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Received:March 06, 2023 Published Online:July 19, 2023
Received:March 06, 2023 Published Online:July 19, 2023
中文摘要: 目的 探讨量表评估策略下多元化教育对老年慢性阻塞性肺病(COPD)合并呼吸衰竭患者症状缓解、心理状态和遵医行为的影响。〖HTH〗方法〖HTSS〗将2019年6月至2022年6月四川大学华西医院收治的136例COPD并呼吸衰竭的老年患者分为对照组68例,实施常规护理干预;观察组68例,实施量表评估策略下多元化教育护理干预。比较两组患者干预后症状缓解时间,采用症状自评量表(SCL90)、圣·乔治医院呼吸问题调查问卷(SGRQ)分别评估两组患者心理状态、生活质量,采用医院自制的遵医行为调查问卷评估患者的遵医行为,并比较两组患者的一般自我效能感量表(GSES)、医学应对方式问卷(MCMQ)、自我感受负担量表(SPBS)评分。结果 干预后,观察组临床症状缓解时间明显早于对照组,差异有统计学意义(P<0.05)。干预结束后,两组患者SCL90评分、SGRQ评分均较干预前降低,且观察组评分更低,差异均有统计学意义(P<0.05)。干预后,观察组遵医行为评分较对照组高,差异有统计学意义(P<0.05)。干预后两组GSES、MCMQ评分均升高,SPBS评分均降低,且干预后与对照组比较,观察组GSES、MCMQ评分更高,SPBS评分更低,差异均有统计学意义(P<0.05)。结论 量表评估策略下多元化教育应用于老年COPD合并呼吸衰竭患者,可有效缩短患者症状缓解时间,改善其心理状态,提高遵医行为,降低患者自我感受负担,从而提高其生活质量。
Abstract:Objective To explore the effects of diversified education under scale assessment strategy on symptom remission, psychological state and treatment compliance in elderly patients with chronic obstructive pulmonary disease(COPD) and respiratory failure.
Methods A total of 136 elderly COPD patients with respiratory failure treated in West China Hospital were selected and divided into control group(with routine nursing, n=68) and observation group(with diversified education under scale assessment strategy, n=68). The time to symptom relief after intervention was compared between two groups. The psychological state and the quality of life of patients were evaluated by symptom check list 90(SCL90) and St. Georges Hospital respiratory questionnaire(SGRQ). The treatment compliance of patients was evaluated by hospital self-made compliance questionnaire. The scores of general self-efficacy scale(GSES), medical coping modes questionnaire(MCMQ) and self-perceived burden scale(SPBS) were compared between two groups.
Results After intervention, the remission time of clinical symptoms in observation group was statistically earlier than that in control group(P<0.01). SCL90 and SGRQ scores were significantly decreased compared with those before intervention in both groups, and they were statistically lower in observation group than those in control group(P<0.05). The treatment compliance score in observation group was significantly higher than that in control group(P<0.01). After intervention, GSES and MCMQ scores were increased, while SPBS score was decreased in both groups. GSES and MCMQ scores in observation group were higher than those in control group, and SPBS score was lower than that in control group(P<0.01).
Conclusion Diversified education under scale assessment strategy can effectively shorten remission time of symptoms, improve psychological state and treatment compliance, reduce self-perceived burden, and thus improve the quality of life in elderly COPD patients with respiratory failure.
keywords: Scale assessment strategy Diversified education Elderly Chronic obstructive pulmonary disease Respiratory failure Psychological state Treatment compliance Self-perceived burden
文章编号: 中图分类号:R473.5 文献标志码:B
基金项目:四川省卫生健康委员会科研项目(19PJ249)
Author Name | Affiliation |
LAI Qian, SU Kewen, WAN Qunfang | Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China |
Author Name | Affiliation |
LAI Qian, SU Kewen, WAN Qunfang | Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China |
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