|
|
Effects of the whole intervention model based on Cameron timely theory in patients with chronic obstructive pulmonary disease |
CAI Xiaoqiong ZHANG Xiaoli |
Department of Respiratory, Pangang General Hospital of Panzhihua City, Sichuan Province, Panzhihua 617063, China |
|
|
Abstract Objective To explore the effects of the whole intervention model based on Cameron timely theory in patients with chronic obstructive pulmonary disease(COPD). Methods From April 2016 to March 2017, 139 cases of COPD patients in Pangang General Hospital of Panzhihua City were selected as research objects and divided into the control group (67 cases) and the intervention group (72 cases) by admission time. The control group was given routine nursing care and the intervention group was given the whole intervention model based on Cameron timely intervention theory. The family caregiver task inventory (FCTI) and Seattle obstructive lung disease questionnaire (SOLDQ) were used to assess the care ability of the family caregivers and the life quality of the patients respectively. The acute attack, treatment conditions and hospitalization time in the two groups were compared. Results After intervention of 1 month and 3 months, the scores of all dimensions of FCTI such as care role, strain and provide assistance, handle personal emotions, assess family and community resources and adjust life to meet care needs in the two groups were all higher than those of before intervention, the scores above in the intervention group were all higher than those of control group. The physiological function, emotional function, coping skills and nursing satisfaction of SOLDQ in the intervention group were all higher than those of conrol group, with highly statistically significant differences (P < 0.01). The repeated measurement of variance analysis showed that the scores of all dimensions of FCTI in the intervention group were continuously decreasing, and the scores of all dimensions SOLDQ were continuously increasing. The acute attack, treatment conditions and hospitalization time in the intervention group were lower than those of control group, with highly statistically significant differences (P < 0.01). Conclusion The whole intervention model based on Cameron timely theory can effectively improve the caregivers′ care ability, pomote the patients' life quality and reduce the risk of acute attack.
|
|
|
|
|
[1] Zhou Y,Bruijnzeel PL,Mccrae C,et al. Study on risk factors and phenotypes of acute exacerbations of chronic obstructive pulmonary disease in Guangzhou,China-design and baseline characteristics [J]. J Thorac Dis,2015,7(4):720-733.
[2] Mcdonald CF. Review:Pulmonary rehabilitation improves health-related QoL and exercise capacity more than usual care in COPD [J]. Ann Intern Med,2015,162(12):4.
[3] Dignani L,Toccaceli A,Lucertini C,et al. Sleep and Quality of Life in People With COPD:A Descriptive-Correlational Study [J]. Clin Nurs Res,2015,25(4):432-447.
[4] 周玉民,王辰,姚婉贞,等.中国七省市慢性阻塞性肺疾病患者的生命质量现况调查[J].中华结核和呼吸杂志,2009,32(4):248-252.
[5] Cameron JI,Gignac MAM. “iming It Right”:A conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home [J]. Patient Educ Couns,2008,70(3):305-314.
[6] 梁莉莉,张艳,史岩,等.时机理论在疾病护理中的应用研究进展[J].护理研究,2016,30(5):524-525.
[7] 吉琳,金瑞华,郑洁.以时机理论为基础的健康教育在脑卒中患者家庭照顾者中的应用[J].中国临床护理,2017, 9(3):248-251.
[8] 王姗姗,薛小玲.基于时机理论的家庭护理对急性心肌梗死患者家属照顾能力及生活质量的影响[J].中华护理杂志,2016,51(8):998-1003.
[9] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):484-491.
[10] 王姗姗,薛小玲,杨小芳,等.中文版家属照顾者照顾能力量表在急性心肌梗死患者家属中的信效度研究[J].中华现代护理杂志,2015,21(6):645-649.
[11] 贾秀芬,王君俏,杨雅,等.SOLQ对社区COPD病人生活质量评估的价值研究[J].护理研究,2015(29):3613-3616.
[12] Cain CJ,Wicks MN. Caregiver Attributes as Correlates of Burden in Family Caregivers Coping With Chronic Obstructive Pulmonary Disease [J]. J Fam Nurs,2000,6(1):46-68.
[13] Wang KY,Sung PY,Yang ST,et al. Influence of family caregiver caring behavior on COPD patients' self-care behavior in Taiwan [J]. Respir Care,2012,57(2):263-272.
[14] 梁莉莉,张艳,史岩,等.时机理论在疾病护理中的应用研究进展[J].护理研究,2016,30(5):524-525.
[15] 王姗姗,薛小玲,杨小芳,等.基于时机理论对急性心肌梗死患者家属不同阶段照护体验的质性研究[J].中华护理杂志,2014,49(9):1066-1071.
[16] 曾丽智,陈沁,刘辉,等.过渡期护理模式对COPD病人家属疾病不确定感和应对方式的影响[J].护理研究,2013, 27(32):3637-3639.
[17] 张娣,郑金旭,罗彩凤,等.医护患一体化延续性健康教育在缓解期COPD患者中的应用[J].中国健康教育,2016, 32(10):879-883.
[18] 吴红梅,周泽云.常见慢性呼吸道疾病患者用药依从性影响因素及护理干预研究进展[J].中华肺部疾病杂志:电子版,2016,9(4):439-441.
[19] 陈立芳,马绍斌,范存欣.大学生压力、应对方式、社会支持与主观幸福感关系的结构模型[J].中国临床心理学杂志,2009,17(3):266-268.
[20] 顾建琴.延续性护理对COPD患者生活质量和心理的应用分析[J].国际护理学杂志,2014,33(12):3493-3495. |
|
|
|