协同护理方案在慢性支气管炎合并糖尿病出院患者中的应用效果.docVIP

协同护理方案在慢性支气管炎合并糖尿病出院患者中的应用效果 　　[摘要] 目的 研究协同护理方案在慢性支气管炎合并糖尿病出院患者中的应用效果。方法 整群选择2013年1月―2014年12月在该院收治的慢性支气管炎合并糖尿病患者60例，将患者随机分为研究组和对照组，各 30 例。对照组进行常规护理。研究组具体的协同护理措施（1）协同护理的知识培训；（2）发放自我护理行为问卷，制定属于每个人的计划方案；（3）随访。观察并记录患者的自我护理能力，健康促进生活方式评分。结果 两组护理干预后研究组较对照组的自我护理能力评分明显提高，差异有统计学意义（P0.05），两组护理干预后研究组较对照组的健康促进生活方式评分明显提高，差异有统计学意义（P0.05）。结论 协同护理方案在提高慢性支气管炎合并糖尿病患者的自我护理能力较常规护理方案的效果更佳，并且对提高患者健康促进生活方式的评分更显著，可以广泛应用。 　　[关键词] 协调护理方案；慢性支气管炎；糖尿病；出院患者；应用效果 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0168-03 　　[Abstract] Objective To study the effect of collaborative care scheme applied to the discharged patients with chronic bronchitis and diabetes. Methods 60 patients with chronic bronchitis and diabetes admitted in our department of our hospital between January 2013 and December 2014 were chosen and randomly divided into the research group and the control group， with 30 cases in each. The control group was given the conventional nursing. And the observation group was given the specific nursing intervention： （1） the training of collaborative nursing knowledge； （2） the issuance of self-care behavior questionnaire and formulation of personal planning scheme； （3） the follow-up. The patient self-care ability of the patients was observed and recorded. And HPLP-II scores of the groups were compared. Results After the nursing intervention， the self-care ability score increased significantly in both groups（P0.05）. The HPLP-II scores were much higher in the research group than those in the control group after the nursing intervention， the difference was statistically significant（P0.05）. Conclusion Collaborative care scheme has better effect on improving the self-care ability and HPLP-II scores in patients with chronic bronchitis and diabetes than conventional nursing， so it can be widely used. 　　[Key words] Collaborative care scheme； Chronic bronchitis； Diabetes； Discharged patients； Application effect 　　慢性支气管炎是由于多种因素（包括感染、非感染因素）引起的，是一种常见的慢性呼吸系统疾病，患病人数多，且病死率有逐年增多的趋势[1]。慢性支气管炎合并