摘要
目的探究老年慢阻肺稳定期患者应用健康信念模式进行护理的效果。方法从该院呼吸内科2019年11月-2020年4月收治的老年慢阻肺稳定期患者中随机抽取163例作为该次研究对象,采用双盲法将其均分为两组,观察组应用健康信念模式进行护理,对照组应用常规护理,对两组患者的护理效果进行评估。结果护理后对照组和观察组自我护理行为评分分别为(91.42±1.74)分、(129.18±1.63)分,比较差异有统计学意义(t=142.920,P<0.05)。观察组体力活动(10.59±2.01)分,环境与温度为(15.82±3.29)分,情感波动(19.52±3.12)分,安全行为(5.78±0.62)分,呼吸困难管理为(32.25±3.29)分,对照组体力活动(9.02±1.63)分,环境与温度为(11.08±2.01)分,情感波动(14.08±2.17)分,安全行为(4.07±0.63)分,呼吸困难管理为(28.13±3.26)分,组间差异有统计学意义(t=5.480、11.114、12.936、17.463、8.030,P<0.05)。对照组FEV1为(2 207.03±110.28)mL、BR为(80.27±7.92)%、FEV1/FVC为(87.75±7.37)%,观察组FEV1为(2902.15±102.01)mL、BR为(60.92±6.84)%、FEV1/FVC为(60.92±6.84)%,比较差异有统计学意义(t=41.762、16.684、10.397,P<0.05)。观察组呼吸功能锻炼依从性评分为(90.38±3.86)分,显著比对照组(70.39±4.92)分的评分高,比较差异有统计学意义(t=28.836,P<0.05)。结论老年慢阻肺稳定期患者应用健康信念模式进行护理,有助于患者病情的康复,具有较高的临床应用价值。
Objective To explore the effect of nursing care of elderly patients with chronic obstructive pulmonary disease in stable stage using health belief model.Methods Randomly selected 163 elderly patients with stable COPD who were admitted to the Department of Respiratory Medicine in this hospital from November 2019 to April 2020 as the study objects.The double-blind method was used to divide them into two groups,and the observation group used Nursing was carried out in the health belief model,and the control group was treated with routine nursing,and the nursing effect of the two groups of patients was evaluated.Results After nursing,the self-care behavior scores of the control group and observation group were(91.42±1.74)points and(129.18±1.63)points respectively,and the difference was statistically significant(t=142.920,P<0.05).In the observation group,physical activity(10.59±2.01)points,environment and temperature(15.82±3.29)points,emotional fluctuations(19.52±3.12)points,safety behaviors(5.78±0.62)points,dyspnea management(32.25±3.29)points,control group physical activity(9.02±1.63)points,environment and temperature(11.08±2.01)points,emotional fluctuations(14.08±2.17)points,safety behaviors(4.07±0.63)points,and dyspnea management(28.13±3.26)points,The difference between the groups was statistically significant(t=5.480,11.114,12.936,17.463,8.030,P<0.05).FEV1 of the control group was(2207.03±110.28)mL,BR was(80.27±7.92)%,FEV1/FVC was(87.75±7.37)%,FEV1 of observation group was(2902.15±102.01)mL,BR was(60.92±6.84)%,FEV1/FVC was(60.92±6.84)%,the difference was statistically significant(t=41.762,16.684,10.397,P<0.05).The respiratory function exercise compliance score of the observation group was(90.38±3.86)points,which was significantly higher than the score of the control group(70.39±4.92)points,and the difference was statistically significant(t=28.836,P<0.05).Conclusion Elderly COPD in stable period used health belief model for nursing care will help patients recover from their illness and have hig
作者
黄岸湖
许姣
靳龙菊
HUANG An-hu;XU Jiao;JIN Long-ju(Department of Respiratory Medicine,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong Province,528400 China)
出处
《中外医疗》
2021年第5期128-131,共4页
China & Foreign Medical Treatment
关键词
健康信念模式
老年慢阻肺
护理效果
Health belief model
Elderly chronic obstructive pulmonary disease
Nursing effect
