摘要
目的提高慢性阻塞性肺疾病(COPD)患者的肺康复依从性和健康素养。方法选取96例COPD患者作为研究对象,采用随机数字表法将其分为试验组和对照组,每组各48例。对照组给予常规护理、健康教育和家庭肺康复指导,试验组实施以行为改变轮模式(BCW)理论为指导的肺康复干预,包括呼吸训练、肌肉放松训练、呼吸操训练、原地踏步和步行训练。比较组干预后6个月的肺康复依从性、健康素养水平、改良英国医学研究委员会呼吸问卷(mMRC)评分、COPD评估测试(CAT)评分和肺功能指标。结果干预后试验组肺康复依从性完全依从的比例(60.4%)优于对照组(25%),2组患者健康素养水平、mMRC评分、CAT评分、肺功能指标均有所改善,组间差异有统计学意义(P<0.05)。结论以BCW理论为指导的肺康复干预方案可有效提高COPD患者的肺康复依从性和健康素养水平,改善患者肺功能和生活质量。
Objective To improve pulmonary rehabilitation compliance and health literacy in patients with chronic obstructive pulmonary disease.Methods A total of 96 COPD patients were selected as research subjects and divided into experimental group and control group by random number table method,with 48 cases in each group.The control group received routine nursing,health education and family pulmonary rehabilitation guidance,and the experimental group received pulmonary rehabilitation intervention guided by BCW theory,including breathing exercise,muscle relaxation exercise,breathing exercise exercise,walking and marching exercise.Pulmonary rehabilitation compliance,health literacy levels,improved Medical Research Council Respiratory Questionnaire(mMRC)scores,COPD Assessment Test(CAT)scores and pulmonary function indicators were compared between the two groups at 6 months after intervention.Results After intervention,the proportion of complete compliance of pulmonary rehabilitation compliance in the experimental group(60.4%)was better than that in the control group(25%).The level of health literacy,mMRC score,CAT score and pulmonary function index of the two groups were improved,and the difference between the two groups was statistically significant(P<0.05).Conclusion The BCW-guided pulmonary rehabilitation intervention program can effectively improve the compliance of pulmonary rehabilitation and health literacy of patients with COPD,improve the lung function and quality of life of patients.
作者
韩梦景
邓小丽
方学文
李玥璐
唐文嘉
HAN Mengjing;DENG Xiaoli;FANG Xuewen;LI Yuelu;TANG Wenjia(School of Nursing,Yunnan University of Traditional Chinese Medicine,Kunming 650500,China;Department of Respiratory and Critical Care Medicine,the First People’s Hospital of Yunnan Province;Department of Nursing,the First People’s Hospital of Yunnan Province,Kunming 650032,China)
出处
《昆明医科大学学报》
CAS
2023年第6期162-168,共7页
Journal of Kunming Medical University
基金
云南省临床医学中心开放项目(2020LCZXKF-HX07)
云南省第一人民医院临床医学中心开放项目(2021LCZXXF-HX05)。
关键词
慢性阻塞性肺疾病
肺康复
行为改变轮理论
依从性
健康素养
护理
Chronic obstructive pulmonary disease
Pulmonary rehabilitation
Behavior Change Wheel theory
Compliance
Health literacy
Nursing
