基于PRISMS表的延续性护理在慢性阻塞性肺疾病患者中的应用  

Application of extended care based on the PRISMS sheet for patients with chronic obstructive pulmonary disease

作　　者：王袁婧美 来薇 魏敏[1] 李华艺 WANGYUAN Jingmei;LAI Wei;WEI Min;LI Huayi(Department of Respiratory and Critical Care Medicine,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhuan,Hubei,430030)

机构地区：[1]华中科技大学同济医学院附属同济医院呼吸与危重症医学科,湖北武汉430030

出　　处：《中西医结合护理》2021年第7期93-98,共6页Chinese Journal of Integrative Nursing

摘　　要：目的探讨基于患者报告通知自我管理支持表(PRISMS)的延续性护理在提升慢性阻塞性肺疾病患者自我效能和健康状况方面的作用。方法202例慢性阻塞性肺疾病患者随机分为对照组(n=102)和干预组(n=100)。2组均实施常规延续护理,干预组在此基础上实施基于PRISMS表的护理干预,全面获得患者重点关注问题并进行针对性指导。采用慢性阻塞性肺疾病自我效能量表(CSES)及CAT量表评估患者自我效能水平及健康状况。结果干预后2组患者CSES评分较干预前提高(P<0.01),且干预组CSES评分高于对照组(P<0.01)。干预后2组患者CAT得分较干预前降低,但组间比较差异无统计学意义(P>0.05)。结论基于PRISMS表的延续性护理能有效提高慢性阻塞性肺疾病患者的自我效能水平,改善患者健康状况。Objective To investigate the effect of extended care based on the PRISMS sheet on improving the self-efficacy and health status of patients with chronic obstructive pulmonary dis⁃ease(COPD).Methods A total of 202 COPD patients were randomly divided into a control group(n=102)and an intervention group(n=102).Both the two groups were treated with conven⁃tional extended care.In the intervention group,patient's key concerns were obtained based on the PRISMS form and targeted intervention guidance was provided.The COPD self-efficacy scale(CSES)and COPD assessment test(CAT)were used to evaluate patient self-efficacy and health status.Results After the intervention,the CSES score of the two groups was significantly higher than that before the intervention(P<0.01),and the CSES score of the intervention group was sig⁃nificantly higher than that of the control group(P<0.01).After the intervention,the CAT score was significantly reduced,but there was no significant difference in CAT score between two groups(P>0.05).Conclusion Extended care based on the PRISMS sheet can effectively im⁃prove the self-efficacy of COPD patients and improve their health of patients.

关 键 词：自我管理 延续护理 慢性阻塞性肺疾病 自我效能 

分 类 号：R473.5[医药卫生—护理学]