自我管理指导手册在COPD患者无创呼吸机居家治疗中的应用研究

摘要

Objective:To establish self management guidelines and specification of home nursing therapy for patients in COPD when using the noninvasive ventilator ,to improve ability patients’ self management and life quality. Method:Sixty cases of standard patients for study were collected, and then they were divided into two groups. The control group was given routine health education mode while the testing group was given related knowledge and operation skill training before hospital discharge.After discharge of hospital,the standardization of self management guidelines was applied as a manual mission.The patients of two groups were tested by questionnaire of breathing self management ability and questionnaire of SGRQ life quality to test the self management and life quality after using noninvasive ventilator.Result:The difference of self management of control group and test group before intervention had no statistical significance (P>0.05).While after six mouths’ intervention,the different self management questionnaire scores were statistically significant(P<0.05).Conclusion:The self management guidelines of noninvasive ventilator and specification of home nursing therapy strengths patients’ ability of self management and improve the quality life of patients.%目的：建立自我管理指导手册，规范COPD患者使用无创呼吸机居家治疗的护理方案，提高自我管理能力及生活质量。方法：收集符合标准的患者60例，随机分为两组，对照组仅给予常规健康宣教模式，试验组在出院前给予相关知识、操作技能的培训，出院后应用自我管理指导手册的标准化宣教模式。两组患者在试验前后通过《呼吸机自我管理能力问卷》和《SGRQ生活质量问卷》调查患者使用无创呼吸机的自我管理能力及生活质量。结果：对照组及试验组干预前自我管理行为问卷评分差异无统计学意义（P>0.05），干预后6个月，两组间自我管理行为问卷评分差异有统计学意义（P<0.05）。结论：无创呼吸机自我管理指导手册及规范化居家治疗护理方案的应用，加强了患者的自我管理能力，提高了生活质量。