慢性阻塞性肺疾病患者系统化自我效能干预的效果  

Effect of systematical self-efficacy intervention on patients with chronic obstructive pulmonary disease

作　　者：李娜[1] 初雪云 修麓璐[3] 朱秀丽[1] 

机构地区：[1]青岛大学医学院护理学院,山东青岛266021 [2]山东省单县中心医院,山东单县274300 [3]青岛大学医学院附属医院,山东青岛266021

出　　处：《中国医药导报》2015年第13期156-160,共5页China Medical Herald

基　　金：青岛大学附属医院青年科研基金项目

摘　　要：目的 探讨系统化自我效能干预方案对慢性阻塞性肺疾病（COPD）患者的影响.方法 采用“不平衡指数最小的方法”将2013年4月～2014年10月单县中心医院104例COPD患者随机分为干预组和对照组,每组各52例.对照组行常规治疗与护理,干预组在此基础上给予系统化自我效能干预,干预时间为16周.干预前后分别对两组进行自我效能、肺功能、健康相关生存质量（HRQOL）、血气分析和6 min步行距离（6MWD）比较.结果 干预16周后干预组的自我效能、HRQOL总分、动脉氧分压（PaO2）、动脉血二氧化碳分压（PaCO2）、血氧饱和度（SaO2）、6MWD分别为（43.45±6.84）分、（55.59 ±25.71）分、（68.28±8.51）mm Hg、（45.14±10.14）mm Hg、（92.82±2.48）％、（274.73±81.29）m,对照组的自我效能、HRQOL总分、PaO2、PaCO2、SaO2、6MWD分别为（40.57 ±3.43）分、（74.41±7.63）分、（59.57±10.42）mm Hg、（52.17±11.31）mm Hg、（91.18±2.37）％、（269.29±57.13）m,干预组较对照组明显改善（P＜ 0.05或P＜ 0.01）;干预组患者的肺功能较对照组有所提高,但差异无统计学意义（P＞0.05）.结论 系统化自我效能干预对提高COPD患者自我效能及健康相关生存质量有重要意义.Objective To investigate the effect of systematical self-efficacy intervention program on patients with chronic obstructive pulmonary disease （COPD）.Methods 104 patients with COPD from April 2013 to October 2014 in Shanxian Central Hospital were randomly divided into intervention group and control group by the method of minimization,with 52 patients in each group.The subjects in the control and intervention group received routine treatment and nursing,meanwhile those patients of the intervention group were underwent the systematical self-efficacy intervention,intervention time was 16 weeks.The two groups were observed for changes on self-efficacy,pulmonary function,health related quality of life （HRQOL）,blood gas analysis,6 minutes walking distance （6MWD）.Results After intervention,the level of self-efficacy,the scores of HRQOL,PaO2,PaCO2,SaO2,6MWD were （43.45±6.84） scores,（55.59±25.71） scores,（68.28±8.51） mm Hg,（45.14±10.14） mm Hg,（92.82±2.48）％,（274.73±81.29） m respectively in the intervention group.The level of self-efficacy,the scores of HRQOL,PaO2,PaCO2,SaO2,6MWD were （40.57±3.43） scores,（74.41±7.63） scores,（59.57± 10.42） mm Hg,（52.17± 11.31） mm Hg,（91.18±2.37）％,（269.29±57.13） m respectively in the control group,those indexes in the intervention group significantly improved than those in the control group （P ＜ 0.05 or P ＜ 0.01）;lung functions of the intervention group were higher than those in the control group,but no statistically significant difference （P ＞ 0.05）.Conclusion Systematical self-efficacy intervention significantly improves the level of patient＇s selfefficacy and health related quality of life.

关 键 词：慢性阻塞性肺疾病 系统化 自我效能 健康相关生存质量 

分 类 号：R47[医药卫生—护理学]