Application of targeted continuity nursing based on physical and mental health and self-care assessment in patients with chronic pbstructive pulmonary disease (COPD)
研究基于身心和自理能力评估的针对性延续性护理在慢阻肺患者中的应用

摘要

目的 此次研究以对照形式展开，重点验证、分析、探讨基于身心和自理能力评估的针对性延续护理在慢阻肺患者中的应用效果，旨在为临床研究提供理论与实践参照。方法 设立2023年7月至2024年7月为本项研究的开展期限，纳入本时段院内收治的70例慢阻肺疾病患者为研究样本，迎合本次试验需求，采用数字表划分法完成组间安排，每组归入35例（n=35），分别命名为参照组与研究组，前者实施常规护理，后者开展常规护理的同时，增加基于身心和自理能力评估的针对性延续护理，而后收集整理临床资料和相关数据，以自护能力、负性情绪、肺功能、生活质量、用药依从性为观察指标，评价不同护理方案下的效果和差异。结果 统计学分析结果显示，研究组患者的用药依从性高达97.14％，显著高于参照组的80.00％，P值＜0.05。在其他各项指标数值方面，研究组同样表现出优于参照组的趋势，P值＜0.05，值得探讨。结论 对于慢阻肺患者而言，在其临床护理方案的横向选择中，建议优先采纳文中研究组实施方案，即常规护理+基于身心和自理能力评估的针对性延续护理，一方面能极大增强慢阻肺患者自护能力，改善患者复性情绪，同时还可显著提高患者用药依从性，值得推崇。

Abstract

Objective This study was conducted in a controlled design, focusing on validating, analyzing, and investigating the efficacy of targeted continuous nursing based on psychosomatic and self-care ability assessments in patients with chronic obstructive pulmonary disease (COPD), aiming to provide theoretical and practical references for clinical research.
Methods A total of 70 COPD patients admitted to the hospital during this period were enrolled as the study sample. Group assignments were made using a digital table allocation method, with 3 5 patients assigned to each group (n=3 5 ): the control group received conventional nursing care, while the study group received conventional nursing care supplemented with targeted continuous nursing based on psychosomatic and self-care ability assessments. Clinical data and relevant information were collected, with self-care ability, negative emotions, pulmonary function, quality of life, and medication adherence serving as evaluation indicators to compare the effects and differences between the two nursing interventions.
Results Statistical analysis revealed that the medication adherence rate in the study group was 97.14%, significantly higher than that in the control group (80.00%; P<0.05). The study group also demonstrated superior performance in all other evaluation metrics (P<0.05), warranting further investigation.
Conclusion   Statistical analysis revealed that the medication adherence rate in the study group was 97.14%, significantly higher than that in the control group (80.00%; P<0.05). The study group also demonstrated superior performance in all other evaluation metrics (P<0.05), warranting further investigation.