家庭支持对COPD患者自我管理、生活质量及情绪管理的干预研究
发布时间：2018-11-03 20:24
【摘要】：目的通过对COPD患者的家庭支持系统进行干预,建立以家庭为中心的慢病管理模式,探讨对COPD患者自我管理能力、生活质量及情绪的影响,以期为有效提高COPD患者自我管理能力,改善其生活质量和情绪,建立更合理的COPD慢病管理模式提供科学依据。方法便利选取青岛大学附属医院100例住院COPD患者,按入院的先后顺序分组,2013年11月至2015年1月收集对照组,对照组实施以患者为中心的慢病管理;2015年2月至2016年2月收集试验组,试验组对COPD患者的家庭支持系统进行干预,实施患者、患者配偶及其子女共同参与的以家庭为中心的慢病管理。对照组和实验组各50例,两组干预时间均为6个月。采用自我管理量表、圣乔治呼吸问卷(SGRQ)、6分钟步行试验(6MWT)及综合性医院焦虑抑郁量表(HAD)评价对患者的自我管理能力、生活质量及情绪的影响,采用家庭支持自评量表评估试验组家庭支持干预效果。所有资料应用SPSS 17.0软件包处理,计数资料采用c2检验,计量资料采用t检验。结果本次研究,对照组患者50例,平均年龄65.46±6.49岁,其中男性36例,女性14例。试验组患者50例,平均年龄66.00±4.61岁,其中男性38例,女性12例。统计结果显示:1.两组患者在干预前的一般资料:性别、年龄、文化程度、家庭月收入、疾病严重程度、呼吸困难程度、自理能力、活动能力、自我管理能力等方面的差别无统计学意义(P0.05),具有可比性。2.患者自我管理能力:干预6个月后,试验组症状管理得分(29.54±2.40)、日常生活管理得分(49.16±5.59)、情绪管理得分(45.52±3.91)、信息管理得分(20.28±2.72)、自我效能管理得分(32.38±3.21)、自我管理总分(176.88±11.36),与对照组症状管理得分(23.02±2.72)、日常生活管理得分(41.92±5.01)、情绪管理得分(37.34±4.87)、信息管理得分(15.88±3.09)、自我效能管理得分(24.84±3.84)、自我管理总分(143.0±12.99)相比,试验组自我管理各项得分均高于对照组(P0.01)。3.患者生活质量:干预6个月后,试验组圣乔治呼吸问卷总分(37.59±9.03)、呼吸症状得分(37.5±8.64)、活动受限得分(37.6±11.18)、疾病影响得分(37.5±10.81)、6分钟步行距离(349.18±19.62),与对照组圣乔治呼吸问卷总分(47.58±6.72)、呼吸症状得分(46.90±6.93)、活动受限得分(49.65±8.78)、疾病影响得分(46.83±7.78)、6分钟步行距离(285.24±19.79)相比,试验组圣乔治呼吸问卷各项得分均低于对照组(P0.01),试验组6分钟步行距离高于对照组(P0.01)。4.患者情绪:干预6个月后,综合性医院焦虑抑郁量表试验组的焦虑得分(7.42±2.88)及抑郁得分(6.04±1.82),与对照组的焦虑得分(9.34±3.37)及抑郁得分(7.52±2.02)相比,试验组焦虑得分及抑郁得分均低于对照组(P0.01)。5.试验组家庭支持效果:试验组干预前家庭支持量表得分(10.92±2.86),与干预后家庭支持量表得分(13.22±1.28)相比,试验组干预前家庭支持量表得分低于干预后(P0.01)。结论对COPD患者的家庭支持系统进行干预,实施以家庭为中心的慢病管理模式,能够有效提高COPD患者的自我管理能力,有效改善其生活质量及情绪。在当前社区建设不完善的现状下,医疗机构专业人员与患者及患者家属共同建立有效的健康支持系统,对促进COPD有效的慢病管理具有积极意义。
[Abstract]:Objective To establish a family-centered slow-disease management model by intervening on the family support system of patients with COPD, and to explore the effect of self-management ability, quality of life and mood in patients with COPD, with a view to improving the self-management ability of patients with COPD and improving their quality and mood. To provide scientific basis for establishing a more rational management mode of COPD. Methods 100 inpatients with COPD were selected according to the order of admission, the control group was collected from November 2013 to January 2015, the control group was administered with patient-centered slow disease management, and the test group was collected from February 2015 to February 2016. The test group intervened in the family support system of patients with COPD, and implemented a family-centred, slow-disease management of the patient, the patient's spouse and their children. There were 50 cases in the control group and the experimental group, and the intervention time of both groups was 6 months. Self-management scale, St George's breath questionnaire (SGRQ), 6-minute walk test (6MWT) and comprehensive hospital anxiety and depression scale (HAD) were used to evaluate the self-management ability, quality of life and mood of patients, and family support self-rating scale was used to evaluate the effect of family support intervention. All the data were processed by SPSS 17. 0 software package. The counting data were checked by cc2, and t-test was used for the measurement data. Results In this study, 50 patients with control group, including 36 males and 14 females, had an average age of 65. 46 and 6. 49 years old. Among the 50 patients, the mean age ranged from 66. 00 to 4.61 years old, among them 38 males and 12 females. Statistical results show: 1. The general data of two groups before intervention: sex, age, degree of culture, family monthly income, severity of disease, degree of dyspnea, self-control ability, activity ability, self-management ability, etc. were not statistically significant (P0.05). Patient's self-management ability: After 6 months of intervention, the symptom management score of the test group (29. 54/ 2. 40), daily life management score (49. 16/ 5. 59), emotion management score (45. 52/ 3.91), information management score (20. 28/ 2. 72), self-efficacy management score (32. 38, 3.21), The total scores of self-management (176,88 and 11.36) were compared with the control group symptom management scores (23.02/ 2.72), daily life management scores (41. 