慢性阻塞性肺疾病患者系统化自我效能干预方案的研究

发布时间：2017-12-28 22:02

本文关键词：慢性阻塞性肺疾病患者系统化自我效能干预方案的研究　出处：《青岛大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:应用以自我效能理论为指导的系统化自我效能干预方案对慢性阻塞性肺疾病(COPD)患者的自我效能进行干预,评价COPD患者自我效能和健康相关生存质量的改善情况,为COPD患者进一步实施护理干预提供理论依据。方法:按照“不平衡指数最小的原则”依据患者的性别、文化程度、同住情况、医疗来源、月收入、病程因素将2014年1月至2014年10月在单县中心医院呼吸内科住院符合标准的COPD患者随机分为干预组和对照组,每组各52例,共104例。两组患者均接受慢性阻塞性肺疾病的常规治疗及护理,干预组在常规治疗和护理的基础上接受以自我效能理论为指导的系统化自我效能干预方案。干预时间为16周。干预前、后分别对两组患者的自我效能、肺功能、健康相关生存质量(HRQOL)、血气分析值、6分钟步行距离(6MWD)及呼吸困难(MMRC)进行评价。采用一般资料调查表收集COPD患者基本资料及患者平静状态下的肺功能、血气分析值、6分钟步行距离等信息;采用Kate Loring等人研制的自我效能量表、成人慢性阻塞性肺疾病生存质量评分表及改良的英国医学研究委员会呼吸困难量表,分别对患者自我效能、HRQOL及运动耐力进行测评。所得数据采用SPSS17.0软件包进行分析。结果:干预组的自我效能、HRQOL总分、Pa O2、Pa CO2、Sa O2、6MWD分别为(43.45±6.84)分、(55.59±25.71)分、(68.28±8.51)mm Hg、(45.14±10.14)mm Hg、(92.82±2.48)mm Hg、(274.73±81.29)m,对照组的自我效能、HRQOL总分、Pa O2、Pa CO2、Sa O2、6MWD分别为(40.57±3.43)分、(74.41±7.63)分、(59.57±10.42)mm Hg、(52.17±11.31)mm Hg、(91.18±2.37)mm Hg、(269.29±57.13)m,干预组较对照组明显改善(P0.05);干预组患者的肺功能较对照组有所改善,但两组间比较差异没有显著的统计学意义(P0.05)。结论:系统化自我效能干预对提高COPD患者的自我效能及健康相关生存质量有重要作用。
[Abstract]:Objective: self efficacy intervention scheme of application system based on self-efficacy theory as a guide to chronic obstructive pulmonary disease (COPD) patients' self-efficacy intervention, evaluate and improve COPD patients self-efficacy and health related quality of life, and provide a theoretical basis for the further implementation of nursing intervention in patients with COPD. Methods: according to the "balance principle" index minimum according to patient's gender, educational level, living conditions, medical sources, monthly income, from January 2014 to October 2014 in the course of factors will conform to the standard of COPD patients were randomly divided into intervention group and control group in the respiratory department of Shanxian County Central Hospital, 52 cases in each group, a total of 104 cases. The two groups of patients received routine treatment and nursing of chronic obstructive pulmonary disease. The intervention group accepted the systematic self-efficacy intervention under the guidance of self-efficacy theory on the basis of conventional treatment and nursing. The intervention time was 16 weeks. Before and after intervention, the self-efficacy, lung function, health related quality of life (HRQOL), blood gas analysis, 6 minute walk distance (6MWD) and dyspnea (MMRC) were evaluated in two groups. The pulmonary function and blood gas data were collected in COPD were collected basic data for patients and calm state of the analysis, 6 minutes walking distance and other information; developed by Kate Loring et al's self efficacy scale, adults with chronic obstructive pulmonary disease quality of life scale and modified British Medical Research Council dyspnea scale, respectively. The patients'self-efficacy, HRQOL and endurance testing. The data are analyzed by SPSS17.0 software package. Results: the intervention group self efficacy, scores of HRQOL, Pa O2, Pa CO2, Sa O2 and 6MWD respectively (43.45 + 6.84), (55.59 + 25.71), (68.28 + 8.51) mm, Hg (45.14 + 10.14) mm, Hg (92.82 + 2.48) mm Hg, (274.73. 81.29) m control group, the self-efficacy and the total score of HRQOL, Pa O2, Pa CO2, Sa O2 and 6MWD respectively (40.57 + 3.43), (74.41 + 7.63), (59.57 + 10.42) mm, Hg (52.17 + 11.31) mm, Hg (91.18 + 2.37) mm, Hg (269.29 + 57.13) m, the intervention group improved significantly compared with the control group (P0.05); dry lung function in patients with pre improvement than the control group, but the difference between two groups was not statistically significant (P0.05). Conclusion: systematic self-efficacy intervention plays an important role in improving the self-efficacy and health related quality of life of COPD patients.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.5

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