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目的探究三主体双轨道交互式护理对老年慢性阻塞性肺疾病(COPD)患者的应用效果。方法选取2013年12月—2015年12月期间哈尔滨医科大学附属第一医院门诊确诊的老年COPD患者132例,按照单纯随机抽样的方式分为干预组和对照组;对照组患者采用常规化的护理方法,即患者在出院后,进行电话回访一次,提供给患者相应的自我管理知识和宣传教育,干预组患者采用三主体双轨道交互式护理干预模式,构建以老年COPD患者及医院专科护士为主体的医院延续护理干预轨道和以老年COPD患者及社区护士为主体的社区干预轨道,增强三主体双轨道的交互作用;三主体双轨道交互式护理在老年COPD患者应用及效果评价参考2组患者生活质量各维度评分、预后3个月后焦虑自评量表(SAS)/抑郁自评量表(SDS)评分以及干预效果、满意度等数据。结果干预后实验组患者和对照组患者的总体健康得分分别是61.6±4.6、53.6±3.7,实验组患者得分高于对照组,实验数据差异具有统计学意义(P<0.01);干预后实验组患者显效33例、有效28例、无效5例,对照组显效23例、有效17例、无效26例,实验组的干预效果优于对照组,实验数据差异具有统计学意义(P<0.01);干预后实验组患者和对照组患者的满意度分别为97.0%、72.7%,实验组患者满意度高于对照组,实验数据差异具有统计学意义(P<0.01)。结论三主体双轨道交互式护理干预模式激发患者的主观能动性,改善患者的心理状态,提高患者的生存质量,具有重要的推广价值。
Objective To explore the application effects of three-body dual-track interactive nursing on elderly patients with chronic obstructive pulmonary disease (COPD). Methods 132 elderly COPD patients diagnosed in the First Affiliated Hospital of Harbin Medical University from December 2013 to December 2015 were randomly divided into intervention group and control group.The patients in the control group were treated with routine nursing Methods: After the patients were discharged from the hospital, the patients were interviewed once by phone to provide the patient with self-management knowledge and publicity and education. The patients in the intervention group adopted the three-body and two-track interactive nursing intervention mode to construct the elderly COPD patients and hospital nurses Of the hospital continuation of the nursing intervention orbit and elderly COPD patients and community nurses as the mainstay of community intervention orbit, enhance the interaction between the three subjects of dual orbit; three subjects dual-track interactive nursing in elderly patients with COPD evaluation of the effect and reference to the two groups of patients with life Quality of each dimension scoring, three months after the prognosis of anxiety self-rating scale (SAS) / Self-rating Depression Scale (SDS) score as well as the intervention effect, satisfaction and other data. Results After the intervention, the overall health scores of experimental group and control group were 61.6 ± 4.6 and 53.6 ± 3.7, respectively. The score of experimental group was higher than that of control group, the difference was statistically significant (P <0.01) There were 33 cases markedly effective, 28 cases effective, 5 cases ineffective, 23 cases markedly effective in control group, 17 cases effective and 26 ineffective. The intervention effect in the experimental group was better than that in the control group (P <0.01). The satisfaction of the experimental group and the control group after intervention was 97.0% and 72.7%, respectively. The satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (P <0.01). Conclusion The three-body dual-rail interactive nursing intervention model stimulates the subjective initiative of patients, improves the psychological status of patients and improves the quality of life of patients, which is of great promotion value.