after the discharge of patients,self-management ability,general self-efficacy and life quality were assessed to evaluate the intervention effect.Results After 6 months of intervention,the scores of self-management ability,self-efficacy and quality of life in intervention group were significantly higher than those in the control group(P<0.01 or P<0.05).Conclusion Self-management model intervention can improve the self-management ability of patients with chronic obstructive pulmonary disease,enhance general self-efficacy,and improve the quality of life of patients.

关 键 词：自我管理 慢性阻塞性肺疾病 自我效能 生活质量 

分 类 号：R472.5[医药卫生—护理学]