以疾病程度分级构建的细节化阶段护理模式在老年慢阻肺患者急性加重康复期中的应用  

Application of the detailed staged nursing model constructed based on disease severity grading in rehabilitation period of elderly patients with acute exacerbation of chronic obstructive pulmonary disease

作　　者：李莉梅 刘江丽 鲍俐霏 郝小丹 Li Limei;Liu Jiangli;Bao Lifei;Hao Xiaodan(Western Theater General Hospital,Department of Cadre 3,Area 1,Chengdu,Sichuan 610083,China)

机构地区：[1]西部战区总医院干部三科一区,四川成都610083

出　　处：《西藏医药》2024年第3期96-98,共3页Tibetan Medicine

摘　　要：目的 观察以疾病程度分级构建的细节化阶段护理模式在老年慢阻肺(COPD)患者急性加重康复期中的价值。方法 选择2022年6月~2023年6月在入院的CDPD患者162例,按随机数字表法分为对照组和观察组,每组81例。对照组接受常规护理,观察组接受以疾病程度分级构建的细节化分阶段护理。比较两组治疗前后圣乔治呼吸问卷(SGRQ)、6分钟步行试验(6MWT)、自我护理能力测定量表(ESCA)上差异。结果 治疗后观察组SGRQ量表评分均低于对照组、6MWT的距离多于对照组、ESCA评分均高于对照组(均P<0.05)。结论 分阶段护理模式适应疾病不同程度的需要,能提升AECOPD患者的生活质量和自我护理能力,改善患者的肺功能。Objective To observe the value of the detailed staged nursing model constructed based on disease severity grading in rehabilitation period of elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 162 patients with AECDPD admitted to the hospital from June 2022 to June 2023 were selected as the study subjects and ran-domly divided into a control group and an observation group,with 81 patients in each group.The control group received routine nursing,while the observation group received detailed staged nursing based on disease severity grading.The St.George's Respirato-ry Questionnaire(SGRQ)scores,6-minute walk test(6MWT)results and Exercise of Self Care Agency(ESCA)scores of the two groups were compared.Results After treatment,the SGRQ score of the observation group was lower than that of the control group,the distance of 6MWT was greater than that of the control group,and the ESCA score was higher than that of the control group(P<0.05).Conclusion The detailed staged nursing model constructed based on disease severity grading can improve the quality of life and self-care ability of patients with AECOPD,and improve their pulmonary function.

关 键 词：慢阻肺急性加重期 疾病程度分级 阶段护理 老年 

分 类 号：R473.5[医药卫生—护理学]