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循证护理在老年慢性阻塞性肺疾病患者中的应用效果

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目的:观察循证护理在老年慢性阻塞性肺疾病(COPD)患者中的应用效果.方法:选取 2021 年 5 月至 2022 年 5 月该院收治的 104 例老年COPD患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 52 例.对照组实施常规护理,观察组在对照组基础上实施循证护理,两组均连续护理 1 个月.比较两组依从性评分,护理前后自护能力[自我护理能力测定量表(ESCA)]评分、生命质量[世界卫生组织生存质量测定简表(WHOQOL-BREF)]评分,以及护理满意度评分.结果:护理后,观察组规律作息、正确训练、适量运动、合理饮食等依从性评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组自护技能、自护责任感、自我概念、健康知识水平等ESCA各维度评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组生理健康、心理健康、社会关系、环境等WHOQOL-BREF各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组健康宣教、护理态度、专业技能、沟通交流等护理满意度评分均高于对照组,差异有统计学意义(P<0.05).结论:循证护理应用于老年COPD患者可提高依从性评分、自护能力评分、生命质量评分和护理满意度,效果优于常规护理.
Application effects of evidence-based nursing in elderly patients with chronic obstructive pulmonary disease
Objective:.To observe application effects of evidence-based nursing in elderly patients with chronic obstructive pulmonary disease(COPD).Methods:A prospective study was conducted on 104 elderly patients with COPD admitted to the hospital from May 2021 to May 2022.According to the random number table method,they were divided into control group and observation group,52 cases in each group.The control group was given routine nursing,while the observation group was given the evidence-based nursing on the basis of that of the control group.Both groups were treated continuously for 1 month.The compliance score,the self-care ability[exercise of self-care agency scale(ESCA)]score and the quality of life[world health organization quality of life-BREF(WHOQOL-BREF)]score before and after the nursing,and the nursing satisfaction score were compared between the two groups.Results:After the nursing,the compliance scores of regular work and rest,correct training,moderate exercise and reasonable diet in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of ESCA dimensions such as self-care skills,self-care responsibility,self-concept and health knowledge level in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of WHOQOL-BREF dimensions such as physical health,mental health,social relations and environment in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction scores of health education,nursing attitude,professional skills and communication in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The evidence-based nursing for the elderly patients with COPD can improve the compliance scores,the self-care ability scores,the quality of life scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.

Chronic obstructive pulmonary diseaseEvidence-based nursingElderlyComplianceSelf-care abilityQuality of lifeSatisfaction

谢磊

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南阳市医学高等专科学校第一附属医院静脉用药调配中心,河南 南阳 473000

慢性阻塞性肺疾病 循证护理 老年 依从性 自护能力 生命质量 满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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