刘晶晶

[摘要] 目的 探讨全程综合管理对慢性阻塞性肺疾病出院患者生活质量的影响。 方法 选择2014年1～12月我院呼吸内科收治的100例慢性阻塞性肺疾病患者，随机将其分为对照组与观察组，各50例，对照组给予常规护理干预与随访，观察组在对照组的基础上开展全程综合管理干预，分别于入院时与出院3个月后，采用欧洲癌症研究与治疗组织的生活质量核心量表（EORTC QOL-100）对两组患者进行生活质量评价，比较两组患者的生活质量变化情况。出院前，使用自行设计的调查问卷，对两组患者进行护理满意度调查。 结果 入院时，两组患者的生活质量评价结果之间比较，差异无统计学意义（P>0.05）；出院3个月后，观察组的躯体功能、角色功能、认知功能、情绪功能及社会功能得分分别为（79.53±12.64）、（68.56±8.47）、（79.14±7.54）、（74.62±6.45）、（74.22±10.51）分，均明显高于对照组，差异有统计学意义（P<0.05）。出院前两组患者护理满意度比较，差异有统计学意义（P<0.05）。 结论 在慢性阻塞性肺疾病患者出院后开展相应的全程综合管理干预，可以明显改善患者的临床症状，帮助患者形成良好的生活习惯，提高生活质量，保证治疗效果。

[关键词] 全程综合管理；慢性阻塞性肺疾病（COPD）；生活质量

[中图分类号] R322.3+5 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0180-03

[Abstract] Objective To explore the effect on quality of life of patients with chronic obstructive pulmonary disease，who used integrated management，and provide a reference for future nursing work，through retrospectively analyzed the clinical data. Methods During January to December in 2014，100 cases of chronic obstructive pulmonary disease was chose from respiratory department of our hospital.These cases were randomly divided into control group and observation group， each group had 50 cases.The control group was given routine nursing intervention and follow-up，the observation group in the control group was given integrated management，based on the control group.At admission and 3 months after discharge，quality of life core European Organization for research and treatment of cancer （table EORTC QOL-100） was used to evaluate the patients′ quality of life in the two groups respectively，and compared the patients′ quality of life between the two groups.Before discharge，self-designed questionnaire was used to survey nursing satisfaction between two groups of patients. Results When admission，there was no significant difference on the quality of life between two groups（P>0.05）；3 months after discharge，the physical function，role function，cognitive function，emotional function and social function scores of observation group were （79.53±12.64），（68.56±8.47），（79.14±7.54），（74.62±6.45），（74.22±10.51），were significantly higher than that of control group （P<0.05）.Before discharge，there was significant difference on the nursing satisfaction comparison between the two groups of patients（P<0.05）. Conclusion When patients with chronic obstructive pulmonary disease out of the hospital， carried out integrated management can significantly improve clinical symptoms，help patients to form good habits，improve the quality of life，and ensure the therapeutic effect.

[Key words] Integrated management；Chronic obstructive pulmonary disease （COPD）；Quality of life

近年来，随着人口老龄化程度的加深以及空气污染的加剧，我国临床中慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）的发病率呈明显的上升趋势[1-3]。COPD属于慢性呼吸系统疾病，其病程缓慢，处于急性发作期后的COPD患者虽然临床症状不明显，但是肺功能却在持续恶化[4]，严重影响患者的劳动能力和生活质量，病死率相当高[5]，因此，在COPD患者出院后开展相应的健康管理工作对患者的治疗与预后至关重要。本研究通过回顾性分析临床病例资料，探讨全程综合管理对COPD出院患者生活质量的影响，为今后的护理工作提供参考思路，具体报道如下。