过渡期护理计划模式对COPD患者肺功能及自我护理行为的影响  

Effect of transitional care model on pulmonary function and self-care behavior of patients with COPD

作　　者：朱之慧 ZHU Zhi-hui(Department of Emergency,Shenyang Red Cross Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市红十字会医院急诊科,110000

出　　处：《中国实用医药》2020年第32期164-167,共4页China Practical Medicine

摘　　要：目的探讨过渡期护理计划模式对慢性阻塞性肺疾病(COPD)患者肺功能及自我护理行为的影响。方法 150例COPD患者,根据随机数字表分为对照组和研究组,每组75例。对照组患者予常规基础护理,研究组在对照组基础上予过渡期护理计划模式。比较两组患者护理前后肺功能指标[用力肺活量(FVC)、第一秒用力呼气容积(FEV1)与FEV1/FVC]及自我护理能力。结果护理后,两组患者FVC、FEV1、FEV1/FVC水平均高于本组护理前,且研究组FVC(2.50±0.19)L、FEV1(1.51±0.22)L、FEV1/FVC(62.89±5.67)%明显高于对照组的(2.18±0.18)L、(1.23±0.24)L、(54.78±4.89)%,差异具有统计学意义(P<0.05)。护理后,两组患者健康知识水平、自我护理技能、自我护理责任感、自我概念评分和自我护理能力总分均高于本组护理前,且研究组患者健康知识水平评分(45.78±5.87)分、自我护理技能评分(40.34±3.76)分、自我护理责任感评分(29.56±5.23)分、自我概念评分(28.89±5.65)分和自我护理能力总分(144.57±12.39)分高于对照组的(37.34±4.0)、(29.67±4.01)、(21.89±6.12)、(23.78±4.08)、(112.68±10.11)分,差异具有统计学意义(P<0.05)。结论针对COPD患者采取过渡期护理计划模式可以有效提高患者的自我护理能力,改善患者肺功能,有利于患者恢复。Objective To discuss the effect of transitional care model on pulmonary function and selfcare behavior of patients with chronic obstructive pulmonary disease(COPD). Methods A total of 150 COPD patients were divided into control group and research group according to random numerical table, with 75 cases in each group. The control group received conventional basic nursing, and the research group received transitional care model on the basis of the control group. The pulmonary function indexes [forced vital capacity(FVC), forced expiratory volume in the first second(FEV1) and FEV1/FVC] and self-care ability were compared between the two groups. Results After nursing, FVC, FEV1 and FEV1/FVC of the two groups were higher than those before treatment, and FVC(2.50±0.19) L, FEV1(1.51±0.22) L, FEV1/FVC(62.89±5.67)% of the research group were obviously higher than(2.18±0.18) L,(1.23±0.24) L,(54.78±4.89)% of the control group, and the difference was statistically significant(P<0.05). After nursing, the health knowledge level, self-care skills, self-care responsibility, self-concept score and total score of self-care ability of the two groups were higher than those before nursing. The health knowledge score(45.78±5.87), self-care skill score(40.34±3.76), self-care responsibility score(29.56±5.23), self-concept score(28.89±5.65) and total score of self-care ability(144.57±12.39) in the research group were higher than(37.34±4.0),(29.67±4.01),(21.89±6.12),(23.78±4.08) and(112.68±10.1) in the control group, and the difference was statistically significant(P<0.05). Conclusion Transitional care model can effectively improve the self-care ability of patients and improve their pulmonary function, thus promoting the recovery of patients.

关 键 词：过渡期护理计划模式 慢性阻塞性肺疾病 肺功能 自我护理行为 

分 类 号：R473.5[医药卫生—护理学]