延续护理对COPD合并呼吸衰竭病人自我管理能力的影响

摘要

目的 探讨慢性阻塞性肺疾病(COPD)合并呼吸衰竭病人出院后应用延续护理对其自我管理能力的影响. 方法 选取2015年1月至2016年1月我院收治的COPD合并呼吸衰竭病人135例,采用随机数字表分为观察组68例和对照组67例,观察组出院后行延续护理,对照组行常规出院指导. 结果 观察组病人在延续护理6月后的症状管理、日常生活管理、情绪管理、信息管理、自我效能管理得分及自我管理能力总分明显高于延续护理前水平,并且高于同期对照组病人,差异均有统计学意义(P<0.05). 结论 对COPD合并呼吸衰竭病人行延续护理能够有效提高自我管理能力,值得临床推广.%Objective To investigate the effect of transitional care on self-management ability of patients with chronic obstructive pulmonary disease (COPD) combined with respiratory failure.Methods A total of 135 cases of COPD combined with respiratory failure treated in our hospital from January 2015 to January 2016 were selected, and they were randomly divided into observation group (68 cases) and control group (67 cases).Patients in observation group received transitional care after discharge, and the patients in control group received routine discharge guidance.Results The scores of symptom management, daily life management, emotion management, information management, self efficacy management and self-management ability in the observation group 6 months after discharge were significantly higher than those before transitional care, and were significantly higher than those in the control group (P<0.05).Conclusions Transitional care can effectively improve the ability in self-management ability of patients with COPD combined with respiratory failure.