Application and effectiveness of dual track interactive nursing intervention of three subjects on elderly patients with COPD
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摘要: 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。
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关键词:
- 三主体双轨道交互式护理干预 /
- 老人 /
- 慢性阻塞性肺疾病
Abstract: Objective To explore the effectiveness of dual track interactive nursing intervention of three subjects on elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 132 cases of COPD in our hospital between December,2013 and December,2015 were enrolled and were divided into intervention group and control group by simple random sampling.The control group received the routine nursing care,all the patients in this group were followed up with a t revisiting through telephone after the discharge to provide the knowledge of self-management and publicity and education;while the intervention group received dual track interactive nursing intervention of three subjects.The hospital extended care interventions track with elderly COPD patients and specialist nurses of hospital as the main body,and community care intervention track with elderly COPD patients and community nurses as the main body were built and run in the intervention group.The quality of life,SAS/SDS score in 3 months after the treatment,overall response rate and satisfaction were compared between the two groups. Results Dryprognosis of patients in the experimental group and the control group of patients with general health scores were 61.6±4.6,53.6±3.7,scores of patients in the experimental group than control group,the difference of experimental data with statistical significance (P<0.01);after intervention,there were 33 markedly effective cases,28 effective cases,5 ineffective cases in the experimental group and 23 markedly effective cases,17 effective cases,26 ineffective cases in the control group,the curative effect in the experimental group was better than that in the control group,the difference of experimental data with statistical significance (P<0.01);patients satisfaction were 97.0%,72.7% of the patients in the experimental group was higher than that of the control group experimental data differences were statistically significant (P<0.01). Conclusion The dual track interactive nursing intervention of three subjects on COPD can stimulate the patient's subjective initiative,improve psychological state and quality of life of patients.
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