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目的探讨医院-家庭连续性护理对COPD患者症状及生活质量的影响。方法选取我院2016年7—11月COPD稳定期患者80例为研究对象,按照入院时间顺序分为2组,单日入院为观察组(医院-家庭连续性护理),双日入院为对照组(常规护理),比较两组出院后3个月的自我管理情况、症状控制以及生活质量。结果观察组出院后3个月后的自我管理总分高于对照组,CAT评分低于对照组,病情发作次数低于对照组;观察组出院后3个月的影响、症状、活动能力等呼吸生活质量评分低于对照组(P<0.05)。结论医院-家庭连续性护理使COPD患者获得了全程护理,能够提高患者院外的自我管理能力,减少症状发作,改善生活质量。
Objective To investigate the effect of hospital-family continuity nursing care on the symptoms and quality of life in COPD patients. Methods Totally 80 patients with stable COPD from July to November 2016 in our hospital were enrolled in this study. The patients were divided into two groups according to their admission time. One-day hospitalization was performed as observation group (hospital-family continuity nursing) (Routine care), self-management, symptom control, and quality of life for three months after discharge from both groups were compared. Results The scores of self-management in the observation group after 3 months of discharge were higher than those in the control group, CAT scores were lower than those in the control group, and the number of seizures was lower than that in the control group. The effects, symptoms and activity of the observation group after 3 months of discharge The quality of life score was lower than that of the control group (P <0.05). Conclusions The hospital-family continuity care has provided full-time care for patients with COPD, which can improve the self-management ability of patients outside the hospital, reduce the onset of symptoms and improve the quality of life.