延续性护理对老年哮喘-慢性阻塞性肺疾病重叠综合征患者生活质量的影响

发布时间：2018-04-23 01:41

本文选题：重叠综合征 + 延续性护理　；参考：《广东医学》2017年16期

【摘要】：目的探讨实施延续性护理对老年哮喘-慢性阻塞性肺疾病重叠综合征(ACOS)患者生活质量的影响。方法选取ACOS患者72例,分为观察组和对照组,每组36例,对照组出院2周内做1次电话随访,进行常规药物指导、饮食及运动指导等;观察组根据患者民族不同,进行电话定人跟踪随访,同时每月进行1次集中授课,观察患者的生活质量、焦虑、抑郁评分及1年内再入院率,随访时间为6个月。结果观察组3个月症状评分均低于对照组(P0.05),活动受限评分及疾病影响评分观察组明显低于对照组(P0.01),观察组6个月症状评分均明显低于对照组(P0.01),活动受限评分及疾病影响评分观察组低于对照组(P0.05)。两组出院前后心理状态评分比较,观察组在焦虑、抑郁状态的改善方面,其效果优于对照组(P0.05);两组1年内再住院率比较:观察组1年内再住院2例(5.6%),对照组再住院9例(25.0%),观察组再住院率低于对照组(P0.05)。结论延续性护理有利于提高患者的生活质量,改善患者症状、提高用药依从性及正确性,改善心理状态,减少再入院率,值得临床推广。
[Abstract]:Objective to explore the effect of continuous nursing on quality of life of elderly patients with asthmatic-chronic obstructive pulmonary disease overlap syndrome (ACOS). Methods Seventy-two patients with ACOS were divided into observation group (n = 36) and control group (n = 36). The patients were followed up by telephone follow-up and centralized teaching once a month to observe the quality of life, anxiety, depression score and readmission rate within one year. The follow-up time was 6 months. Results the symptom score of the observation group was lower than that of the control group in 3 months, the activity limitation score and the disease impact score in the observation group were significantly lower than those in the control group, and the symptom score in the observation group at 6 months was significantly lower than that in the control group, and the activity limitation score and disease score in the observation group were significantly lower than those in the control group. The disease impact score in the observation group was lower than that in the control group (P 0.05). The scores of mental state before and after discharge were compared between the two groups, and the improvement of anxiety and depression in the observation group, The effect was better than that of the control group (P 0.05), and the rate of rehospitalization in the two groups was lower than that in the control group (P 0.05): 2 cases in the observation group were hospitalized within one year, 9 cases in the control group were in the hospital again, and the rate of rehospitalization in the observation group was lower than that in the control group (P 0.05). Conclusion continuous nursing is beneficial to improve the quality of life, improve the symptoms, improve the compliance and correctness of drug use, improve the psychological state and reduce the readmission rate, which is worthy of clinical promotion.
【作者单位】：延边大学附属医院呼吸内科;延边大学附属医院护理部;
【分类号】：R473.5

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