医院-社区-家庭网络化管理模式对老年哮喘患者不良情绪及生活质量的影响  

Effect of hospital-community-family networked management model on the bad mood and living quality of elderly patients with asthma

作　　者：张杨 ZHANG Yang(Henan Provincial People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院(郑州大学人民医院)呼吸内镜介入诊疗中心,河南省郑州市450003

出　　处：《护理实践与研究》2021年第12期1812-1816,共5页Nursing Practice and Research

摘　　要：目的探讨医院-社区-家庭网络化管理模式对老年哮喘患者不良情绪及生活质量的影响。方法2020年1—12月选取老年哮喘患者94例,按组间基本特征匹配原则分为观察组和对照组,每组47例。对照组行常规随访护理,观察组应用医院-社区-家庭网络化管理模式实施干预,比较两组干预前后不良情绪、自我效能、哮喘症状及生活质量等方面变化。结果干预前,两组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、呼吸困难量表(mMRC)评分、哮喘控制测试(ACT)评分、自我管理效能评分、6 min步行距离(6MWT)及生活质量总评分比较,差异无统计学意义(P>0.05),干预后观察组自我管理效能评分及各维度评分(包括避免诱发因素、发作症状识别及处理、病情监控、按时就诊、遵医嘱服药)高于对照组,差异有统计学意义(P<0.05);干预后观察组HAMA评分、HAMD评分、mMRC评分、ACT评分低于对照组,差异有统计学意义(P<0.05),干预后观察组自我管理效能评分、6MWT及生活质量总评分高于对照组,差异有统计学意义(P<0.05)。结论医院-社区-家庭网络化管理模式可减轻哮喘患者不良情绪,提高患者自我管理效能,从而有效控制哮喘症状,改善患者预后,提高患者生活质量。Objective To explore the ef fect of hospital-community-family networked management model on the bad mood and living quality of elderly patients with asthma.Methods To select 94 cases of elderly patients with asthma from January to December 2020 as the study objects,and they were divided into an observation group and a control group according to the principle of matching basic characteristics between groups,with 47 cases in each group.The control group received routine follow-up care,and the observation group applied the hospital-community-family networked management model to implement interventions.The changes in bad mood,self-efficacy,asthma symptoms and quality of life were compared between the two groups before and after intervention.Results Before the intervention,there were no statistically significant dif ferences in the Hamilton anxiety scale(HAMA)scores,Hamilton depression scale(HAMD)scores,modified Medical Research Council dyspnea scale(mMRC)scores,asthma control test(ACT)scores,self-management efficacy scores,6 min walking distance(6 MWT)and total quality of life scores between the two groups(P>0.05).After the intervention,the observation group’s self-management e fficiency scores and scores of various latitudes(including avoidance of predisposing factors,identification and treatment of seizure symptoms,condition monitoring,timely medical treatment,and medication as prescribed by doctors)were higher than those of the control group,and the dif ferences were statistically significant(P<0.05).After the intervention,the HAMA score,HAMD score,mMRC score and ACT score in the observation group were lower than those in the control group,and the dif ferences were statistically significant(P<0.05).After the intervention,the self-management e fficacy score,6 MWT and total quality of life score in the observation group were higher than those of the control group,and the dif ferences were statistically significant(P<0.05).Conclusion The hospital-community-family networked management model can alleviate the bad emo

关 键 词：医院-社区-家庭网络化管理模式 老年哮喘 不良情绪 自我管理效能 生活质量 

分 类 号：R473.5[医药卫生—护理学]