MDT模式延续护理对老年慢阻肺患者肺功能、自我护理能力及生存质量的影响

胡丙兰 李有霞 范绍辉 肖金红 周玲燕 曾美琼 黄月莹

[摘要]目的研究多学科协作团队（MDT）模式延续护理对老年慢阻肺患者肺功能、自我护理能力及生活质量的影响。方法选取遵义医科大学第五附属（珠海）医院呼吸与危重症医学科2018年6月至2020年6月收治的慢阻肺患者68例，按照随机数字表法分为 A 组34例（采用常规护理方法）和 B 组34例（采用 MDT 模式延续护理），比较干预前后两组患者肺功能、自我护理能力和生存质量。结果 B 组患者经过 MDT 模式延续护理干预后，肺功能、自我护理能力和生存质量评分改善情况均优于 A 组，差异有统计学意义（P <0.05）。结论 MDT 模式延续护理可提高老年慢阻肺患者的自我护理能力，进而改善生存质量和提升肺功能，值得临床推广。

[关键词] MDT 模式;慢性阻塞性肺疾病;延续护理;肺功能;自我护理能力;生存质量

[中图分类号] R473.5  [文献标识码] A   [文章编号]2095-0616（2021）24-0118-04

Effect of MDT mode based continuous nursing on pulmonary function， self-care ability and quality of life of elderly patients with chronic obstructive pulmonary disease

HU  Binglan    LI  Youxia    FAN  Shaohui    XIAO  Jinhong    ZHOU  Lingyan    ZENG  Meiqiong HUANG  Yueying

Department of Respiratory and Critical Care Medicine， the Fifth Affiliated （Zhuhai） Hospital of Zunyi Medical University， Guangdong， Zhuhai 519100， China

[Abstract] Objective To study the effect of multidisciplinary team （MDT） mode based continuous nursing on pulmonary function， self-care ability and quality of life of elderly patients with chronic obstructive pulmonary disease （COPD）. Methods A total of Sixty-eight patients with COPD admitted to the Department of Respiratory and Critical Care Medicine of the Fifth Affiliated （Zhuhai） Hospital of Zunyi Medical University， from June 2018 to June 2020 were divided into group A （34 cases， conventional nursing） and group B （34 cases， continuous nursing based on MDT mode） by random number table method. The pulmonary function， self-care ability and quality of life of the two groups were compared before and after intervention. Results After intervention， the improvement of the pulmonary function， self-care ability and quality of life of patients in group B were better than those in group A， and the differences were statistically significant （P <0.05）. Conclusion MDT mode based continuous nursing can improve the self-care ability of elderly patients with COPD， and then improve the quality of life and enhance pulmonary function， which is worthy of clinical promotion.

[Key words] Multidisciplinary team mode; Chronic obstructive pulmonary disease; Continuous nursing; Pulmonary function; Self-care ability; Quality of life

慢性阻塞性肺疾病（chronic obstructive pulmonary disease， COPD）簡称慢阻肺，是呼吸与危重症医学科常见疾病。该病是以持续气流受限为特征的可预防和可治疗的疾病，气流受限多呈进行性发展[1]。随着病情发展，可逐渐进展为肺动脉高压，严重者出现肺心病。COPD 患者多伴有血液凝固性升高及血栓前状态，肺部微小血栓形成是导致 COPD 患者肺动脉高压的危险因素，进而增加患者的病死率[2]。目前此病仍未出现一种可彻底治愈的治疗方案，治疗周期长，复发率高，症状相对顽固，病情好转后若在日常生活中不注重自我护理，或无相关自我护理知识，极易导致病情复发，将严重影响患者生活质量[3]，给患者及家属造成极大的负担。延续护理是保证患者在不同健康照护场所能够享有同质的护理服务[4-5]。……