罗森塔尔效应干预措施辅助呼吸训练对慢性阻塞性肺疾病患者自我感受负担及急性发作的影响  

Effect of respiratory training assisted by Rosenthal intervention on self-perceived burden and acute attack in patients with COPD

作　　者：李玉林[1] 杨付莲[1] 冯丽霞[1] 卞申国[1] 何秋萍 LI Yulin;YANG Fulian;FENG Lixia(First People's Hospital of Nanyang City,Nanyang 473000,China)

机构地区：[1]河南省南阳市第一人民医院,473000 [2]郑州第一人民医院

出　　处：《中国健康心理学杂志》2021年第4期533-538,共6页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201701352)。

摘　　要：目的:研究基于罗森塔尔效应干预措施辅助呼吸训练对慢性阻塞性肺疾病(COPD)患者自我感受负担(SPB)及急性发作的影响。方法:将2017年1月至2019年3月某院194例稳定期COPD患者以入院时间为序采用随机数字表法均分为两组各97例,均给予常规药物治疗、呼吸训练及健康教育,观察组在此基础上采用罗森塔尔效应进行干预,两组干预时间均为2个月,比较干预前后患者肺功能、SPB、z希望水平、自我管理能力及生活质量变化,并随访两组干预期间和干预后2个月内COPD急性发作情况。结果:干预后,两组FEV_(1)(t=-6.566,-4.617;P<0.05)、FEV_(1)%(t=-8.956,-4.474;P<0.05)和FEV_(1)/FVC(t=-9.181,-4.891;P<0.05)均明显升高,且观察组FEV_(1)(t=2.478,P<0.05)、FEV_(1)%(t=2.325,P<0.05)和FEV_(1)/FVC(t=3.273,P<0.01)明显高于对照组;观察组COPD急性发作次数(t=-7.512,P<0.001)和因COPD住院时间(t=3.964,P<0.001)均明显少于对照组;两组SPB水平明显降低(t=27.674,23.085;P<0.05),希望水平(t=11.337,4.711;P<0.05)明显升高,且观察组SPB水平(t=-4.568,P<0.001)低于对照组,希望水平(t=3.654,P<0.001)高于对照组;两组自我管理量表症状管理(t=-13.629,-7.993;P<0.05)、情绪管理(t=-12.507,-8.284;P<0.05)、信息管理(t=-12.588,-6.404;P<0.05)、日常生活管理(t=-11.383,-5.849;P<0.05)、自我效能评分(t=-20.629,-17.191;P<0.05)以及总分(t=-12.376,-9.930;P<0.05)均明显升高,且观察组症状管理(t=3.626,P<0.001)、情绪管理(t=3.147,P<0.01)、信息管理(t=3.360,P<0.001)、日常生活管理(t=3.202,P<0.01)、自我效能评分(t=2.975,P<0.05)及总分(t=2.554,P<0.05)明显高于对照组;两组SGRQ量表症状评分(t=10.431,5.511;P<0.05)、活动评分(t=16.995,11.673;P<0.05)、影响评分(t=20.479,17.829;P<0.05)及总分(t=15.247,10.186;P<0.05)均明显降低,且观察组症状评分(t=3.092,P<0.01)、活动评分(t=3.414,P<0.001)、影响评分(t=3.181,P<0.01)及总分(t=3.511,P<0.001)明显低于对照组。结论:罗森塔尔�Objective:To study the effect of respiratory training assisted by Rosenthal intervention on self-perceived burden(SPB)and acute attack in patients with chronic obstructive pulmonary disease(COPD).Methods:From January 2017 to March 2019,a total of 194 patients with stable COPD in our hospital were randomly divided into two groups according to the random number table method by taking admission as sequence,with 97 cases in each group.All patients were given conventional medication,respiratory training and health education,and observation group was treated with Rosenthal effect for intervention on this basis,and the two groups were intervened for 3 months.The lung function,SPB,hope level,self-management ability and quality of life were compared before and after intervention.Acute attack of COPD during intervention and within 3 months after intervention was followed up in the two groups.Results:After intervention,the FEV_(1)(t=-6.566,-4.617;P<0.05),FEV_(1)%(t=-8.956,-4.474;P<0.05)and FEV_(1)/FVC(t=-9.181,-4.891;P<0.05)were significantly increased,and the FEV_(1)(t=2.478,P<0.05),FEV_(1)%(t=2.325,P<0.05)and FEV_(1)/FVC(t=3.273,P<0.01)in observation group were significantly higher than those in control group.The frequency of acute attack of COPD(t=-7.512,P<0.001)and hospital stay for COPD(t=3.964,P<0.001)in observation group were significantly lower than those in control group.The SPB levels in the two groups were significantly decreased(t=27.674,23.085;P<0.05)while the hope level was significantly increased(t=11.337,4.711;P<0.05),and the SPB level(t=-4.568,P<0.001)in observation group was lower than that in control group while the hope level(t=3.654,P<0.001)was higher than that in control group.The scores of symptom management(t=-13.629,-7.993;P<0.05),emotional management(t=-12.507,-8.284;P<0.05),information management(t=-12.588,-6.404;P<0.05),daily life management(t=-11.383,-5.849;P<0.05)and self-efficacy(t=-20.629,-17.191;P<0.05)and total score(t=-12.376,-9.930;P<0.05)of self-management scale were significantly increa

关 键 词：慢性阻塞性肺疾病 呼吸训练 罗森塔尔效应 自我感受负担 急性发作 

分 类 号：R749.92[医药卫生—神经病学与精神病学]