协同护理模式对慢阻肺患者自我护理能力及预后的影响

胡迎春

（陕西省宝鸡市第六人民医院，陕西 宝鸡，721006）

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摘要：

目的 探讨协同护理模式对慢阻肺（COPD）患者自我护理能力和预后的影响作用。方法 选取2014年10月至2016年8月收治的COPD患者78例，随机分为研究组和对照组，各39 例。研究组患者给予协同护理，对照组患者给予常规护理措施， 观察评估两组患者自我护理能力和预后情况。结果 护理前，两组患者的VCmax、FEV1、PEF、FEV1/FVC 以及自我护理能力评分比较，均无明显差异（P>0.05）；护理后，两组患者的VCmax、FEV1、PEF、FEV1/FVC以及自我护理能力评分均有不同程度的升高，且研究组患者的各项指标均明显优于对照组患者，差异均具有统计学意义（P<0.05）。结论 协调护理模式能够有效提高 COPD患者的肺功能和自我护理能力，改善预后，效果明显，可在临床范围内推广使用。

关键词：慢肺阻；协同护理；肺功能；自我护理；预后

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)19-0159-02

Influence of collaborative nursing mode on self-care ability and prognosis of patients with COPD
HU Ying-chun
（the Sixth People``s Hospital of Baoji, Baoji 721006, China）

ABSTRACT: Objective To explore the effect and influence of collaborative nursing mode on self -care ability and prognosis of patients with COPD. Methods Seventy-eight cases of patients with COPD in our hospital from October 2014 to August 2016 were selected, which were randomly divided into study group and control group, with 39 cases in each group. The study group was given collaborative nursing mode, while the control group received routine nursing. The self-care ability and prognosis of the two groups were observed and evaluated. Results Before nursing, there were no significant differences in VCmax, FEV1, PEF, FEV1/FVC and self-care ability score between the two groups (P>0.05). After nursing, the VCmax, FEV1, PEF, FEV1/FVC and self -care ability score in the two groups increased in different degrees, and the indexes in the study group were obviously better than those in the control group, and the differences were statistically significant (P<0.05). Conclusion The collaborative nursing mode can effectively improve the lung function and self-care ability of patients with COPD, which can improve the prognosis obviously and can be promoted in the clinical use.
KEYWORDS: chronic obstructive pulmonary diseases; collaborative nursing mode; pulmonary function; self care; prognosis

参考文献：
[1] 黄炎辉,蔡莉莉,冯琴梅.协同护理模式对慢阻肺患者自我护理能力及预后的影响[J].中国医药指南,2014,12(4):229-230.
[2] 杨丽娜.协同护理模式对慢性阻塞性肺病患者自我护理能力的影响[J].航空航天医学杂志,2016,27(6):794-796.
[3] 袁丹,李新颖,葛荣玲,等.慢性心力衰竭患者开展协同护理模式的临床效果评价[J].现代医学,2015,43(10):1319-1322.
[4] 席芳,侯琨,李亚军,等.协同护理模式对慢性阻塞性肺疾病患者居家应用无创通气的影响[J].中华护理教育,2014,11(2):139-141.
[5] NISHIMURA M,MAKITA H,NAGAI K,et al.Annual change in pulmonary function and clinical phenotype in chronic obstructive pulmonary disease[J].Am J Respir Crit Care Med,2012,185(1):44-52.
[6] 姜淑霞,程建云,牛琴,等.协同护理模式对慢性心力衰竭患者自我护理能力和生活质量的影响[J].新疆医科大学学报,2014.37(2):241-243,247.
[7] 雷延兰,罗玲,陈莉,等.协同护理模式对血液透析患者自我护理能力和透析治疗依从性的影响[J].中国血液净化,2016,15(1):58-62.
[8] 朱文娟.吴爱玲.杨群英.同伴支持小组协同护理模式对肠造口患者自我护理和适应水平的影响[J].护理学杂志,2015,30(4):5-8.
[9] 汪洪霞.家庭氧疗的护理干预对慢性阻塞性肺疾病的疗效观察[J]. 中外医学研究,2011,9(33):101-102.