家庭参与式管理模式在慢性阻塞性肺疾病稳定期患者自我管理中的应用研究  

Application research of family involvement management model in patients’self-management for stable COPD

作　　者：周丽娟 吕琴[2] 张静[1] 何雅 ZHOU Li-juan;LV qin;ZHANG Jing;HE Ya(Department of Respiratory and Critical Care Medicine,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital Chengdu,Chengdu 610072,China;Department of Nursing,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital Chengdu,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院护理部,四川成都610072 [2]四川省医学科学院·四川省人民医院呼吸与危重症医学科,四川成都610072

出　　处：《实用医院临床杂志》2024年第2期102-106,共5页Practical Journal of Clinical Medicine

基　　金：四川省科技厅科研基金资助项目(编号:2022NSFSC0648);四川省老龄委课题(编号:XJLL2022004)。

摘　　要：目的采用亲情护理为向导的家庭参与式模式评估慢性阻塞性肺疾病(COPD)稳定期患者自我管理的作用及其家庭疾病负担的影响。方法选取2021年6月1日至2022年7月1日我院呼吸与危重症医学科收治的COPD稳定期患者143例,按照随机数字表法分组,对照组给予常规护理措施,试验组对患者及家庭成员进行以亲情护理为导向的家庭参与式干预,测量两组患者疾病负担量表得分、疾病知识掌握得分、吸入技术操作得分情况。结果两组出院2周、2月及6月患者吸入剂操作的使用情况、COPD疾病知识掌握情况得分均优于入院当天,家庭疾病负担量表总分及各维度得分均低于入院当天,且试验组不同时间点得分均优于对照组,差异有统计学意义(P<0.05)。结论家庭参与式管理模式有利于COPD稳定期患者自我管理能力的提高,增加患者家庭应对疾病负担能力。Objective To evaluate the role of self-management and its effect on the family disease burden in patients with stable chronic obstructive pulmonary disease(COPD)by using a family participatory model guided by family care.Methods Patients with stable COPD admitted to the department of Respiratory and Critical Care Medicine in our hospital from June 1,2021 to July 1,2022 were selected and grouped by using the random number table method.The control group was given routine nursing measures.The experimental group adopted the family care-oriented family participatory care management mode.The disease burden scale scores,disease knowledge mastery score and aspiration technique operation score in the two groups were measured.Results In both groups,the use of inhaler manipulation and COPD disease knowledge scores of patients after 2 weeks,2 and 6 months of discharge were better than those on the day of admission.The total scores and scores of all dimensions of the Family Burden of Disease Scale were lower than those on the day of admission.The scores of the experimental group were better than the control group at different time points.All differences were statistically significant(P<0.05).Conclusions The family participatory management model facilitates the improvement of self-management of patients with stable COPD and improve the ability of patients'families to cope with the burden of disease.

关 键 词：慢性阻塞性肺疾病 亲情护理 家庭管理 自我管理 

分 类 号：R563.3[医药卫生—呼吸系统]