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目的:探究家属参与式延续护理干预在慢性阻塞性肺疾病患者中的实施价值。方法:选取我院2014年4月-2015年5月收治的94例慢性阻塞性肺疾病患者作为观察对象,采取随机双盲法将其分为观察组和对照组,各47例,对照组患者出院后进行一般随访,观察组患者出院后进行延续护理,观察对比两组患者复诊率及再次住院率、患者6min步行距离,采取慢性阻塞性肺疾病自我效能量表(CSES)评估患者情况,并进行问卷调查,调查患者满意程度。结果:观察组患者护理干预后复诊率及再次住院率显著低于对照组,6min步行距离远于对照组,CSES评分优于对照组,护理总满意率高于对照组,差异均具有统计学意义(P均<0.05)。结论:慢性阻塞性肺疾病患者实施家属参与式延续护理干预可有效降低患者复诊率及再次住院率,患者身体恢复好,生活质量高,满意度高,具有较高应用及推广价值。
Objectives: To explore the value of family-based extended nursing intervention in patients with chronic obstructive pulmonary disease. Methods: A total of 94 patients with chronic obstructive pulmonary disease (COPD) admitted from April 2014 to May 2015 in our hospital were selected as observation subjects and divided into observation group and control group by randomized double-blind method, 47 cases in each group. Patients in control group The general follow-up after discharge was performed. The patients in the observation group were discharged after the continuation of nursing. The referral rate and rehospitalization rate were compared between the two groups. The patient’s 6-minute walk distance was assessed by the chronic obstructive pulmonary disease self-efficacy scale (CSES) Conduct a questionnaire to investigate patient satisfaction. Results: The rate of referral and rehospitalization after nursing intervention in observation group was significantly lower than that in control group. The walking distance in 6min was longer than that in control group. The CSES score was better than that in control group. The total satisfaction rate in nursing was higher than that in control group (P <0.05). CONCLUSIONS: Participatory continuous nursing intervention in family members with chronic obstructive pulmonary disease can effectively reduce the referral rate and rehospitalization rate. Patients recover well, with high quality of life, high satisfaction and high application and promotion value.