自我效能系统干预对慢性阻塞性肺疾病患者生存质量的影响  

Effects of self-efficacy intervention on the life quality of patients with chronic obstructive pulmonary disease

作　　者：董胜莲[1] 汪凤兰[1] 邢凤梅[1] 吴庆文[1] 张小丽[1] 

机构地区：[1]河北联合大学护理与康复学院,河北唐山063000

出　　处：《现代预防医学》2014年第18期3357-3359,共3页Modern Preventive Medicine

基　　金：2013年河北省卫生厅课题(20130061)

摘　　要：目的应用自我效能理论对慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)患者进行系统干预,评价干预措施对患者的生存质量的影响。方法以2011年10月至2012年4月某医院呼吸内科住院的COPD患者为研究对象,随机分为干预组和对照组,每组各53例,共106例。两组患者均接受呼吸内科常规治疗及护理,干预组同时给予以Bandura自我效能理论为指导的系统干预,分别在干预前和干预6周后对两组患者生存质量(QOL)评价。结果自我效能系统干预6周后,干预组患者较干预前组内比较各维度与QOL总分差异均有统计学意义(P<0.01)。干预组患者除抑郁心理状况和焦虑心理症状维度外,日常生活能力和社会活动情况与QOL总分均优于对照组(P<0.01)。结论自我效能系统干预能有效改善气体交换,提高患者活动能力,全面提高健康相关生存质量。Objective This study was to use seff-efficacy theory to intervene patients with chronic obstructive pulmonary disease （COPD）, and assess its effects on the self management level of COPD patients. Methods COPD patients hospitalized in the respiratory department of a certain hospital from Oct. 2011 to Apr. 2012 were randomly divided into a control group and an intervention group. Each group consisted of 53 patients. Two groups of patients received normal respiratory treatments, but patients in the intervention group were also systematically intervened under the guidance of Bandura self-efficacy theory. The living quality of both groups was assessed six weeks before and after the treatment, respectively. Results The living quality of the intervention group were significantly better than that of the control group （P〈0.01）. Conclusion The application of self-efficacy theory can improve the living quality of patients.

关 键 词：慢性阻塞性肺疾病 自我效能 生存质量 

分 类 号：R195.3[医药卫生—卫生统计学]