互联网信息平台与奥马哈系统联合的延续性护理在老年COPD患者中的应用  

Application of continuous nursing based on Internet information platform combined with Omaha system in elderly patients with chronic obstructive pulmonary disease

作　　者：白晋锋[1] 蒋宏莉 燕春花 孙玲玲 刘自双 Bai Jinfeng;Jiang Hongli;Yan Chunhua;Sun Lingling;Liu Zishuang(Geriatric Rehabilitation Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100044,China;Department of Nursing,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100044,China)

机构地区：[1]首都医科大学附属北京康复医院老年康复中心,100044 [2]首都医科大学附属北京康复医院护理部,100044

出　　处：《中华现代护理杂志》2021年第29期4029-4033,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨互联网信息平台与奥马哈系统联合的延续性护理对老年COPD患者自我护理能力的影响。方法采用便利抽样法,选取2019年4月—2020年12月首都医科大学附属北京康复医院收治的老年COPD患者106例,根据随机数字表法分为对照组和观察组,每组53例。对照组患者应用常规延续性护理,观察组在对照组基础上应用互联网信息平台与奥马哈系统联合的延续性护理,两组患者出院后均连续随访3个月。分别于干预前、干预后1个月、干预后3个月应用自我护理能力测定量表(ESCA)测评两组患者自我护理能力,统计两组患者治疗依从性及护理满意度。结果干预后,观察组患者干预后1、3个月的健自我护理技能、自我责任感、自我概念和健康知识水平及总分、治疗依从性及护理满意度均高于对照组,差异均有统计学意义(P<0.05)。结论互联网信息平台与奥马哈系统联合的延续性护理可提高老年COPD患者自我护理能力、患者治疗依从性和护理满意度。Objective To explore the effect of continuous nursing based on Internet information platform combined with Omaha system on self-care ability of elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 106 elderly COPD patients who were admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University from April 2019 to December 2020 were selected by the convenient sampling method.According to the random number table method,they were divided into the control group and the observation group,with 53 cases in each group.Patients in the control group were given routine continuous nursing,while patients in the observation group were given continuous nursing based on Internet information platform combined with Omaha system.Patients in both groups were followed up for 3 months after discharge.Exercise of Self-Care Agency Scale(ESCA)was used to evaluate the self-care ability of patients of the two groups before the intervention,1 month after the intervention and 3 months after the intervention.And the treatment compliance and nursing satisfaction of the two groups of patients were collected.Results After intervention,self-care skills,self-responsibility,self-concept,health knowledge levels and total score,treatment compliance and nursing satisfaction of patients in the observation group were higher than those in the control group at 1 and 3 months after intervention,and the differences were statistically significant(P<0.05).Conclusions Continuous nursing based on Internet information platform combined with Omaha system can improves self-care ability,patient compliance and nursing satisfaction in elderly COPD patients.

关 键 词：肺疾病 慢性阻塞性 互联网 自我护理能力 延续性护理 奥马哈系统 

分 类 号：R473.5[医药卫生—护理学]