体验式学习在COPD患者肺康复训练赋能教育中的应用  

Experiential Learning in Empowerment Education of Pulmonary Rehabilitation Training for COPD Patients

作　　者：李萌 冯江雪[2] 王慧 陈金金 刘陆 马京华 LI Meng;FENG Jiang-xue;WANG Hui;CHEN Jin-jin;LIU Lu;MA jing-hua(School of Nursing,Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050000,China)

机构地区：[1]河北中医学院护理学院,河北石家庄050200 [2]河北省中医院,河北石家庄050000

出　　处：《护理学报》2020年第24期1-5,共5页Journal of Nursing（China）

基　　金：河北省属高校基本科研业务费专项项目(YXS2019002);河北省高等学校人文社会科学研究项目(GH191034)。

摘　　要：目的探讨体验式学习在COPD患者肺康复训练赋能教育中的应用效果。方法选择2019年8—11月呼吸科COPD患者40例为对照组,采用呼吸内科常规护理和赋能教育进行肺康复训练指导;选择2019年12月—2020年3月呼吸科COPD患者40例为观察组,在对照组的基础上加入体验式学习。比较2组患者出院当天的出院准备度;比较2组患者干预前、干预后6周末、12周末肺康复运动自我效能得分和6 min步行距离。结果观察组出院前出院准备度得分高于对照组(P<0.05)。2组运动自我效能、6 min步行试验重复测量方差分析显示,组间效应、时间效应、交互效应差异有统计学意义(P<0.05)。干预后6周末、12周末观察组肺康复运动自我效能优于对照组(P<0.05);干预12周末,观察组6 min步行试验优于对照组(P<0.05)。结论体验式学习在COPD患者肺康复训练赋能教育中的应用,可在短期内提高出院准备度,缩短赋能教育对COPD患者肺康复自我效能的作用时间,更好提高患者运动耐力。是一种简便、易行的肺康复训练管理模式。Objective To explore the application effect of experiential learning in empowerment education of pulmonary rehabilitation training for COPD patients.Methods Forty patients with COPD in the respiratory department from August 2019 to November 2019 were selected as the control group and routine nursing in respiratory medicine and empowerment education were conducted in pulmonary rehabilitation training.Another forty patients with COPD from December 2019 to March 2020 were selected as the observation group and experiential learning was performed in addition to routine nursing and empowerment education.Discharge preparation on the day of discharge was compared between the two groups;the self-efficacy scores of pulmonary rehabilitation exercise and 6-minute walking distance were compared between the two groups before,6 and 12 weeks after the intervention.Results The score of discharge preparation in the observation group was higher than that in the control group(P<0.05).Variance of exercise self-efficacy and repeat measurement for 6-minute walking test showed that the differences in intergroup effects,time effects,and interaction effects between the two groups were statistically significant(P<0.05).Six and twelve weeks after the intervention,the pulmonary rehabilitation exercise self-efficacy of the observation group was better than that of the control group(P<0.05).Twelve weeks after the intervention,the 6-minute walking test in the observation group was better than that in the control group(P<0.05).Conclusion Experiential learning in empowerment education of pulmonary rehabilitation training for COPD patients can improve the preparation for discharge in a short time,shorten the effect time of empowerment education on the self-efficacy of COPD patients in pulmonary rehabilitation,and improve the exercise endurance of patients.It is a simple and easy-to-operate management mode for pulmonary rehabilitation training.

关 键 词：COPD 体验式学习 赋能教育 肺康复 

分 类 号：R473.5[医药卫生—护理学]