双向质量反馈干预模式应用在慢性阻塞性肺疾病患者药物治疗期间的效果  

Effect of Bi-directional Quality Feedback Intervention Model in Patients with Chronic Obstructive Pulmonary Disease During Drug Treatment

作　　者：刘缓缓 徐慧[1] 李乾 周拓 赵登峰[2] LIU Huanhuan;XU Hui;LI Qian;ZHOU Ta;ZHAO Dengfeng(Department of Infection Management,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,China;Department of Respiratory Medicine,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院感染管理科,河南南阳473000 [2]南阳医学高等专科学校第一附属医院呼吸内科,河南南阳473000

出　　处：《中国药物滥用防治杂志》2024年第9期1627-1631,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：2021年度河南省医学科技攻关计划联合共建项日立项目录(编号:LHG120210982)。

摘　　要：目的:探讨双向质量反馈干预模式对慢性阻塞性肺疾病(COPD)患者药物治疗期间肺功能及希望水平的影响。方法:选取我院2020年9月—2022年12月期间诊治的COPD患者97例,按照随机数字表法将所有患者分成2组:质量组(48例)、常规组(49例)。2组均给予盐酸莫西沙星氯化钠注射液治疗,常规组接受常规护理干预,质量组基于常规组接受双向质量反馈干预模式的护理干预,对2组依从性、护理质量及干预前后肺功能[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)预测值(FEV_(1)%)、每分钟最大通气量(MVV)]、心理状况[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、希望水平(中文版Herth希望量表)及生活质量[圣乔治呼吸疾病问卷(SGRQ)]评分进行比较。结果:质量组总依从率100.00%(48/48),高于常规组的83.67%(41/49)(P<0.05);质量组疾病健康宣教、心理指导、护理服务、用药/饮食指导及康复锻炼评分高于常规组(P<0.05);质量组FEV_(1)、FEV_(1)%及MVV水平高于常规组(P<0.05);质量组HAMA、HAMD、SGRQ评分低于常规组,Herth评分高于常规组(P<0.05)。结论:在莫西沙星药物治疗期间,双向质量反馈干预模式可有效提升患者希望水平、依从性,改善患者心理状况及肺功能,促进其生活质量水平的提高。Objective:To explore the effect of bi-directional quality feedback intervention model on lung function and hope level in patients with chronic obstructive pulmonary disease(COPD)during drug treatment.Methods:A total of 97 patients with COPD diagnosed and treated in our hospital from September 2020 to December 2022 were selected.All patients were divided into two groups according to the random number table method:quality group(48 patients)and routine group(49 patients).Both groups were treated with moxifloxacin hydrochloride and sodium chloride injection.The routine group received routine nursing intervention,and the quality group received nursing intervention based on the bi-directional quality feedback intervention model based on the routine group.The scores of compliance,nursing quality,lung function[forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC),FEV_(1) predicted value(FEV_(1)%),maximum ventilation volume per minute(MVV)],psychological status[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],hope level(Chinese version of Herth hope scale)and quality of life[St.George‘s respiratory disease questionnaire(SGRQ)]before and after intervention were compared between the two groups.Results:The total compliance rate of the quality group was 100.00%(48/48),which was higher than 83.67%(41/49)of the routine group(P<0.05).The scores of disease health education,psychological guidance,nursing service,medication/diet guidance and rehabilitation exercise in the quality group were higher than those in the routine group(P<0.05).The levels of FEV_(1),FEV_(1)%and MVV in the quality group were higher than those in the routine group(P<0.05).The HAMA,HAMD and SGRQ scores of the quality group were lower than those of the conventional group,and the Herth score was higher than that of the conventional group(P<0.05).Conclusion:During the treatment of moxifloxacin,the bi-directional quality feedback intervention model can effectively improve the patient’s hope level and compliance,improve

关 键 词：双向质量反馈 莫西沙星 慢性阻塞性肺疾病 肺功能 希望水平 

分 类 号：R473.5[医药卫生—护理学]