摘要
目的探讨基于健康行为改变整合理论的护理干预在慢性阻塞性肺疾病(COPD)患者肺康复运动中的应用效果。方法本次研究对象为在我院就诊的COPD患者,共计90例,其就诊时间均在2021年3月至2023年3月。按照随机数字表法将90例患者分为观察组(45例)和对照组(45例),对照组患者采用常规护理方案,观察组则在此基础之上给予基于健康行为改变整合理论的护理干预,对两组患者的护理效果进行对比和分析。结果出院2个月后,两组患者肺功能指标(FEV_(1)/FVC和FEV_(1)%pred)均上升,但观察组高于对照组(P<0.05)。出院2个月后观察组患者6MWD长于对照组(P<0.05)。观察组世卫组织生存质量测定量表(WHOQOL-100)评分高于对照组(P<0.05)。观察组患者MMRC量表0级所占比例高于对照组(P<0.05),而1级、2级、3级和4级所占比例和对照组无统计学意义(P>0.05)。结论基于健康行为改变整合理论的护理干预可有效改善慢阻肺患者肺功能指标,提高运动能力,帮助患者建立持续的运动行为,改变身体健康情况,提高生活质量。
Objective To explore the application effect of nursing intervention based on the integrated theory of health behavior change in pulmonary rehabilitation exercise for COPD patients.Methods The subjects of this study were 90 COPD patients treated in our hospital,all of whom were treated from March 2021 to March 2023.According to the random number method,90 patients were divided into observation group(45 cases)and control group(45 cases).Patients in the control group received routine nursing during treatment,and the observation group was given nursing intervention based on the integrated theory of health behavior change,and the nursing effects of the two groups were compared and analyzed.Results Two months after discharge,the pulmonary function indexes(FEV_(1)/FVC and FEV_(1)%pred)of both groups were increased,but they were still higher in the observation group and lower in the control group(P<0.05).Two months after discharge,6MWD in observation group was longer than that in control group(P<0.05).The WHO Quality of Life Scale(WHOQOL-100)score of the observation group was higher than that of the control group(P<0.05).The proportion of MMRC level 0 in the observation group was higher than that in the control group(P<0.05),while the proportion of grade 1,2,3 and 4 in the control group had no statistical significance(P>0.05).Conclusions Nursing intervention based on the integrated theory of health behavior change can effectively improve the pulmonary function index of patients with COPD,improve their exercise ability,help patients establish sustained exercise behavior,change their physical health and improve their quality of life.
作者
陈明敏
邹娟
龙学敏
CHEN Mingmin;ZOU Juan;LONG Xuemin(Department of Emergency,Taihe County People's Hospital,Ji'an 343700,China)
出处
《中国医药指南》
2024年第27期158-160,共3页
Guide of China Medicine
关键词
健康行为改变整合理论
护理干预
慢性阻塞性肺疾病
肺康复运动
Integrative theory of health behavior change
Nursing intervention
Chronic obstructive pulmonary disease
Pulmonary rehabilitation exercise
