基于纽曼自护理论综合干预对慢性阻塞性肺疾病患者的影响  

The effect of comprehensive intervention based on Neuman's self-care theory on patients with chronic obstructive pulmonary disease

作　　者：赵辉[1] 路秀灵 Zhao Hui;Lu Xiuling(Department of Respiratory Medicine,Binzhou Central Hospital,Binzhou 251700,China)

机构地区：[1]滨州市中心医院呼吸内科,251700

出　　处：《国际医药卫生导报》2020年第3期421-424,共4页International Medicine and Health Guidance News

摘　　要：目的探究基于纽曼自护理论综合干预对慢性阻塞性肺疾病患者肺功能、不良情绪及自我效能的影响。方法以本院2018年6月至2019年6月期间呼吸科收治的187例慢性阻塞性肺疾病患者为对象,采用随机数字表法分为两组。对照组90例患者进行慢阻肺常规护理干预,试验组97例患者在此基础上建立纽曼护理小组、"完全补偿"护理、"部分补偿"护理、"支持-教育"的综合护理干预。对比两种护理方式对患者肺功能、不良情绪及自我效能的影响。结果干预后2周,试验组PEF、MMEF、FEV1/FVC分别为(0.46±0.10)%、(0.40±0.04)L/min、(65.68±5.16)%,均显著高于对照组,差异均有统计学意义(均P<0.05);干预2周后,试验组焦虑、抑郁评分分别为(35.36±3.16)分、(35.36±3.21)分,均显著低于对照组,差异均有统计学意义(均P<0.05);两组患者干预前自我效能评分对比差异无统计学意义(P>0.05);试验组患者干预2周后的自我效能评分明显高于对照组,差异有统计学意义(P<0.05)。结论基于纽曼自护理论对慢阻肺患者进行综合护理干预,可有效改善患者肺功能,减轻患者不良情绪,提高其疾病自我效能水平。Objective To investigate the effects of comprehensive intervention based on Neuman's self-care theory on lung function,adverse moods,and self-efficacy in patients with chronic obstructive pulmonary disease.Methods A total of 187 patients with chronic obstructive pulmonary disease admitted to our department from June 2018 to June 2019 were randomly divided into two groups.90 patients in the control group underwent routine care for chronic obstructive pulmonary disease;on the basis,Neuman nursing team was established for 97 patients in the experimental group,comprehensive nursing intervention including"complete compensation"nursing,"partial compensation"nursing,"support-education"was implemented.The effects of two nursing methods on lung function,adverse moods,and self-efficacy were compared.Results After 2 weeks of intervention,the PEF,MMEF,and FEV1/FVC of the experimental group were(0.46±0.10)%,(0.40±0.04)L/min,(65.68±5.16)%,respectively,which were significantly higher than those of the control group(P<0.05).After 2 weeks of intervention,the anxiety and depression scores of the experimental group were(35.36±3.16),(35.36±3.21),which were significantly lower than those of the control group(P<0.05).There was no statistically significant difference in self-efficacy score between the two groups before intervention(P>0.05);the self-efficacy score of the experimental group after 2 weeks of intervention was significantly higher than that of the control group(P<0.05).Conclusion Comprehensive intervention based on Neuman's self-care theory can effectively improve the lung function of patients with chronic obstructive pulmonary disease,reduce their negative emotions,and improve their self-efficacy.

关 键 词：慢性阻塞性肺疾病 纽曼自护理论 肺功能 不良情绪 自我效能 

分 类 号：R473[医药卫生—护理学]