主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (7): 1043-1049.doi: 10.3969/j.issn.1672-1756.2022.07.016

• 循证护理 • 上一篇    下一篇

基于知识转化框架的COPD患者长期家庭氧疗管理方案的构建及应用

刘雨 黄蔚萍 鲍克娜 敖莉 顾叶 张家菁   

  1. 上海健康医学院附属嘉定区中心医院护理部,201800 上海市(刘雨,黄蔚萍);呼吸内科(鲍克娜);内分泌科(敖莉);特需病房(顾叶);上海中医药大学(张家菁)
  • 出版日期:2022-07-15 发布日期:2022-07-15
  • 通讯作者: 黄蔚萍,本科,主任护师,护理部主任,E-mail:jzhx512@126.com
  • 作者简介:刘雨,硕士
  • 基金资助:
    上海市嘉定区医学重点学科项目(2017ZD02)

Construction and application of Long Term Domiciliary Oxygen Therapy management plan for COPD patients based on Knowledge To Action theory

LIU Yu, HUANG Weiping, BAO Kena, AO Li, GU Ye, ZHANG Jiajing   

  1. Nursing Department, Jiading District Central Hospital Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, 201800, China
  • Online:2022-07-15 Published:2022-07-15
  • Contact: E-mail:jzhx512@126.com

摘要: 目的:构建慢性阻塞性肺疾病(COPD)患者长期家庭氧疗管理方案并应用于实践中。方法:以知识转化框架为理论指导全面检索国内外相关临床实践指南,结合临床实践形成医院-社区-家庭三位一体的COPD患者长期家庭氧疗管理方案。选取2020年7月至2020年12月收治的64例COPD患者为研究对象,采用随机数字法将其分为干预组和对照组,对照组实施常规护理,干预组在此基础上应用长期家庭氧疗管理方案,评价患者的长期家庭氧疗知识、氧疗依从性、生活质量和氧疗时长等情况。结果:干预组患者长期家庭氧疗知识、氧疗依从性、生活质量均优于对照组,氧疗时长长于对照组,差异均具有统计学意义(P<0.05)。结论:该方案延长了患者的长期家庭氧疗时长,提高了患者的长期氧疗知识水平、依从性以及患者的生活质量。

关键词: 慢性阻塞性肺疾病;家庭氧疗;知识转化

Abstract: Objective: To establish and evaluate the effect of the Long Term Domiciliary Oxygen Therapy (LTDOT)management program for Chronic Obstructive Pulmonary Disease (COPD) patients in a trinity model including hospital, community and family. Methods: Firstly, a comprehensive search of relevant clinical practice guidelines on LTDOT management plan for COPD patients at home and abroad was conducted with the Knowledge To Action (KTA) Framework as the theoretical guidance. The results were then analyzed and combined with clinical practice, upon which the trinity LTDOT management plan for COPD patients was established. A total of 64 COPD patients admitted from early July 2020 to the end of December 2020 were selected as the research objects who were divided into the intervention group and the control group using random number method. The control group was given routine care while the intervention group received the hospital-community-family model of LTDOT care management plan for COPD patients aside from routine care to evaluate and compare their knowledge and compliance of LTDOT, quality of life, oxygen therapy duration, hospitalization expenses, etc. Results: The LTDOT knowledge score, compliance score, oxygen therapy duration and quality of life scores of the intervention group were higher than those of the control group with the difference being statistically significant (P<0.05). Conclusion: The trinity model significantly prolongs the patient's LTDOT time, improves their knowledge, compliance and life quality.

Key words: COPD; family oxygen therapy; Knowledge To Action

中图分类号:  R47; R197