摘要
目的:探讨基于健康行动过程取向理论(Health Action Process Approach,HAPA)构建的COPD患者运动康复方案对COPD患者运动自我效能和心理弹性的影响。方法:采用便利抽样法,于2019年1—8月选取在驻马店市中心医院住院的COPD患者100例为研究对象。将2019年1—4月住院的50例患者设为对照组,2019年5—8月住院的50例患者设为观察组。对照组采用COPD常规护理方法,观察组采用基于HAPA的COPD患者运动康复方案。采用运动自我效能量表、心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)评估干预的效果。结果:最终对照组获得46份有效问卷,观察组获得47份有效问卷。出院后3个月观察组患者运动自我效能量表得分为(8.89±2.70)分,对照组为(7.73±1.67)分,两组比较差异有统计学意义(t=2.485,P=0.015)。出院后3个月观察组患者CD-RISC坚韧性、力量性、乐观性3个维度得分分别为(35.55±6.16)、(23.79±4.88)、(11.25±2.72)分,对照组分别为(32.33±6.7)、(21.22±4.17)、(9.80±2.56)分,两组比较差异有统计学意义(t值分别为2.396、2.728、2.646;P<0.05)。结论:基于HAPA的COPD患者运动康复方案对于改善患者的运动自我效能和心理弹性水平具有积极意义。
Objective To explore the effects of exercise rehabilitation program for chronic obstructive pulmonary disease(COPD)patients based on health action process approach(HAPA)on exercise self-efficacy and psychological resilience in COPD patients.Methods From January to August 2019,we selected 100 COPD inpatients from Zhumadian Central Hospital as the research objects by convenience sampling.A total of 50 patients hospitalized from January to April 2019 were in control group,and 50 patients hospitalized from May to August 2019 were in observation group.Control group carried out the COPD routine nursing,while observation group implemented the exercise rehabilitation program for COPD patients based on HAPA.The effect of intervention was evaluated with the Exercise Self-Efficacy Scale and the Connor-Davidson Resilience Scale(CD-RISC).Results In the end,there were 46 valid questionnaires in control group,and 47 valid questionnaires in observation group.The scores of exercise self-efficacy of patients in observation group and control group three months after discharge were(8.89±2.70)and(7.73±1.67)respectively with a statistical difference(t=2.485,P=0.015).Three months after discharge,scores of three dimensions of CD-RISC,namely hardiness,strength and optimism,of observation group were(35.55±6.16),(23.79±4.88)and(11.25±2.72)respectively,and those of control group were(32.33±6.79),(21.22±4.17)and(9.80±2.56),and differences were statistically significant(t=2.396,2.728,2.646;P<0.05).Conclusions HAPA-based exercise rehabilitation program for COPD patients has a positive significance for improving the patients'exercise self-efficacy and psychological resilience.
作者
韩香平
何磊
李鸿雁
鲁慧敏
刘辉
Han Xiangping;He Lei;Li Hongyan;Lu Huimin;Liu Hui(Department of Rehabilitation Medicine,Zhumadian Central Hospital of Henan Province,Zhumadian 463000,China;the Third Psychiatry Department,Zhumadian Second People's Hospital of Henan Province,Zhumadian 463000,China;Nursing Department,Zhumadian Central Hospital of Henan Province,Zhumadian 463000,China)
出处
《中华现代护理杂志》
2020年第23期3183-3186,共4页
Chinese Journal of Modern Nursing
关键词
慢性阻塞性肺疾病
健康行动过程取向理论
运动
自我效能
心理弹性
Pulmonary disease
chronic obstructive
Health action process approach
Exercise
Self efficacy
Resilience
psychological
