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目的探讨门诊—病房—家庭三位一体的护理干预对慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法选取2016年10—12月佛山市禅城区第四人民医院收治的705例,COPD患者随机分为两组,观察组353例采用门诊—病房—家庭三位一体模式进行护理干预;对照组352例,按常规传统呼吸内科护理模式进行干预。分别测定干预前及干预12个月后肺功能指标1 s用力呼气容积(FEV1)、第1秒用力呼气容积占预计值百分比(FEV1%pred)、中期呼气流速(FEF25%~75%)、用力呼气量占用力肺活量比值(FEV1/FVC%)及慢性阻塞性肺疾病评估测试(CAT)评分变化。结果观察组患者干预前后CAT减少明显大于对照组(P<0.05),且肺功能FEV1、FEV1%pred、FEF 25%~75%的增加明显高于对照组(P<0.05)。结论 COPD患者采用门诊—病房—家庭三位一体的护理模式,能促进肺功能的改善,提高生活质量。
Objective To explore the impact of outpatient-ward-family trinity nursing intervention on quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods Seventy-five patients admitted to the Fourth People’s Hospital of Chancheng District, Foshan City from October to December in 2016 were randomly divided into two groups. 353 patients in the observation group were treated with outpatient-ward-family trinity nursing interventions and 352 patients in the control group , According to the conventional traditional respiratory medical care interventions. The FEV1, FEV1% pred, FEV1%, FEF25% ~ 75% were measured respectively before and 12 months after intervention. ), FEV1 / FVC%, and CAT score of chronic obstructive pulmonary disease (CAT). Results The decrease of CAT in observation group before and after intervention was significantly higher than that in control group (P <0.05). The FEV1, FEV1% pred and FEF 25% -75% increase of pulmonary function were significantly higher than those of control group (P <0.05). Conclusion COPD patients with outpatient - ward - family trinity care model can promote the improvement of lung function and improve the quality of life.