健康教育对老年慢性阻塞性肺疾病患者自我感受负担及生活质量的影响

发布时间：2018-06-26 01:27

本文选题：健康教育 + 老年慢性阻塞性肺疾病　；参考：《中国健康教育》2016年11期

【摘要】：目的研究健康教育对老年慢性阻塞性肺疾病患者自我感受负担及生活质量的影响。方法将106例老年慢性阻塞性肺疾病患者随机分成2组,实验组54例,对照组52例,对照组实施常规护理,实验组在常规护理基础上实施健康教育,比较干预前后2组患者的自我感受负担及生活质量改善情况。结果干预后,实验组自我感受负担总分为(17.34±5.51)分,从轻度降为无明显负担水平,对照组自我感受负担总分为(22.48±6.45)分,仍处于轻度负担水平,二者比较差异有统计学意义(P0.01)。干预后,实验组面对、寻求支持、乐观应对方式得分高于干预前自身与对照组,自我依赖、情感化、保守、逃避及听天由命应对方式得分低于干预前自身与对照组,差异比较均有统计学意义(P0.05)。干预后,实验组生活质量总分[(9.54±1.65)分vs(10.18±1.36)分]、抑郁心理状态评分[(2.06±0.86)分vs(2.59±0.73)分]、焦虑心理状态评分[(2.01±0.53)分vs(2.59±0.81)分]均低于对照组(P0.05或P0.01)。结论对老年慢性阻塞性肺疾病患者实施健康教育,能够减轻患者自我感受负担,促进患者采取健康积极的应对方式,提高生活质量。
[Abstract]:Objective to study the effect of health education on self-perceived burden and quality of life in elderly patients with chronic obstructive pulmonary disease (COPD). Methods 106 elderly patients with chronic obstructive pulmonary disease were randomly divided into two groups: the experimental group (n = 54), the control group (n = 52), the control group (n = 52) and the control group (n = 52). The self-perceived burden and the improvement of quality of life of the two groups were compared before and after intervention. Results after intervention, the total score of self-feeling burden in the experimental group was (17.34 卤5.51), which decreased from mild to no obvious burden level, while that in the control group was (22.48 卤6.45), which was still at the level of mild burden. The difference between the two groups was statistically significant (P0.01). After intervention, the scores of self-dependence, emotion, conservatism, escape and resigned coping style in the experimental group were higher than those before intervention and the control group, and the scores of positive coping style were lower than those before intervention and the control group, and the scores of self-dependence, emotion, conservatism, escape and resignation were lower than those before intervention and control group. The differences were statistically significant (P0.05). After intervention, the total scores of quality of life [(9.54 卤1.65) vs (10.18 卤1.36)], depression scores [(2.06 卤0.86) vs (2.59 卤0.73)], anxiety scores [(2.01 卤0.53) vs (2.59 卤0.81)] in the experimental group were lower than those in the control group (P0.05 or P0.01). Conclusion Health education for elderly patients with chronic obstructive pulmonary disease can lighten the burden of self-feeling, promote the patients to adopt healthy and positive coping style and improve the quality of life.
【作者单位】：齐齐哈尔医学院附属第二医院呼吸内科;
【分类号】：R473.5

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