Objective To analyze the application effect of collaborative care mode (CCM) in patients with chronic obstructive pulmonary disease (COPD).Methods A total of 80 patients with COPD were selected in West China Hospital of Sichuan University from January 2016 to May 2017,and they were randomly divided into control group and observation group,each of 40 cases.Patients of control group received routine nursing intervention,while patients of observation group received CCM based on routine nursing intervention.Index of pulmonary function (including FVC,FEV1,FEV1/FVC and VC),Cognitive Indices Disease Questionnaire (CIPQ-R) score,self-rating anxiety scale (SAS) score,self-rating depression scale (SDS)score and World Health Organization Quality of Life Scale-Brief Form Questionnaire (WHOQOL-BREF) were compared between the two groups before and after intervention.Results No statistically significant differences of FVC,FEV1,FEV1/FVC or VC was found between the two groups before intervention (P ＞0.05),while FVC,FEV1 and VC of observation group was statistically significantly greater than that of contorl group,FEV1/FVC of observation group were statistically significantly higher than those of control group after intervention (P ＜ 0.05).No statistically significant differences of acute or chronic disease course score,serious consequences score,personal control score,treatment control score,disease correlations score,disease periodicity score,emotional statement score or total score of CIPQ-R was found between the two groups before intervention (P ＞0.05),while acute or chronic disease course score,serious consequences score,personal control score,treatment control score,disease correlations score,disease periodicity score,emotional statement score and total score of CIPQ-R of observation group were statistically significantly higher than those of control group after intervention (P ＜ 0.05).No statistically significant differences of SAS score or SDS score was found between the two groups before intervention (P ＞ 0.05),while SAS score and SDS score of observation group were statistically significantly lower than those of control group after intervention (P ＜ 0.05).No statistically significant differences of physiological function score,mental function score,social relations score,environmental field score or total sensory score was found between the two groups before intervention (P ＞ 0.05),while physiological function score,mental function score,social relations score,environmental field score and total sensory score of observation group were statistically significantly higher than those of control group after intervention (P ＜ 0.05).Conclusion CCM can significantly improve the pulmonary function,mental status,disease awareness status and quality of life of patients with COPD.%目的 分析协同护理模式(CCM)在慢性阻塞性肺疾病(COPD)患者中的应用效果.方法 选取2016年1月-2017年5月四川大学华西医院收治的COPD患者80例,随机分为对照组和观察组,每组40例.对照组患者给予常规护理干预,观察组患者在常规护理基础上采用CCM.比较两组患者干预前后肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、第1秒用力呼气容积与用力肺活量比值(FEV1/FVC)、最大肺活量(vC)]、疾病认知问卷(CIPQ-R)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及世界卫生组织生活质量简表(WHOQOL-BREF)评分.结果 干预前两组患者FVC、FEV1、FEV1/FVC、VC比较,差异无统计学意义(P＞0.05);干预后观察组患者FVC、FEV1、VC大于对照组,FEV1/FVC高于对照组(P＜0.05).干预前两组患者病程急慢性评分、严重后果评分、个人控制评分、治疗控制评分、疾病相关性评分、疾病周期性评分、情绪陈述评分及CIPQ-R总分比较,差异无统计学意义(P＞0.05);干预后观察组患者病程急慢性评分、严重后果评分、个人控制评分、治疗控制评分、疾病相关性评分、疾病周期性评分、情绪陈述评分及CIPQ-R总分高于对照组(P＜0.05).干预前两组患者SAS评分、SDS评分比较,差异无统计学意义(P＞0.05);干预后观察组患者SAS评分、SDS评分低于对照组(P＜0.05).干预前两组患者生理功能评分、心理功能评分、社会关系评分、环境领域评分及总体感觉评分比较,差异无统计学意义(P＞0.05);干预后观察组患者生理功能评分、心理功能评分、社会关系评分、环境领域评分及总体感觉评分高于对照组(P＜0.05).结论 CCM可有效改善COPD患者肺功能及心理状态,提高患者疾病感知水平和生活质量.
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