Objective To investigate the ef ect of clustered continuing nursing on patients with chronic obstructive pulmonary disease. Methods Seventy cases of patients with stable chronic obstructive pulmonary disease were randomized into intervention group (n=29) and control group (n=41). Victims in control group received conventional healthy education, while the ones in intervention group were subjected to extra clustered continuing nursing including mobilizing quit ing smoke, drugs instruction, respiring exercise and long-term oxygen treatment via discharge guidance, telephone fol ow-up or family visit. The self ef icacy of patients from two groups were compared in 3 months after discharge, while the live quality of victims before discharge and 1, 2, 3 months after discharge were also analyzed. Results Intervention group presents with significant high self-ef icacy level and live quality as contrasted with control group (P<0.05). Conclusion The clustered continuing nursing which including mobilizing quit ing smoke, drugs instruction, respiring exercise and long-term oxygen treatment, could markedly elevated the self ef icacy level and live quality in patients with stable chronic obstructive pulmonary disease.%目的：探讨集束化延续护理对慢性阻塞性肺疾病（COPD）患者自我效能感和生活质量的作用。方法选择稳定期 COPD患者70例，将其随机分为干预组29例和对照组41例。对照组给予常规健康教育和出院指导；干预组通过出院指导、电话随访、家庭个体辅导等方法实施包括鼓励戒烟、坚持用药、呼吸锻炼、长期氧疗等措施在内的集束化延续性护理。两组分别于出院前、出院后3个月采用一般自我效能量表评价患者自我效能水平；同时于出院前及出院后1、2、3个月使用慢性阻塞性肺疾病评估量表评估生活质量。结果干预组出院后3个月的自我效能感显著高于对照组；同时，出院后1、2、3个月的生活质量也显著优于对照组，差异均有统计学意义(P<0．05)。结论实施包括鼓励戒烟、坚持用药、呼吸锻炼、长期氧疗等措施在内的延续性护理能显著提高稳定期COPD患者的自我效能水平和患者病情，提高其生活质量。
展开▼
