延续护理对COPD稳定期患者生活质量的影响

摘要

目的 探讨延续护理对COPD患者生活质量的影响.方法 采用便利抽样法,选取徐州医科大学附属医院2015年3月—2016年6月出院的118例COPD稳定期患者,按照随机数字表法,随机分为观察组60例与对照组58例.对照组采用常规护理模式,观察组在对照组的基础上采取出院后延续护理模式.干预前、干预3个月、6个月后分别采用延续护理测评量表(CTM)、慢性阻塞性肺疾病评估测试(CAT)对延续护理效果和患者生活质量进行评估.结果 干预前,两组患者的CTM评分比较差异无统计学意义(P>0.05),干预3、6个月后,观察组患者CTM评分均高于对照组,差异均有统计学意义(P<0.05).干预前、干预3个月后两组COPD稳定期患者CAT评分比较差异无统计学意义(P>0.05),干预6个月后,观察组患者CAT评分低于对照组,差异有统计学意义(P<0.05).结论 延续护理模式能够提高COPD稳定期患者的疾病认知,促进患者采取健康的生活方式和行为,提高患者的生活质量.%Objective To explore the effects of transitional nursing on the quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 118 patients in the stable phase of COPD, who were discharged from the Affiliated Hospital of Xuzhou Medical University during March 2015 to June 2016 were selected by convenience sampling method and divided into observation group (n=60) and control group (n=58) according to the random number table. The patients in the control group were treated with routine nursing mode, while the patients in the observation group were given transitional care after discharged on the basis of routine nursing. The effects of the transitional care and patients' quality of life were evaluated with Care Transitions Measure (CTM) and Chronic Obstructive Pulmonary Disease Assessment Test (CAT) at three time points, before intervention, three and six months after the intervention. Results There was no statistical difference in the score of CTM between the two groups before intervention (P>0.05). After intervention for 3 and 6 months, the CTM score of the observation group patients were significantly higher than that of the control group, and the differences were statistically significant (P<0.05). Before intervention and 3 months after intervention, patients' CAT score had no statistical difference between the two groups (P> 0.05). The CAT score of the patients in the observation group was lower than that in the control group after intervention for 6 months, and the difference was statistically significant (P<0.05). Conclusions Transitional nursing mode can improve the cognition of patients in COPD stable phase, promote healthy lifestyle and behavior, and improve patients' quality of life.