Effects of chronic disease trajectory model-based nursing in the management of COPD patients outside the hospital
10.3760/cma.j.cn115682-20201211-06646
- VernacularTitle:慢性疾病轨迹模式护理在院外COPD患者管理中的应用
- Author:
Yuling BAI
1
;
Jie ZHANG
;
Luanluan ZHANG
;
Juan LI
Author Information
1. 郑州大学第一附属医院急诊医学部EICU（3），郑州 450000
- Keywords:
Pulmonary disease, chronic obstructive;
Chronic disease trajectory model;
Self-management ability;
Disease control
- From:
Chinese Journal of Modern Nursing
2021;27(25):3467-3471
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of chronic disease trajectory-based nursing in the management of COPD patients outside the hospital.Methods:From January 2018 to December 2019, convenience sampling was used to select 226 discharged COPD patients from the First Affiliated Hospital of Zhengzhou University. The patients were divided into the control group and the research group with the random number table method, each with 113 cases. The control group carried out routine out-of-hospital health management, and the research group carried out out-of-hospital chronic disease trajectory model-based nursing, and the interventions all lasted for 3 months. The Exercise of Self-care Agency Scale (ESCA) was used to evaluate the self-management ability of the two groups, and the Dyspnea, Degree of Airflow Obstruction, Smoking Status, the number of Exacerbation (DOSE) index was used to evaluate the disease control effect of the two groups.Results:After intervention, the ESCA score of the research group was (114.45±3.26) , which was higher than (99.92±6.56) of the control group, and the difference was statistically significant ( t=20.666, P<0.001) . After intervention, the DOSE index of the research group was (2.28±0.08) , which was lower than (2.72±0.09) of the control group, and the difference was statistically significant ( t=34.692, P<0.001) . Conclusions:The chronic disease trajectory model-based nursing can improve the self-management ability of COPD patients outside the hospital and control their condition.
