Cai Xiaoyan, Zhao Yinhua, Deng Xiaolan, Fang Fang
Department of Geriatrics, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Ann Palliat Med. 2020 Sep;9(5):3182-3186. doi: 10.21037/apm-20-1532. Epub 2020 Sep 17.
In recent years, the incidence of chronic obstructive pulmonary disease (COPD) has been increasing gradually, becoming a relatively intractable public health problem faced by all of society. The corresponding conventional nursing interventions are not effective for the rehabilitation of COPD patients and cannot meet clinical needs. In this study, a new nursing model, a two-way quality feedback nursing model, was applied for the treatment of COPD patients.
This retrospective study included 120 moderate COPD patients admitted to our hospital between January 2018 and December 2018, and the patients were equally divided into the experimental group (n=60) and the control group (n=60) according to the nursing strategy received by patients. The control group received routine nursing care, the two-way quality feedback nursing model was applied in the experimental group, and the nursing effects in the two groups were compared.
The patient compliance of the experimental group to nursing care was 91.67%, that of the control group was 78.33% (P<0.05), and the scores for social relationship, environmental impact, psychological condition, and physiological condition of quality of life (QoL) in the experimental group at discharge were higher than those in the control group (P<0.05).
The application of the two-way quality feedback nursing model in COPD patients could improve patient compliance and significantly improve the QoL of patients, with good application value.
近年来，慢性阻塞性肺疾病（COPD）的发病率逐渐上升，成为全社会面临的一个相对棘手的公共卫生问题。相应的传统护理干预措施对COPD患者的康复效果不佳，无法满足临床需求。在本研究中，一种新的护理模式，即双向质量反馈护理模式，被应用于COPD患者的治疗。
本回顾性研究纳入了2018年1月至2018年12月期间我院收治的120例中度COPD患者，根据患者接受的护理策略将患者平均分为实验组（n = 60）和对照组（n = 60）。对照组接受常规护理，实验组应用双向质量反馈护理模式，比较两组的护理效果。
实验组患者对护理的依从性为91.67%，对照组为78.33%（P < 0.05），实验组出院时生活质量（QoL）的社会关系、环境影响、心理状况和生理状况评分均高于对照组（P < 0.05）。
双向质量反馈护理模式在COPD患者中的应用可提高患者依从性，并显著改善患者的生活质量，具有良好的应用价值。
