摘要
目的探讨基于健康信念模式的健康教育对慢性阻塞性肺疾病(COPD)患者心理状态及治疗依从性的影响。方法选择2018年8月—2019年3月收治的收治的82例COPD患者为研究对象,以随机数字表法分为对照组与观察组,各41例,对照组接受常规护理,观察组在对照组基础上加基于健康信念模式的健康教育,对两组患者干预前后心理状态、依从性、应对方式进行观察。结果两组干预前HAMD、HAMA评分差异无统计学意义(P>0.05),观察组干预后上述评分分别为(6.1±0.5)分、(6.5±0.4)分,明显较对照组(7.3±0.7)分、(7.2±0.5)分低(t=8.932、7.000,P<0.05);观察组干预后的肺康复训练、饮食管理、遵医服药、戒烟戒酒等依从性评分分别为(19.4±0.7)分、(20.3±1.2)分、(20.1±0.6)分、(19.2±0.9)分,明显较对照组高(t=20.649、13.660、24.863、23.087,P<0.05);两组干预前的应对方式评分差异无统计学意义(P>0.05),观察组干预后的面对评分(24.3±1.6)分较对照组高,屈服与回避评分分别为(8.1±0.3)分、(10.2±0.6)分,较对照组低(t=14.639、39.416、19.841,P<0.05)。结论基于健康信念模式的健康教育可改善COPD患者心理状态及应对方式,也能提高其依从性。
Objective To explore the effect of health education based on the health belief model on the psychological status and treatment compliance of patients with chronic obstructive pulmonary disease(COPD). Methods A total of 82 patients with COPD admitted from August 2018 to March 2019 admited to the hospital were selected as the research object. They were divided into a control group and an observation group with 41 cases each. The control group received routine nursing, and the observation group added health education based on the health belief model on the basis of the control group to observe the psychological state, compliance, and coping styles of the two groups of patients before and after intervention. Results There was no statistically significant difference in the scores of HAMD and HAMA before intervention between the two groups(P>0.05). The above-mentioned scores of the observation group after intervention were(6.1±0.5) points and(6.5±0.4) points, which were significantly higher than the control group(7.3±0.7) points,(7.2±0.5) points were low(t=8.932, 7.000, P<0.05);the observation group’s compliance scores for lung rehabilitation training,diet management, medication compliance, smoking cessation and alcohol withdrawal were(19.4±0.7) points,(20.3±1.2)points,(20.1±0.6) points,(19.2±0.9) points, significantly higher than the control group(t =20.649, 13.660, 24.863,23.087, P<0.05);the two groups before the intervention had no statistically significant difference in mode scores(P>0.05). The observation group’s face score(24.3±1.6)points after intervention was higher than that of the control group.The yield and avoidance scores were(8.1±0.3)points and(10.2±0.6)points, respectively, lower than the control group(t=14.639, 39.416, 19.841, P <0.05). Conclusion Health education based on the health belief model can improve the psychological state and coping style of patients with COPD, as well as their compliance.
作者
李宗英
LI Zong-ying(Department of Respiratory Medicine,Shuangqiao Hospital,Chaoyang District,Beijing,100121 China)
出处
《系统医学》
2020年第12期153-155,共3页
Systems Medicine
关键词
健康信念模式
健康教育
慢性阻塞性肺疾病
心理状态
依从性
Health belief model
Health education
Chronic obstructive pulmonary disease
Mental state
Compliance
