出院计划模式在慢性阻塞性肺疾病患者中应用效果评价-evaluation of the effect of discharge planning model in patients with chronic obstructive pulmonary disease.docxVIP

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出院计划模式在慢性阻塞性肺疾病患者中应用效果评价-evaluation of the effect of discharge planning model in patients with chronic obstructive pulmonary disease.docx

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出院计划模式在慢性阻塞性肺疾病患者中应用效果评价-evaluation of the effect of discharge planning model in patients with chronic obstructive pulmonary disease

PAGE PAGE 6 explore the impact of DPM. Results: There was no statistical significance (P0.05) in length of hospitalization and medical costs between two groups. There was statistical significance (P0.05) in frequency of disease exacerbation and readmission within half year’s intervention between two groups. No statistical significance indicated (P0.05) in cognitive score of self-care prior to the intervention between two groups. But there was statistical significance in cognitive score of self-care after the intervention between two groups. Cognitive score of self-care of the study group was significantly higher than that of the control group. Overall score of self-efficacy and self-efficacy score such as of emotional fluctuation, physical activity and environment was higher (P0.01) in the study group than that in the control group after intervention. There was no statistical significance (P0.05) in management of dyspnea and security behavior. Score of quality of life in physical and emotional function, satisfaction of nursing care, was significantly higher in the study group than that in the control group (P0.05). However, there was no statistical significance in score of coping skills (P0.05). Conclusion: Cognitive capacity of COPD patient has been significantly improved after DPM nursing care implemented compare to normal nursing model. DPM was not able to reduce length and costs of hospitalization but it reduced frequency of disease exacerbation and readmission, as well as alleviated symptoms and prolonged disease recurrence. DPM could increase self-efficacy of COPD patients so as to improve their psychological and social function and quality of life. 【Key Words】Discharge planning model； Pulmonary disease，Chronic obstructive； Self-efficacy；Nursing care 前言 1 研究背景慢性阻塞性肺疾病( Chr oni c obst r uct i ve pul monar y di sease, COPD) 是一个全球性公共卫生问题，目前居全球死亡原因的第4位，至2020年，COPD将位居世界疾病经济负担的第5位[ 1] 。据一项流行病学调查显示，我国40岁以上人群COPD 的患病率高达8. 2％[ 2] 。我国目前约有4000多万人罹患，每年超过100万人死于 CO