摘要
目的探讨计划行为理论对稳定期慢性阻塞性肺疾病(COPD)患者肺康复锻炼依从性的影响。方法选取2021年9月至2022年6月在华北理工大学附属医院收治的96例稳定期COPD患者。采用随机数表法分为观察组47例和对照组46例。观察组患者接受基于计划行为理论的肺康复锻炼健康教育,对照组接受常规健康教育及随访。比较两组肺康复锻炼知识、态度、行为得分、肺康复锻炼依从性得分、生活质量及锻炼满意度情况。结果两组患者干预前肺康复锻炼知识、态度、行为、依从性得分及生活质量比较,差异无统计学意义(P>0.05);干预后观察组在干预1个月和3个月时的肺康复锻炼知识、态度、行为及依从性、生活质量及锻炼满意度优于对照组,差异有统计学意义(P<0.05)。结论基于计划行为理论的健康教育可以提高稳定期COPD患者肺康复锻炼的依从性、生活质量及锻炼满意度。
Objective To explore the effect of the theory of planned behavior on the compliance to pulmonary rehabilitation exercises of patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 96 patients with stable COPD admitted to the North China University of Science and Technology Affiliated Hospital from September 2021 to June 2022 were selected as the study subjects.These patients were divided into an observation group(n=47)and a control group(n=46)based on the random sequence generated by a random number generator followed by allocation concealment.The observation group received health education on pulmonary rehabilitation exercises based on the theory of planned behavior,while the control group received conventional health education and follow-up.The two groups were compared in terms of knowledge,attitude and behavior scores,scores in the compliance to pulmonary rehabilitation exercises,quality of life(QoL)and satisfaction with exercise.Results There were no statistically significant differences between the two groups in knowledge,attitude,behavior,compliance scores and QoL before the intervention(P>0.05).At 1 month and 3 months after the intervention,the knowledge,attitude,behavior and compliance scores,QoL and satisfaction with the exercise of the observation group were better than those of the control group,with statistically significant differences(P<0.05).Conclusion Health education based on the theory of planned behavior can improve the compliance to pulmonary rehabilitation exercise,QoL and satisfaction with exercise in patients with stable COPD.
作者
马秀萌
陈桂芝
MA Xiumeng;CHEN Guizhi(College of Nursing and Rehabilitation,North China University of Science and Technology,Hebei,Tangshan 063210,China;Department of Nursing,the North China University of Science and Technology Affiliated Hospital,Hebei,Tangshan 063000,China)
出处
《中国医药科学》
2023年第12期96-99,共4页
China Medicine And Pharmacy
关键词
慢性阻塞性肺疾病
计划行为理论
健康教育
肺康复锻炼
依从性
Chronic obstructive pulmonary disease
Theory of planned behavior
Health education
Pulmonary rehabilitation exercise
Compliance
