摘要
目的探讨基于社区联动的出院准备计划在COPD患者院外延续护理中的应用效果。方法采用便利抽样法选择2019年3月—2020年3月在河南省人民医院呼吸科住院的206例COPD患者,随机分为观察组和对照组,各103例。对照组予以COPD常规管理,观察组在对照组基础上实施社区联动的出院准备计划,进行为期半年的干预。比较干预前后两组的COPD评估测试量表评分、慢性病管理评价量表评分、BODE指数,以及干预期间患者再次入院率。结果干预后观察组的COPD评估测试量表各条目得分及总分均低于对照组,除咳嗽、咳痰外,其余条目及总分差异均有统计学意义(P<0.05);观察组干预后的COPD评估测试量表各条目得分及总分较干预前降低,差异均有统计学意义(P<0.05)。观察组干预后的慢性病管理评价量表评分各维度得分及总分较干预前升高,且均高于对照组干预后,差异均有统计学意义(P<0.05);观察组干预后的BODE指数得分较对照组低,两组比较差异有统计学意义(P<0.05)。观察组的半年内再次入院率为13.59%(14/103),低于对照组的31.07%(32/103),两组比较差异有统计学意义(χ2=9.068,P=0.003)。结论基于社区联动的出院准备计划可以改善COPD患者的生活质量和肺功能,提高患者对慢性疾病管理水平的认可度及降低再次入院率,整体提高患者延续护理质量。
Objective To explore the effect of the discharge preparation plan based on community linkage in the out-of-hospital continuous nursing of chronic obstructive pulmonary disease(COPD)patients.Methods From March 2019 to March 2020,convenience sampling was used to select 206 COPD patients hospitalized in the Respiratory Department of Henan Provincial People's Hospital.The patients were randomly divided into the observation group and the control group,with 103 cases in each group.The control group received routine management of COPD,and the observation group implemented a community-linked discharge preparation plan on the basis of the control group,and carried out a six-month intervention.The COPD Assessment Test(CAT)score,Patient Assessment of Chronic Illness Care(PACIC)score,body mass index,degree of airflow obstruction,dyspnea and exercise capacity(BODE)index,and the patient readmission rate during the intervention period were compared between the two groups before and after the intervention.Results After the intervention,the item scores and total scores of the CAT of the observation group were lower than those of the control group.Except for cough and sputum,the differences in the other items and total scores were statistically significant(P<0.05).The item scores and total scores of the CAT of the observation group after intervention were lower than those before intervention, and the differences were statistically significant(P < 0.05). The dimension scores and total score of the PACIC of the observation group after the interventionwere higher than those before the intervention, and were higher than those of the control group after theintervention, and the difference was statistically significant (P<0.05). The BODE index score of the observationgroup after intervention was lower than that of the control group, and the difference between the two groups wasstatistically significant (P< 0.05). The readmission rate in the observation group within six months was 13.59%(14/103), which was lower than 31.07%(32/103) in the control group, and the difference between the two groupswas statistically significant (χ2=9.068, P=0.003). Conclusions The discharge preparation plan based oncommunity linkage can improve the quality of life and lung function of COPD patients, increase the patient'srecognition of chronic disease management, reduce the rate of hospital readmission, and achieve the overallquality improvement in continuous nursing of patients.
作者
裴永菊
谢舒棠
席芳
尚茜
张俊梅
闫秀文
倪明辉
Pei Yongju;Xie Shutang;Xi Fang;Shang Qian;Zhang Junmei;Yan Xiuwen;Ni Minghui(Respiratory Intensive Care Unit,Henan Provincial People's Hospital(People's Hospital of Zhengzhou University),Zhengzhou 450003,China;Nursing Department,Henan Provincial People's Hospital(People's Hospital of Zhengzhou University),Zhengzhou 450003,China)
出处
《中华现代护理杂志》
2021年第30期4073-4078,共6页
Chinese Journal of Modern Nursing
关键词
肺疾病
慢性阻塞性
出院准备计划
延续护理
Pulmonary disease,chronic obstructive
Discharge preparation plan
Continuous nursing
作者简介
通信作者:谢舒棠,Email:earnings6@163.com。