92/ 5. 01), emotional management scores (37. 34 and 4.87), information management scores (15. 88/ 3. 09), and self-efficacy management scores (24. 84 and 3. 84). Compared with the control group (P0.01), the self-management score of the test group was higher than that of the control group (P0.01). Patient's quality of life: After 6 months of intervention, the total score of St. George's Respiratory Questionnaire (37. 59/ 9. 03), respiratory symptom score (37. 5, 8. 64), Activity-limited score (37. 6, 11. 18), Disease Impact Score (37. 5, 10. 81), 6-minute walking distance (349. 18, 19. 62), were performed. Compared with control group St. George's respiratory questionnaire total score (47. 58/ 6. 72), respiratory symptom score (46. 90, 6.93), activity limited score (49. 65/ 8. 78), disease impact score (46. 83-7.78), 6-minute walking distance (285.24/ 19. 79), The scores of St George's breath questionnaire were lower than that in the control group (P0.01), and the walking distance of the test group was higher than that of the control group (P0.01). Patient mood: After 6 months of intervention, the anxiety score (7.42% 2.88) and depression score (6. 04/ 1. 82) of the comprehensive hospital anxiety and depression scale test group were compared with those of the control group (9.34 vs 3.37) and depression score (7.52/ 2.02). The scores of anxiety and depression were lower in the test group than in the control group (P0.01). The results of family support in test group: The scores of family support scale (10.92/ 2.86) before intervention were lower than that of intervention group (P0.05), and the scores of family support scale before intervention were lower than that of intervention group (P0.01). Conclusion The family support system of COPD patients can effectively improve the self-management ability of patients with COPD and improve their quality of life and mood effectively. In the current situation of imperfect community construction, the professional staff of medical institutions jointly establish an effective health support system with the patients and their families, which is of positive significance to the management of slow disease which is effective for the treatment of COPD.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5
本文编号：2308927
[Abstract]:Objective To establish a family-centered slow-disease management model by intervening on the family support system of patients with COPD, and to explore the effect of self-management ability, quality of life and mood in patients with COPD, with a view to improving the self-management ability of patients with COPD and improving their quality and mood. To provide scientific basis for establishing a more rational management mode of COPD. Methods 100 inpatients with COPD were selected according to the order of admission, the control group was collected from November 2013 to January 2015, the control group was administered with patient-centered slow disease management, and the test group was collected from February 2015 to February 2016. The test group intervened in the family support system of patients with COPD, and implemented a family-centred, slow-disease management of the patient, the patient's spouse and their children. There were 50 cases in the control group and the experimental group, and the intervention time of both groups was 6 months. Self-management scale, St George's breath questionnaire (SGRQ), 6-minute walk test (6MWT) and comprehensive hospital anxiety and depression scale (HAD) were used to evaluate the self-management ability, quality of life and mood of patients, and family support self-rating scale was used to evaluate the effect of family support intervention. All the data were processed by SPSS 17. 0 software package. The counting data were checked by cc2, and t-test was used for the measurement data. Results In this study, 50 patients with control group, including 36 males and 14 females, had an average age of 65. 46 and 6. 49 years old. Among the 50 patients, the mean age ranged from 66. 