摘要
目的：探讨“三因施护”联合“行为认知疗法”持续性干预对农村地区慢性阻塞性肺疾病（COPD）患者生活习惯的影响。方法：选取2014年6月~2016年1月湖口县某二甲医院住院部内科COPD患者220例作为研究对象,随机等分为试验组和对照组,对照组采用常规护理进行干预;试验组在常规护理的基础上,进行行为认知教育,并运用“三因施护”的原理,因人、因时、因地为患者制定切实可行的健康生活模式,并通过中医特色健康教育及回访的方式对患者进行持续性干预6个月,直至患者建立健康的生活习惯。对比分析两组患者干预后SF-36评分,不良生活习惯改变情况、复发情况、病死情况、氧疗使用情况、SAS评分、SDS评分。结果：试验组的SF-36评分明显高于对照组（P〈0.05）;试验组不良生活习惯改变率和氧疗使用情况均明显高于对照组（P〈0.05）;试验组的复发情况和病死情况均明显低于对照组（P〈0.05）;试验组SAS评分明显低于对照组（P〈0.05）;试验组SDS评分明显低于对照组（P〈0.05）。结论：通过“行为认知疗法”对患者的错误认知进行矫正,促进其形成健康的生活行为习惯,并结合“三因施护”对其进行持续性干预,有效地提高了患者的认知水平和自我管理能力,显著降低了其病死情况和复发情况,改善患者的负面心理状况,提高其生活质量。
Objective：To explore the effect of continuous intervention on the living habits of patients with chronic obstructive pulmonary disease（COPD）in rural areas by combination of ＂nursing according to three factors＂ and ＂cognitive - behavioral therapy＂. Methods：A total of 220 patients with COPD hospi-talized from June 2014 to January 2016 in the department of internal medicine of a second grade first - class hospital in Hukou county were selected as re-search subjects and were randomly divided into experimental group and control group. The control group was treated with routine nursing while the experi-mental group carried out cognitive - behavioral education on the basis of routine nursing. Whatˊs more,under the principle of ＂nursing according to three factors＂,the feasible and healthy living mode were made for the patients according to different people,time and areas. The health education and return vis-its with Chinese characteristics were carried out in the 6 months of continuous intervention until the patients established a healthy lifestyle. The scores of SF - 36,adverse living habits improvement,recurrence,mortality,oxygen therapy,SAS scores and SDS scores were compared between the two groups. Re-sults：The SF - 36 score of the experimental group was significantly higher than that of the control group（P 〈 0. 05）. The rate of change of adverse living habits and the use of oxygen therapy in the experimental group were significantly higher than those in the control group（P 〈 0. 05）. The recurrence and mortality of the experimental group were significantly lower than those of the control group（P 〈 0. 05）. The SAS score of the experimental group was signifi-cantly lower than that of the control group（P 〈 0. 05）. The SDS score of the experimental group was significantly lower than that of the control group （P 〈 0. 05）. Conclusion：To correct the erroneous cognition of the patients by cognitive - behavioral therapy can promote them to form healthy living habits. The
出处
《护理实践与研究》
2016年第21期21-23,共3页
Nursing Practice and Research
基金
2015年江西省卫生厅科研计划课题(普通)(20154032)
关键词
三因施护
行为认知疗法
慢性阻塞性肺疾病
Nursing according to three factors
Cognitive - behavioral therapy
Chronic obstructive pulmonary disease
