基于同质医疗理念的护理策略对慢性阻塞性肺疾病患者肺功能、生活质量以及自我效能的影响-现代医学

基于同质医疗理念的护理策略对慢性阻塞性肺疾病患者肺功能、生活质量以及自我效能的影响

单位：青海大学附属医院呼吸科, 青海西宁 810001

分类号：R563;R473.56

出版年·卷·期（页码）：2018·37·第九期（1077-1080）

摘要：

目的：探究同质医疗理念下护理对慢性阻塞性肺疾病（COPD）患者肺功能、生活质量及自我效能的影响。方法：选取2014年1月至2016年11月于我院收治的COPD患者210例，随机分为对照组和观察组，对照组给予常规护理，观察组基于同质医疗理念下进行护理，比较两组护理前后肺功能、生活质量、自我效能及护理满意度。结果：两组护理后COPD评估测试量表评分明显下降且观察组明显低于对照组（P<0.05）；两组护理后COPD自我效能量表评分明显上升且观察组明显高于对照组（P<0.05）；观察组护理满意度明显高于对照组（P<0.05）。观察组住院天数、治疗费用、再次入院率明显低于对照组（P<0.05）。结论：基于同质医疗理念的护理策略应用于稳定期COPD患者，可以有效改善患者肺功能、生活质量及自我效能，提高护理满意度。

Objective: To investigate the effect of uniform care on pulmonary function, quality of life and self-efficacy in the patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 210 patients with COPD from January 2014 to November 2016 were enrolled and randomly divided into the control group and the observation group. The control group was treated with routine nursing, and the observation group was treated with uniform care. Pulmonary function, quality of life, self-efficacy and nursing satisfaction of two groups before and after nursing were compared. Results: The scores of CAT of two groups were significantly lower after nursing, while the score of the observation group was significantly lower than that of the control group (P<0.05). The scores of CSES of two groups were significantly increased after nursing, while the score of observation group was significantly higher than that of the control group (P<0.05).The nursing satisfaction of the observation group was higher than that of the control group (P<0.05). The hospitalization days, treatment costs, and re-admission rate in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: Uniform care used in patients with stable COPD can effectively improve pulmonary function, quality of life, self-efficacy and nursing satisfaction.

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