5E康复模式在稳定期慢性阻塞性肺疾病患者中的应用效果  

Effect of 5E rehabilitation model in patients with stable chronic obstructive pulmonary disease

作　　者：梅松利 蒋亚芸 李小麟[3] Mei Songli;Jiang Yayun;Li Xiaolin(West China School of Nursing,Sichuan University/Rehabilitation Medicine Center,West China Hospital of Sichuan University,Chengdu 610041,China;Lung Cancer Center,West China Hospital of Sichuan University,Chengdu 610041,China;West China School of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西护理学院/四川大学华西医院康复医学中心,成都610041 [2]四川大学华西医院肺癌中心,成都610041 [3]四川大学华西护理学院,成都610041

出　　处：《中华现代护理杂志》2022年第19期2604-2608,共5页Chinese Journal of Modern Nursing

基　　金：四川省科技计划重点研发项目(2020YFS0188)。

摘　　要：目的探讨5E康复模式在稳定期慢性阻塞性肺疾病(COPD)患者中的应用效果。方法采用便利抽样的方法, 选取2018年1月—2020年4月四川大学华西医院门诊及住院的154例COPD患者为研究对象, 采用随机数字表法分为观察组(78例)与对照组(76例)。对照组给予常规护理管理, 观察组在对照组的基础上联合应用5E康复模式。比较两组患者干预前及随访6个月的健康素养问卷得分、自我管理能力量表及圣乔治呼吸问卷(SGRQ)得分。结果随访6个月, 观察组健康素养问卷得分高于对照组, 差异均有统计学意义(P<0.05);观察组自我管理能力量表总分及各维度得分均高于对照组, 差异均有统计学意义(P<0.05);观察组SGRQ总分及各维度得分均低于对照组, 差异均有统计学意义(P<0.05)。结论 5E康复模式有利于提高稳定期COPD患者的健康素养水平及自我管理能力, 改善患者生活质量。Objective To explore the effect of 5E rehabilitation model in patients with stable chronic obstructive pulmonary disease(COPD).Methods From January 2018 to April 2020,convenience sampling was used to select 154 COPD outpatients and inpatients in the West China Hospital of Sichuan University as the research object.The patients were divided into the observation group(78 cases)and the control group(76 cases)by random number table method.The control group was given routine nursing,and the observation group received the 5E rehabilitation model on the basis of the control group.The scores of the Chronic Obstructive Pulmonary Disease Knowledge Questionnaire(COPD-Q),Self-Management Scale for Chinese Patients with Chronic Obstructive Pulmonary Disease and the St George's Respiratory Questionnaire(SGRQ)were compared between the two groups before intervention and after six months of follow-up.Results After six months of follow-up,the COPD-Q score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total score and the scores of each dimension of the Self-Management Scale for Chinese Patients with Chronic Obstructive Pulmonary Disease in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total score and each dimension score of SGRQ in the observation group were lower than those in the control group with statistical differences(P<0.05).Conclusions The 5E rehabilitation model is conducive to improving the health literacy,self-management ability and the quality of life of patients with stable COPD.

关 键 词：肺疾病 慢性阻塞性 康复 健康素养 自我管理 生活质量 

分 类 号：R473.5[医药卫生—护理学]