个体化健康教育模式对改善稳定期慢阻肺患者行为和生活质量的作用

发布时间：2018-09-03 15:35

【摘要】：目的探讨个性化健康教育模式对稳定期慢阻肺疾病患者行为及生活质量改善的效果。方法选取2016年8月—2017年3月在院接受治疗的慢阻肺患者为研究对象,并根据随机数字表法将其分为对照组和观察组,对照组给予常规健康教育,观察组给予个体化健康教育计划模式;干预3个月后,比较观察健康教育前后2组患者服药和氧疗依从性、自我效能、自我照顾认知情况的差异,并比较干预后2组患者生活质量。结果干预后,观察组服药和氧疗依从性(97.50%)高于对照组(80.00%);干预后观察组慢阻肺患者自我照顾认知评估量表中的日常生活照顾、疾病治疗、危险因素控制和呼吸道治疗控制维度得分分别为(14.66±2.05)分、(10.21±1.35)分、(13.85±2.36)分和(15.34±2.46)分,均高于干预后对照组和干预前自身得分;干预后观察组患者慢阻肺患者自我效能量表中的呼吸困难管理、安全行为、情感波动、环境与温度和体力活动维度得分分别为(32.45±3.59)分、(5.76±1.01)分、(19.54±3.59)分、(15.45±3.01)分和(10.58±2.03)分,均高于干预后对照组和干预前自身得分;干预后,观察组患者的生活质量得分为(33.02±13.76)分,优于对照组,以上差异均具有统计学意义(P0.05)。结论个体化健康教育计划对慢阻肺患者有较好的应用效果,可明显改善患者的治疗依从性,提高患者自我效能和自我照顾能力,增进生活质量,具有良好的应用价值。
[Abstract]:Objective to explore the effect of individualized health education mode on behavior and quality of life of patients with chronic obstructive pulmonary disease (COPD) in stable period. Methods the patients with COPD received hospital treatment from August 2016 to March 2017 were selected and divided into control group and observation group according to random number table. The control group was given routine health education. After 3 months of intervention, the differences of compliance, self-efficacy and self-care cognition between the two groups before and after health education were compared. The quality of life was compared between the two groups after intervention. Results after intervention, the compliance of medication and oxygen therapy in the observation group (97.50%) was higher than that in the control group (80.00%). The scores of control dimension of risk factors and respiratory treatment were (14.66 卤2.05), (10.21 卤1.35), (13.85 卤2.36) and (15.34 卤2.46), respectively, which were higher than those of control group and pre-intervention group, and the management of dyspnea in self-efficacy scale of patients with chronic obstructive pulmonary disease after intervention. The scores of safe behavior, emotional fluctuation, environment, temperature and physical activity were (32.45 卤3.59), (5.76 卤1.01), (19.54 卤3.59), (15.45 卤3.01) and (10.58 卤2.03), respectively, which were higher than those of control group and pre-intervention group, and the quality of life scores of observation group were (33.02 卤13.76) points after intervention. Better than the control group, the above differences were statistically significant (P0.05). Conclusion the individualized health education program has a good effect on the patients with chronic obstructive pulmonary disease. It can obviously improve the patients' treatment compliance, improve their self-efficacy and self-care ability, improve the quality of life, and have a good application value.
【作者单位】：海口市第三人民医院;
【分类号】：R473.5

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