保护动机理论指导下的信息-动机-行为干预重度以上慢性阻塞性肺疾病患者的效果分析  

Effect Analysis of Information-Motivation-Behavior Intervention Under Protection Motivation Theory Guidance in Pa⁃tients with Severe Chronic Obstructive Pulmonary Disease

作　　者：潘玉嫦 罗哲 黄玉娥 罗瑞芬 卢凤华 Pan Yu-chang;Luo Zhe;Huang Yu-e;Luo Rui-fen;Lu Feng-hua(Department of Respiratory and Critical Care Medicine,Songshanhu Central Hospital,Dongguan 523321,Guangdong Province,China;Nursing Department,Songshanhu Central Hospital,Dongguan 523321,Guangdong Province,China)

机构地区：[1]广东省东莞市松山湖中心医院呼吸与危重症医学科,广东东莞523321 [2]广东省东莞市松山湖中心医院护理部,广东东莞523321

出　　处：《中国社区医师》2023年第7期31-34,共4页Chinese Community Doctors

基　　金：广东省护士协会科研基金项目(编号:gdshsxh2021a105)。

摘　　要：目的:探讨对重度以上慢性阻塞性肺疾病(COPD)患者开展保护动机理论指导下的信息-动机-行为(IMB)管理模式的价值。方法:选取2021年7月—2022年4月广东省东莞市松山湖中心医院收治的110例重度以上的COPD患者作为研究对象,采用随机数字表法分为对照组和研究组,各55例。对照组给予常规护理,研究组在对照组基础上实施保护动机理论指导下的IMB管理模式,比较两组肺功能康复、呼吸功能、运动能力、生活质量情况。结果:干预后,两组用力肺活量、第1秒用力呼气容积(FEV_(1))、最大呼气流量、FEV_(1)占预计值的百分比均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。干预后,研究组呼吸困难分级评分法分级中轻微、一般占比高于对照组,中度、重度、严重占比低于对照组,差异有统计学意义(P<0.05)。干预后,两组6 min步行距离均长于干预前,且研究组长于对照组,差异有统计学意义(P<0.05)。干预后,两组睡眠、咳嗽、精力评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:保护动机理论指导下的IMB管理模式通过激发患者主观能动性,促进其决策控制水平,使其树立健康信念,能提高COPD患者整体康复质量,可作为COPD患者稳定期居家康复人性化护理的重要途径。Objective:To explore the value of information-motivation-behavior(IMB)management mode under the guidance of protection motivation theory in the patients with severe chronic obstructive pulmonary disease(COPD).Methods:From July 2021 to April 2022,110 patients with severe COPD admitted to Songshanhu Central Hospital in Dongguan City of Guangdong Province were selected as the study subjects and they were divided into control group and study group according to random number table method,with 55 cases in each group.The control group was given routine nursing,and the study group implemented the IMB management mode guided by the protection motivation theory on the basis of the control group.The pulmonary function rehabilitation,respiratory function,exercise ability and quality of life in the two groups were compared.Results:After the intervention,the forced vital capacity,forced expiratory volume in 1 second(FEV_(1)),maximal expiratory flow,and the percentage of FEV_(1) to the predicted value were higher than those before the intervention,and the study group was higher than the control group,and the difference was statistically significant(P<0.05).After the intervention,the proportions of mild and general grades in modified Medical Research Council dyspnea scale in the study group were higher than those in the control group,and the proportions of moderate,severe and serious grades in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).After the intervention,the 6-minute walking distance in the two groups was longer than that before the intervention,and the study group was longer than the control group,and the difference was statistically significant(P<0.05).After the intervention,the sleep,cough and energy scores in the two groups were lower than those before the intervention,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:The IMB management mode under the guidance of protection motiva

关 键 词：保护动机理论 信息-动机-行为模型 慢性阻塞性肺疾病 肺功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]