刘璐, 章一华, 朱德香, 邹蓉, 李爱清. 自我管理模式在尘肺病患者中应用效果评价[J]. 职业卫生与应急救援, 2018, 36(3): 208-211. DOI: 10.16369/j.oher.issn.1007-1326.2018.03.007
引用本文: 刘璐, 章一华, 朱德香, 邹蓉, 李爱清. 自我管理模式在尘肺病患者中应用效果评价[J]. 职业卫生与应急救援, 2018, 36(3): 208-211. DOI: 10.16369/j.oher.issn.1007-1326.2018.03.007
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LIU Lu, ZHANG Yihua, ZHU Dexiang, ZOU Rong, LI Aiqing. Application of self-management model among patients with pneumoconiosis[J]. Occupational Health and Emergency Rescue, 2018, 36(3): 208-211. DOI: 10.16369/j.oher.issn.1007-1326.2018.03.007
Citation: LIU Lu, ZHANG Yihua, ZHU Dexiang, ZOU Rong, LI Aiqing. Application of self-management model among patients with pneumoconiosis[J]. Occupational Health and Emergency Rescue, 2018, 36(3): 208-211. DOI: 10.16369/j.oher.issn.1007-1326.2018.03.007
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自我管理模式在尘肺病患者中应用效果评价

Application of self-management model among patients with pneumoconiosis

    摘要
  • 摘要:
    目的 探讨针对尘肺病患者的慢性病自我管理模式的临床效果。
    方法 选取2015年8月-2016年12月在深圳市职业病防治院及湖南省职业病防治院尘肺病科住院的169例尘肺病患者为对照组, 实施传统护理方案; 选取2017年1月-2017年10月在两医院住院的131例尘肺病患者为研究组, 在传统护理的基础上实施自我管理模式。干预8周后, 组织两组患者填写疾病认知问卷、自我效能量表及简明生存质量量表(WHOQOL-BREF)并比较干预前后两组患者健康知识水平、自我效能及生存质量改善等情况。
    结果 干预前, 两组患者在疾病认知、自我效能、生存质量量表总评分, 以及各维度评分方面的差异均无统计学意义(P>0.05);干预8周后, 两组患者疾病认知、自我效能、生存质量量表总评分, 自我效能各维度评分、生存质量各维度评分均高于干预前, 同时, 干预组以上各评分均优于对照组, 除了生存质量量表的社会领域维度之外, 其他项目评分的差异均有统计学意义(P < 0.01或0.05)。
    结论 传统护理和慢性病自我管理模式对提高患者的生存质量均有帮助, 而采取慢性病自我管理模式的效果更为明显, 值得在临床上推广。

     

    Abstract:
    Objective To investigate the effect of self-management model among the patients with pneumoconiosis.
    Methods During January to October 2017, self-management model was introduced into 131 hospitalized patients with pneumoconiosis, while they received the conventional treatment as before.After intervention for 8 weeks the questionnaire survey, including the scale for health knowledge, self efficacy scale and World Health Organization quality of life scale (WHOQOL-BREF), etc, were conducted.The available results were compared with those of 169 patients treated with only conventional nursing method during August 2015 to December 2016.
    Results The baseline survey showed that there was no statistical difference of scale scores for health knowledge level, self efficacy and life quality of patients between these two groups (P>0.05).After intervention for 8 weeks, all the scale scores in two groups were increased.However, it showed that the scores of patients in study group were statistically superior (P < 0.05 or P < 0.01), except for the score of social domain dimension in life quality scale.
    Conclusion Both self-management model and conventional nursing method can improve the life quality of the patients, and self-management mode is more useful.It can be introduced into patients with pneumoconiosis.

     

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