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中文摘要: 目的 探讨医院-社区-家庭护理模式对慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD）患者的护理效果。方法 将入住我院的122例COPD患者随机分为对照组(n=61）和试验组(n=61），对照组采用常规护理模式，试验组采用医院-社区-家庭护理模式。护理6周后，检测护理前后患者的FEV1/FVC、第一秒用力呼气量(FEV1）、肺活量(VC）和呼气峰流速(PEF）评估患者肺功能康复情况,同时评估患者肺功能病情分级；采用圣乔治呼吸问卷(St.George Respiratory Questionnaire，SGRQ）评估COPD患者的生命质量。结果 试验组患者护理后的FEV1/FVC、FEV1、VC和PEF与护理前相比显著上升(P﹤0.05），与对照组护理后相比也有显著性差异(P﹤0.05），试验组患者肺功能病情分级与该组护理前以及与对照组护理后均具有显著性差异(P﹤0.05）。此外，试验组患者的生命质量评分显著上升(P﹤0.05）。结论 医院-社区-家庭护理模式促进了COPD患者肺功能恢复，同时提高了患者的生命质量，值得推广应用。
Abstract:OBJECTIVE To survey efficacy of hospital-community-family care model in patients with chronic obstructive pulmonary disease. METHODS All 122 patients were randomly allocated to the control group(n=61) and experimental group(n=61). The experimental group received the hospital-community-family care while the control group received the routine nursing．After care 6 weeks, the pulmonary function were tested by the forced expiratory volume in first second/forced vital capacity(FEV1/FVC), forced expiratory volume in first second(FEV1), vital capacity(VC) and peak expiratory flow(PEF) as well as classification of pulmonary function. And the life quality was evaluated by the St.George Respiratory Questionnaire(SGRQ). RESULTS The FEV1/FVC, FEV1, VC and PEF in the experimental group were significant between with the control(P﹤0.05) as well as the pre-treatment in the experimental group(P﹤0.05). And the classification of pulmonary function between experimental group and control group has significant difference .Besides, the grade of the SGRQ in the experimental group were different with the control group (P﹤0.05). CONCLUSIONS The hospital-community-family care model could promote pulmonary function recovery and improve the life quality of patients which is valuable to use in nursing.
keywords: hospital-community-family chronic obstructive pulmonary disease care pulmonary recovery life quality
文章编号：3201807018 中图分类号：R197 文献标志码：
基金项目:
| 作者 | 单位 |
| 施秀霞①，刘雨青①，苏进晓① |
| Author Name | Affiliation |
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