00 to 4.61 years old, among them 38 males and 12 females. Statistical results show: 1. The general data of two groups before intervention: sex, age, degree of culture, family monthly income, severity of disease, degree of dyspnea, self-control ability, activity ability, self-management ability, etc. were not statistically significant (P0.05). Patient's self-management ability: After 6 months of intervention, the symptom management score of the test group (29. 54/ 2. 40), daily life management score (49. 16/ 5. 59), emotion management score (45. 52/ 3.91), information management score (20. 28/ 2. 72), self-efficacy management score (32. 38, 3.21), The total scores of self-management (176,88 and 11.36) were compared with the control group symptom management scores (23.02/ 2.72), daily life management scores (41. 92/ 5. 01), emotional management scores (37. 34 and 4.87), information management scores (15. 88/ 3. 09), and self-efficacy management scores (24. 84 and 3. 84). Compared with the control group (P0.01), the self-management score of the test group was higher than that of the control group (P0.01). Patient's quality of life: After 6 months of intervention, the total score of St. George's Respiratory Questionnaire (37. 59/ 9. 03), respiratory symptom score (37. 5, 8. 64), Activity-limited score (37. 6, 11. 18), Disease Impact Score (37. 5, 10. 81), 6-minute walking distance (349. 18, 19. 62), were performed. Compared with control group St. George's respiratory questionnaire total score (47. 58/ 6. 72), respiratory symptom score (46. 90, 6.93), activity limited score (49. 65/ 8. 78), disease impact score (46. 83-7.78), 6-minute walking distance (285.24/ 19. 79), The scores of St George's breath questionnaire were lower than that in the control group (P0.01), and the walking distance of the test group was higher than that of the control group (P0.01). Patient mood: After 6 months of intervention, the anxiety score (7.42% 2.88) and depression score (6. 04/ 1. 82) of the comprehensive hospital anxiety and depression scale test group were compared with those of the control group (9.34 vs 3.37) and depression score (7.52/ 2.02). The scores of anxiety and depression were lower in the test group than in the control group (P0.01). The results of family support in test group: The scores of family support scale (10.92/ 2.86) before intervention were lower than that of intervention group (P0.05), and the scores of family support scale before intervention were lower than that of intervention group (P0.01). Conclusion The family support system of COPD patients can effectively improve the self-management ability of patients with COPD and improve their quality of life and mood effectively. In the current situation of imperfect community construction, the professional staff of medical institutions jointly establish an effective health support system with the patients and their families, which is of positive significance to the management of slow disease which is effective for the treatment of COPD.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5
【参考文献】
相关期刊论文 前10条
1 卫家芬;刘琼;陈建根;;病友会在社区稳定期慢阻肺患者管理中的应用效果[J];中国初级卫生保健;2016年01期
2 方文添;陈梅华;王益琴;;家庭支持对慢性粒细胞白血病患者生存质量的影响[J];中华现代护理杂志;2015年30期
3 陆秋霞;;病友会对稳定期慢性阻塞性肺病患者呼吸操锻炼依从性的影响[J];上海医药;2015年16期
4 纪冬梅;孙悦;王艳艳;;老年心力衰竭患者自我护理指数与家庭支持的相关性研究[J];中华现代护理杂志;2015年18期
5 贾秀芬;王君俏;杨雅;陆敏敏;;社区COPD患者家庭疾病管理现状调查[J];护理学杂志;2014年19期
6 席明霞;覃琴;唐朝;骆永梅;卿利敏;;自我管理干预对慢性阻塞性肺疾病稳定期患者肺康复行为和生活质量的影响[J];护理管理杂志;2014年07期
7 吴锦珍;蔡淑慧;陈惜遂;;家属参与模式在慢性阻塞性肺疾病患者健康教育中的应用[J];齐鲁护理杂志;2013年15期
8 李丽蓉;崔妙玲;赵琳;;自我管理策略对慢性阻塞性肺疾病患者生活质量的影响[J];广东医学;2013年09期
9 刘贤亮;谭景予;刘芳;张敏;姚立群;;自我管理教育对慢性阻塞性肺疾病患者健康影响的meta分析[J];中华护理杂志;2013年03期
10 陈晓依;刘峰;刘蕴玲;陈红方;韩月皎;何冰;;老年慢性病病人自我感受负担与家庭支持和应对方式的相关性研究[J];护理研究;2013年06期
相关硕士学位论文 前5条
1 申华平;医护合作式健康教育对COPD患者自我护理行为与生活质量的影响[D];山西医科大学;2013年
2 杨鸿芳;血液透析患者的疾病不确定感与应对方式和家庭支持的相关性研究[D];河北医科大学;2011年
3 刘丽萍;慢性阻塞性肺疾病患者系统化健康教育干预研究[D];重庆医科大学;2008年
4 张红;慢性阻塞性肺疾病患者自我护理行为状况及影响因素的研究[D];中国协和医科大学;2007年
5 佘燕朝;血透患者自我管理水平对其健康状况影响的研究[D];天津医科大学;2007年
，本文编号：2308927
本文链接：https://www.wllwen.com/linchuangyixuelunwen/2308927.html
最近更新
教材专著
