Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (1) ; 10.12208/j.jacn.20260025 .
总浏览量: 16
遵义医科大学第二附属医院 贵州遵义
*通讯作者: 杜贵敏,单位:遵义医科大学第二附属医院 贵州遵义;
目的 分析为老年慢性阻塞性肺疾病(COPD)患者提供综合评估模式指导的差异化护理干预,对其自我管理能力及肺功能的影响。方法 选取100例老年COPD患者,来院治疗时间均为2023年1月至2024年12月,经随机单盲原则将其分成对照组与研究组,每组各50例,分别接受常规护理干预、综合评估模式指导的差异性护理干预,对两组的自我管理能力及肺功能进行比较。结果 相比于对照组干预后,研究组的自我管理能力评分、各项肺功能指标水平均更高(P<0.05)。结论 为老年COPD患者提供综合评估模式指导的差异化护理干预,不但能让其自我管理能力显著提高,而且能对其肺功能进行显著改善。
Objective To analyze the impact of differentiated nursing intervention guided by a comprehensive assessment model for elderly patients with chronic obstructive pulmonary disease (COPD) on their self-management ability and lung function. Methods A total of 100 elderly patients with COPD were selected and were treated in the hospital from January 2023 to December 2024. They were randomly and single-blind divided into a control group and a study group, with 50 cases in each group. They received conventional nursing intervention and differential nursing intervention guided by the comprehensive assessment model respectively. The self-management ability and lung function of the two groups were compared. Results Compared with the control group after intervention, the self-management ability score and the levels of various pulmonary function indicators in the study group were all higher (P < 0.05). Conclusion Providing differentiated nursing intervention guided by a comprehensive assessment model for elderly COPD patients can not only significantly improve their self-management ability, but also significantly enhance their lung function.
[1] 陈小丽,段丽平,杨娟. 多元化健康教育结合有氧运动对老年COPD稳定期患者心肺功能及自我管理能力的影响[J]. 中国医学创新,2025,22(29):75-79.
[2] 田静静,邬闻文,王姗姗,等. 基于中介效应的结构方程模型分析老年COPD患者的自我护理能力[J]. 检验医学与临床,2024,21(1):28-33.
[3] 田静静,李莉,邬闻文,等. 老年COPD稳定期患者家庭功能、自我感受负担与自我护理能力的相关性[J]. 湖北医药学院学报,2023,42(2):206-211.
[4] 中国老年医学学会呼吸病学分会慢性阻塞性肺疾病学组. 中国老年慢性阻塞性肺疾病临床诊治实践指南[J]. 中华结核和呼吸杂志,2020,43(2):100-119.
[5] 周红娟,邓丽金,陈锦秀,等. 社区慢性阻塞性肺疾病稳定期患者自我管理量表的编制及信效度检验[J]. 中华护理杂志,2022,57(17):2073-2080.
[6] 涂成婷,况夏云. 基于CGA的个性化护理方案对COPD急性加重期患者运动耐力及肺功能的影响研究[J]. 现代诊断与治疗,2025,36(5):776-778.
[7] 张坤,孙慧. 4S呼吸康复护理联合个性化系统护理干预对老年慢性阻塞性肺疾病患者肺功能及生活质量的影响[J]. 河南医学研究,2025,34(14):2665-2668.
[8] 徐亮亮,杨璐,李敏. 个性化身心诉求护理模式对老年慢性阻塞性肺疾病患者心肺功能及生活质量的影响[J]. 实用临床医药杂志,2023,27(1):111-114.