Application of self-management education combined with high-quality nursing in community elderly patients with chronic obstructive pulmonary disease" />
目的 探讨自我管理教育联合优质护理在社区老年慢性阻塞性肺疾病(COPD)患者中的应用效果。 方法 选择2019年1月~2020年2月江西省九江市第一人民医院收治的40 例老年COPD 患者作为研究对象,采用随机数字表法将其分为对照组(n=20)与观察组(n=20)。对照组采取优质护理,观察组采用自我管理教育联合优质护理,比较两组护理前与护理30 d 后的自护能力、心理状态,比较两组的遵医行为。 结果 护理30 d 后,两组的自护能力评分高于护理前,且观察组的自护能力评分高于对照组,差异均有统计学意义(P<0.05);护理30 d 后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于护理前,且观察组的SAS、SDS 评分低于对照组,差异均有统计学意义(P<0.05);护理30 d 后,观察组按时服药率为90.00,遵医服药率为95.00%、适度锻炼率为85.00%,高于对照组的60.00%、65.00%、55.00%,差异均有统计学意义(P<0.05)。 结论 自我管理教育联合优质护理可提高社区老年COPD 患者自护能力,改善心理状态,强化患者的遵医行为,值得临床推广。
Objective To explore the application effect of self-management education combined with high-quality nursing in community elderly patients with chronic obstructive pulmonary disease (COPD).Methods From January 2019 to February 2020, 40 elderly COPD patients admitted to Jiujiang First People′s Hospital, Jiangxi Province were selected as the research subjects.They were divided into the control group (n=20) and the observation group (n=20) by using random number table method.In the control group, high-quality nursing was used, and in the observation group, selfmanagement education combined with high-quality nursing was used.The self-care ability and mental state of the two groups of patients before and 30 days after nursing were compared between the two groups.The compliance behavior was also compared.Results After 30 days of nursing, the scores of self-care ability of the two groups were higher than those before nursing, and the score of self-care ability of the observation group was higher than that of the control group, the differences were statistically significant (P<0.05).After 30 days of nursing, the scores of self-rating scale(SAS) and self-rating depression scale (SDS) were lower than before nursing, and the SAS and SDS scores of the observation group were lower than those of the control group, with statistical differences (P<0.05).After 30 days of nursing,the regular medication rate of the observation group was 90.00, and the medication compliance rate was 95.00%, and the moderate exercise rate was 85.00%, higher than those of the control group, accounting for 60.00%, 65.00%, and 55.00%, the differences were statistically significant (P<0.05).Conclusion Self-management education combined with high-quality nursing can improve the self-care ability of elderly COPD patients in the community, improve their psychological state, and strengthen patients′ compliance behaviors, which is worthy of promotion.