慢性疾病轨迹模式护理在院外COPD患者管理中的应用  

Effects of chronic disease trajectory model-based nursing in the management of COPD patients outside the hospital

作　　者：白玉玲[1] 张杰[1] 张娈娈 李娟[1] Bai Yuling;Zhang Jie;Zhang Luanluan;Li Juan(Emergency Intensive Care Unit(3),Department of Emergency Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院急诊医学部EICU(3),郑州450000

出　　处：《中华现代护理杂志》2021年第25期3467-3471,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(2018020060)。

摘　　要：目的探讨慢性疾病轨迹模式护理在院外COPD患者管理中的应用价值。方法采用便利抽样法,选取2018年1月-2019年12月郑州大学第一附属医院的226例出院COPD患者,采用随机数字表法分为对照组与研究组,各113例。对照组实施常规院外健康管理,研究组实施院外慢性疾病轨迹模式下护理,均干预3个月。采用自我管理能力测定量表(ESCA)评估两组的自我管理能力,以DOSE指数评估两组的病情控制效果。结果实施后,研究组的ESCA评分为(114.45±3.26)分,高于对照组的(99.92±6.56)分,差异有统计学意义(t=20.666,P<0.001);实施后,研究组的DOSE指数为(2.28±0.08)分,低于对照组的(2.72±0.09)分,差异有统计学意义(t=34.692,P<0.001)。结论慢性疾病轨迹模式下护理可改善院外COPD患者的自我管理能力,控制病情。Objective To explore the application value of chronic disease trajectory-based nursing in the management of COPD patients outside the hospital.Methods From January 2018 to December 2019,convenience sampling was used to select 226 discharged COPD patients from the First Affiliated Hospital of Zhengzhou University.The patients were divided into the control group and the research group with the random number table method,each with 113 cases.The control group carried out routine out-of-hospital health management,and the research group carried out out-of-hospital chronic disease trajectory model-based nursing,and the interventions all lasted for 3 months.The Exercise of Self-care Agency Scale(ESCA)was used to evaluate the self-management ability of the two groups,and the Dyspnea,Degree of Airflow Obstruction,Smoking Status,the number of Exacerbation(DOSE)index was used to evaluate the disease control effect of the two groups.Results After intervention,the ESCA score of the research group was(114.45±3.26),which was higher than(99.92±6.56)of the control group,and the difference was statistically significant(t=20.666,P<0.001).After intervention,the DOSE index of the research group was(2.28±0.08),which was lower than(2.72±0.09)of the control group,and the difference was statistically significant(t=34.692,P<0.001).Conclusions The chronic disease trajectory model-based nursing can improve the self-management ability of COPD patients outside the hospital and control their condition.

关 键 词：肺疾病 慢性阻塞性 慢性疾病轨迹模式 自我管理能力 疾病控制 

分 类 号：R473.5[医药卫生—护理学]