县域医共体下稳定期COPD患者基于工作室的延续护理  

Studio-based extended care for stable COPD patients in county medical community

作　　者：顾永萍 郑云慧[2] 胡文燕 顾怡青 Gu Yongping;Zheng Yunhui;Hu Wenyan;Gu Yiqing(Department of Respiratory Medicine,First People′s Hospital of Linping District,Hangzhou 311100,China)

机构地区：[1]杭州市临平区第一人民医院呼吸科,浙江杭州311100 [2]嘉兴学院医学院

出　　处：《护理学杂志》2023年第24期92-94,104,共4页Journal of Nursing Science

基　　金：嘉兴学院医学院科研项目(CD70122003);浙江省医药卫生科技项目(2023XY008)。

摘　　要：目的 探讨县域医共体下专科护士主导的工作室延续护理在稳定期COPD患者中的应用效果。方法 将179例出院COPD患者按照编号单双号分为对照组90例和观察组89例。对照组予常规延续护理,观察组依托县域医共体,以工作室专科护士为主导开展延续护理。结果 干预2年后,观察组第1秒用力呼气容积实测值与预计值的比值、第1秒用力呼气容积与用力肺活量的比值、慢性阻塞性肺疾病评估量表评分显著优于对照组,观察组2年内急性加重住院次数显著少于对照组,戒烟成功率显著高于对照组(均P<0.05)。结论 县域医共体下专科护士主导的工作室延续护理有利于提升稳定期COPD患者戒烟成功率,改善患者肺功能,延缓患者疾病进展。Objective To explore the application effect of studio-based extended care led by specialist nurses in stable COPD patients in county medical community.Methods According to the odd and even numbers,179 discharged COPD patients were divided into a control group(n=90) and an intervention group(n=89).The control group was given routine extended care,while the intervention group relied on the county medical community and carried out extended care dominated by studio specialist nurses.Results After 2 years of intervention,the ratio of measured values to predicted values of the forced expiratory volume in one second(FEV1),the ratio of FEV1 to forced vital capacity,and the score of COPD Assessment Test in the intervention group were significantly better than those in the control group,its average times of acute aggravation in the 2 years was significantly less than that in the control group,and its success rate of quitting smoking was significantly higher than that in the control group(all P<0.05).Conclusion Studio-based extended care led by specialist nurses in the county medical community,is conducive to increasing the success rate of quitting smoking in stable COPD patients,improving their pulmonary function and delaying their disease progression.

关 键 词：慢性阻塞性肺疾病 稳定期 医共体 工作室 专科护士 延续护理 肺功能 戒烟成功率 

分 类 号：R473.5[医药卫生—护理学] R473.2[医药卫生—临床医学]