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老年COPD稳定期患者家庭氧疗分级管理的效果评价

     

摘要

目的 探讨采用家庭氧疗跟踪表量化分级管理老年COPD稳定期家庭氧疗患者的效果.方法 选取2015年1月-2016年3月拟行家庭氧疗的老年COPD稳定期患者42例为实验组,行双侧鼻导管家庭氧疗,并采用家庭氧疗跟踪表评估患者的家庭氧疗依从性、症状识别和用氧安全情况以及家庭氧疗信心等,根据评价结果进行家庭氧疗管理,另选取30例同期行双侧鼻导管家庭氧疗的老年COPD稳定期患者为对照组,给予常规护理.两组均干预至少半年.比较两组干预6个月时的护理依从性、急性发作次数、患者满意度及干预前后的生活质量评分.结果 实验组干预6个月的护理依从性和患者满意度均高于对照组,急性发作次数≥2次的患者比例低于对照组(均P<0.05).与干预前比较,两组干预后生活质量评分均降低(P<0.05).实验组干预后生活质量评分低于对照组(P<0.05).结论 采用家庭氧疗跟踪表量化分级管理老年COPD稳定期患者可有效减少COPD急性发作次数,提高患者的依从性和满意度,改善患者生存质量.%Objective To explore the effects of nursing intervention based on domiciliary oxygen therapy tracking tables (DOTT) quantitative classification on domiciliary oxygen in elderly patients with stable chronic obstructive pulmonary disease (COPD).Methods Forty-two cases of elderly patients with stable COPD treated by domiciliary oxygen therapy from January 2015 to March 2015 were selected as the experimental group,and were given bilateral nasal catheter domiciliary oxygen therapy,and were provided domiciliary oxygen therapy management,nursing education and intervention according to results of family oxygen therapy compliance,symptom identification and oxygen safety,and family oxygen therapy confidence evaluated by family oxygen therapy tracking table.Other 30 cases of patients with stable COPD treated by bilateral nasal catheter domiciliary oxygen therapy and routine nursing during the same period of time were selected as the control group.Both groups were provided nursing care for at least 6 months.Nursing adherence,acute episode,patient satisfaction,and quality of life score before and after nursing of two groups were compared.Results Compared with the control group,nursing adherence and patient satisfaction after 6 months in the experimental group were higher,while rate of patients with acute episodes ≥ 2 times in the experimental group was lower (P<0.05).Compared with that before nursing intervention,quality of life scores of two groups after nursing intervention were lower(P<0.05).Compared with the control group,quality of life scores of the experimental group were all decreased (P<0.05).Conclusion Nursing intervention based on domiciliary oxygen therapy tracking tables quantitative classification can effectively reduce the incidence of acute episodes,improve patient's nursing compliance,patient satisfaction,and quality of life.

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