摘要
目的探讨基于JCI标准下同质护理服务理念联合肺功能训练在慢性阻塞性肺疾病(COPD)稳定期患者中的护理效果。方法选择2019年2月—2020年3月本院收治的698例COPD稳定期患者作为研究对象,随机数表法分为观察组和对照组两组,每组各349例。对照组给予肺功能训练干预,护理干预至出院。观察组给予基于JCI标准下同质护理服务理念联合肺功能训练,出院后对患者进行为期6个月的随访,了解患者的身体恢复情况。比较两组患者干预前后肺功能指标、自我效能、运动耐力、生活质量评分,干预后对两组患者护理治疗评分进行比较。结果干预后,两组肺功能指标、自我效能、运动耐力、生活质量评分均较干预前有所改善(P<0.05)。观察组用力肺活量(FVC)、一秒用力呼气量(FEV1)、最大呼气流速(PEF)均高于对照组(P<0.05)。干预后观察组的自我效能感评分(CSES)高于对照组,6 min步行距离(6 MWD)长于对照组(P<0.05)。干预后观察组SF-36生活质量评分均高于对照组(P<0.05)。干预后观察组护理质量评分包括健康宣教、基础护理、消毒隔离、专科护理及病房管理评分均高于对照组(P<0.05)。结论基于JCI标准下同质护理服务理念联合肺功能训练在COPD稳定期患者中的护理效果显著,增强患者自我效能和运动耐力,值得临床应用推广。
Objective To explore the nursing effect of homogeneous nursing service concept based on JCI standard combined with pulmonary function training in patients with stable chronic obstructive pulmonary disease(COPD).Methods 698 patients with stable COPD admitted to our hospital from February 2019 to March 2020 were selected as the research objects.They were randomly divided into observation group and control group with 349 cases in each group.The control group was given pulmonary function training intervention,and the nursing intervention lasted to discharge.The observation group was given homogeneous nursing service concept based on JCI standard combined with lung function training,and the patients were followed up for 6 months after discharge to understand the physical recovery of the patients.Lung function indexes,self-efficacy,exercise endurance and quality of life scores were compared between the two groups before and after intervention.After the intervention,the nursing treatment scores of the two groups were compared.Results After the intervention,the lung function index,self-efficacy,exercise endurance and quality of life scores of the two groups were improved compared with those before the intervention(P<0.05).The forced vital capacity(FVC),forced expiratory volume in one second(FEV1)and peak expiratory flow rate(PEF)of the observation group were higher than those of the control group(P<0.05).After the intervention,the self-efficacy score(CSES)of the observation group was higher than that of the control group,and the 6-minute walking distance(6 MWD)was longer than that of the control group(P<0.05).After the intervention,the SF-36 quality of life scores of the observation group was higher than that of the control group(P<0.05).After the intervention,the scores of nursing quality of the observation group,including health education,basic nursing,disinfection and isolation,specialized nursing and ward management,were higher than those of the control group(P<0.05).Conclusions The nursing effect of homogeneous nursing service concept based on JCI standard combined with pulmonary function training in patients with stable COPD is significant,and it could enhance the self-efficacy and exercise endurance of patients,which is worthy of clinical application and promotion.
作者
马东基
李秀娜
张潜
Ma Dongji(Department of outpatient,Nanyang central hospital,Nanyang,Henan,473009,China)
出处
《齐齐哈尔医学院学报》
2021年第15期1365-1369,共5页
Journal of Qiqihar Medical University
基金
2017年度河南省医学科技攻关计划项目(2017T03062)。
关键词
慢性阻塞性肺疾病
稳定期
肺功能训练
同质护理服务理念
护理效果
Chronic obstructive pulmonary disease
Stable period
Lung function training
Homogeneous nursing service concept
Nursing effect
