摘要
目的:探讨基于慢性疾病轨迹理论(CITM)的延续护理对慢性阻塞性肺疾病(COPD)患者肺功能、负性情绪及自我效能影响.方法:选择医院收治的125例COPD患者,根据随机数表法分为常规组(60例)和慢性轨迹组(65例).常规组给予常规护理,慢性轨迹组在对照组的常规护理基础上根据CITM理论进行延续护理.对比两组患者肺功能、负性情绪、自我效能、自我护理和生存质量评分.结果:两组患者治疗后的FEV1、FEV1/FVC、MVV、GSES、生存质量评分均高于治疗前,SAS、SDS均低于治疗前,慢性轨迹组患者的FEV1、FVC、FEV1/FVC、MVV、GSES、自我护理、生存质量显著高于常规组,SAS、SDS评分低于常规组(P＜0.05).结论:基于CITM的延续护理,可以明显改善COPD患者肺功能,减轻抑郁、焦虑等负性情绪,增强自我效能及生存质量.
Abstract
Objective:To analyze the effects of extended care based on chronic illness trajectory theory(CITM)on lung function,negative emotions and self-efficacy of chronic obstructive pulmonary disease(COPD)patients.Methods:125 COPD patients admitted to the hospital were selected and divided into the conventional group(n=60)and the chronic trajectory group(n=65)based on the treatment plan.The conventional group was given routine care,and the chronic trajectory group was given continuity of care according to CITM theory on the basis of the control group.Lung function,negative mood[Self-Depression Scale(SDS),Self-Anxiety Scale(SAS)],self-efficacy scale(GSES),self-care and quality of survival were compared between the two groups.Results:FEV1,FEV1/FVC,MVV,GSES,and quality of survival were higher than before treatment and SAS and SDS were lower than before treatment in both groups,and FEV1,FVC,FEV1/FVC,MVV,GSES,self-care,and quality of survival were significantly higher than those in the conventional group,and SAS and SDS were lower than those in the conventional group in the chronic trajectory group(P＜0.05).Conclusion:Continuing care based on CITM can significantly improve the pulmonary function of COPD patients,reduce the generation of negative emotions such as depression and anxiety,and enhance self-efficacy.
维普
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