Application of chronic disease trajectory model nursing in chronic obstructive pulmonary disease
10.3760/cma.j.issn.1674-2907.2019.28.007
- VernacularTitle:慢性疾病轨迹模式护理在COPD患者中的应用
- Author:
Yumei QIN
1
;
Yinfang LIU
;
Jing LI
Author Information
1. 河南省商丘市第一人民医院呼吸内科 476100
- Keywords:
Lung disease,chronic obstructive;
Chronic disease trajectorymodel;
Quality of life;
Caregiver burden
- From:
Chinese Journal of Modern Nursing
2019;25(28):3593-3597
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application value of trajectory nursing of chronic diseases in patients with chronic obstructive pulmonary disease (COPD). Methods? By convenience sampling, a total of 69 COPD patients at the stable stage after treatment in Shangqiu First People's Hospital from January 2016 to January 2018 were selected as research objects, and a total of 66 patients completed the research. According to the communities they belonged to, they were divided into the observation group(n=31) and control group (n=35). BODE index(B: body mass index; O: airway obstruction; D: dyspnea; E: exercise endurance) was counted in both groups. The patients' COPD disease trajectory in the observation group were evaluated by their scores in BODE and were divided into different stages: 1-2 points were stage I, 3-4 points were stage Ⅱ, 5-7 points were stage Ⅲ, 8-10 points were stage Ⅳ and for those at different stages were given different nursing care with different focus and the control group was given conventional continuous nursing care. The intervention lasted for 3 months, the two groups were compared in their score change status in COPD Assessment Tes(t CAT), BODE index, Zarit Burden Interview(ZBI). Results? Before intervention, there was no statistical difference in the two groups' CAT scores, BODE index, and ZBI scores (P＞0.05). After intervention, the CAT score and BODE index, ZBI score in the observation group were lower than the control group with statistical significance (P＜ 0.05). Conclusions? Chronic disease trajectory model is conducive to reducing COPD patients' clinical symptoms and the main caregivers' burden.
