保健医学研究与实践2023，Vol.20Issue(z2)：129-132,4.DOI:10.11986/j.issn.1673-873X.2023.S2.36
医护患共同参与式护理在COPD急性加重期患者中的应用
Effects of doctor-nursing-patient co-participation nursing on psychological burden and symptom relief in patients with acute exacerbation of COPD
摘要
Abstract
Objective To explore the effects of doctor-nursing-patient co-participation nursing on psychological burden and symptom re-lief in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods A total of 118 patients with acute exacerbation of COPD admitted to the hospital were enrolled between April 2019 and April 2022.They were assigned to a study group(59 cases)and a control group(59 cases)following a random number table method.The control group received routine nursing,while the study group received doctor-nursing-patient co-participation nursing.The exercise tolerance of patients was detected by the 6-mi-nute walking distance(6MWD)test.The dyspnea was evaluated by the modified Medical Research Council(mMRC)dyspnea score.The changes in pulmonary function were examined by spirometer.The changes in depression and anxiety were evaluated by self-rating depression scale(SDS)and self-rating anxiety scale(SAS).The disease cognition ability and self-management ability were assessed by the Chinese health literacy scale for COPD patients and self-management scale.The quality of life was evaluated by the Chronic Respir-atory Questionnaire(CRQ).The exercise tolerance,pulmonary function,negative emotions,disease cognition,self-management,and quality of life in the two groups were also compared.Results At 1 month after discharge,6MWD,forced expiratory volume in 1 sec-ond(FEV1),FEV1/FVC,scores of disease cognition ability,self-management ability,and CRQ were significantly increased(P＜0.05),while scores of mMRC,SDS,and SAS were significantly decreased in both groups(P＜0.05).6MWD,FEV1,FEV1/FVC,scores of disease cognition ability,self-management ability,and CRQ in the study group were significantly higher than those in the control group(P＜0.05),while scores of mMRC,SDS,and SAS were significantly lower than those in the control group(P＜0.05).Conclusion The doctor-nursing-patient co-participation nursing can reduce psychological burden,promote symptom relief in patients with acute exacerbation of COPD,and raise patients'disease cognition and self-management ability.关键词
慢性阻塞性肺病/共同参与式护理/心理负担/症状缓解Key words
Chronic obstructive pulmonary disease/Co-participation nursing/Psychological burden/Symptom relief分类
医药卫生引用本文复制引用
张玲玲,唐瑶,朱珠,郭克艳,袁霞..医护患共同参与式护理在COPD急性加重期患者中的应用[J].保健医学研究与实践,2023,20(z2):129-132,4.基金项目
江苏省医院学会医院管理创新研究项目(JSYGY-3-2019-278). （JSYGY-3-2019-278）
