Application of hierarchical management mode in family rehabilitation in out-of-hospital nursing of elderly patients with COPD
10.3760/cma.j.issn.1674-2907.2019.28.006
- VernacularTitle:家庭养疗分级管理模式在老年COPD院外护理中的应用
- Author:
Yanyan CUI
1
;
Xiaodong WANG
;
Linghan CUI
Author Information
1. 郑州大学第一附属医院重症医学科
- Keywords:
Aged;
Pulmonary disease,chronic obstructive;
Hierarchical management;
Community management;
Stable stage
- From:
Chinese Journal of Modern Nursing
2019;25(28):3588-3592
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effect of hierarchical management mode in family rehabilitation in out-of-hospital nursing of elderly patients with chronic obstructive pulmonary disease (COPD). Methods? The elderly patients with COPD at stable stage in two communities were divided into the observation group (n=33) and the control group (n=31) based on the unit of community. The observation group was managed by family oxygen therapy and rehabilitation training guided by hierarchical management mode, while the control group received routine community care for chronic diseases. Exercise of Self-Care Agency Scale(ESCA) and Health Promoting Lifestyle Profile(HPLP) were used to compare the intervention effect of the two groups and count the acute episodes of COPD during the intervention period of the two groups. Results? Before intervention, there were no statistical differences in both of the dimensional scores of ESCA and HPLP scales between the two groups (P＞0.05). After 12 months of intervention, the dimensional scores of "health knowledge" (41.76±6.20), "self-responsibility"(22.94±8.22), and "self-nursing skills" (25.85±6.46) in ESCA of the observation group were higher than those of the control group with statistical significance(t=2.894, 4.138, 6.096;P＜ 0.05); in the observation group, the dimensional score of "health responsibility" was(23.79±7.44),"mental growth" was (16.70±3.73), "stress management" was (17.09±5.44), "interpersonal relationship" was (17.97±4.54), "sports activity" was (15.70±4.57), "nutrition" was (16.70±4.10), all higher than the control group with statistical significance (t=3.184,3.365,3.212,5.277,5.131,4.589;P＜ 0.05). Within the 12 months of intervention, there were 11 cases in the observation group and 4 cases in the control group without acute episodes of COPD, and the difference was statistically significan(t Z=2.166,P＜ 0.05). Conclusions? Hierarchical management mode infamily rehabilitation can effectively improve the elderly COPD patients' compliance of family oxygen therapy and rehabilitation training,hence improve their prognosis.
