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1、延续性护理对慢性阻塞性肺疾病患者自我护理能力及生活质量的影响观察罗平黄凤毛(屮南大学湘雅医院老干呼吸内科湖南长沙410008)【摘要】R的:探讨延续性护理对慢性阻塞性肺疾病患者自我护理能力和生活质量的影响,提高患者出院后自我护理能力和生活质量。方法:选取慢性阻塞性肺疾病患者184例,随机分为两组,使其有可比性。对照组91例,给予常规护理;观察组93例,在对照组基础上于患者出院后实施延续性护理。结果:两组患者出院前自我护理能力和生活质量得分差别不大,无统计学意义(P>0.05)。观察组患者出院后6个月和1年时自我护理能力得分分别为(93.88±
2、4.18)分和(97.96±5.04)分,均明显高于对照组;躯体健康、社会功能、躯体角色功能、躯体疼痛、心理健康、情绪角色功能、精力和总体健康8个维度得分分别为(25.04±2.16)分、(6.62±0.48)分、(5.52±0.53)分、(13.28±0.48)分、(18.10±0.13)分、(7.99±0.38)分、(5.02±0.33)分和(22.74±0.28)分,除躯体疼痛明显低于对照组外,其他维度得分均明显高于对照组。上
3、述比较两组差异有统计学意义(P<0.05)。结论:延续性护理可以有效提高慢性阻塞性肺疾病患者出院之后的我护理能力和生活质量。【关键词】延续性护理;慢性阻塞性肺疾病;我护理;生活质量【屮图分类号】R47【文献标识码】B【文章编号】1003-5028(2015)6-0547-02Toobservetheeffectofcontinuityofcareforpatientswithchronicobstructivepulmonarydiseaseself-careandqualityoflife【Abstract】Objective:Toinvestigate
4、theeffectofthecontinuityofcareforpatientswithchronicobstructivepulmonarydiseaseself-careandqualityoflife,improveself-careabilityandqualityoflifeofpatientsafterdischarge.Methods:184casesofpatientswithchronicobstructivepulmonarydisease,wererandomlydividedintotwogroups,makingitcompar
5、able.91casesinthecontrolgroupreceivedroutinecare;observationgroup93cases,theimplementationofcontinuityofcareafterthepatientwasdischargedonthebasisofthecontrolgroup.Results:Thetwogroupsofpatientsbeforedischargeself-careandqualityoflifescoreslittledifferencewasnotstatisticallysignif
6、icant(P>0.05).Observationgroupweredischargedaftersixmonthsandoneyearofself-carescoreswere(93.88±4.18)pointsand(97.96±5.04)points,weresignificantlyhigher;physicalhealth,socialfunctioning,rolephysicalfunctioning,physicalpain,mentalhealth,emotionalrolefunction,energy
7、andoverallhealthscoreeightdimensions(25.04±2.16)points,respectively,(6.62±0.48)points,(5.52±0.53)points,(13.28±0.48)points,(18.10±0.13)points,(7.99±0.38)points,(5.02±0.33)andpoints(22.74±0.28)points,inadditiontophysicalpainwa
8、ssignificantlylowerthanthecontrol