IKAP健康教育促进肺结核合并慢性阻塞性肺疾病患者呼吸功能锻炼效果分析  

IKAP health education promotes the effect of respiratory function exercise in patients with pulmonary tuberculosis complicated with chronic obstructive pulmonary disease

作　　者：周以美 洪丽平 唐瑶[1] 耿光星 Zhou Yimei;Hong Liping;Tang Yao(TB Division,Huai'an Fourth People's Hospital,Huai'an 223000,China)

机构地区：[1]淮安市第四人民医院结核科,223000

出　　处：《中华保健医学杂志》2023年第3期275-278,共4页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨信息-知识-信念-行为(IKAP)模式健康教育对肺结核合并慢性阻塞性肺疾病患者的呼吸功能锻炼效果的影响。方法选取淮安市第四人民医院结核科2019年1月~2022年6月收治的肺结核合并慢性阻塞性肺疾病患者106例,采用随机数表法分为观察组(53例)和对照组(53例)。两组患者均采取常规治疗,治疗过程中对照组采取常规健康教育,观察组采取IKAP模式健康教育,治疗后3个月随访。比较两组患者在干预前和干预后3月的肺功能指标用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC、呼吸困难评估量表(m MRC分级)、6 min步行试验距离(6WMT)、呼吸功能依从度及圣乔治生活质量问卷(SGRQ)评分差异。结果干预后,两组患者FVC、FEV1以及FEV1/FVC均无显著降低,且两组间差异无统计学意义(P>0.05);观察组患者呼吸困难情况优于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的6WMT显著延长,且观察组距离长于对照组,差异有统计学意义(P<0.05);观察组患者的呼吸功能锻炼依从性得分高于对照组,差异有统计学意义(P<0.05);观察组患者的各维度SGRQ评分及总分均显著低于对照组,差异有统计学意义(P<0.05)。结论实施IKAP模式健康教育,可促进肺结核合并慢性阻塞性肺疾病患者呼吸功能锻炼效果,改善呼吸困难情况,提高患者活动能力、呼吸功能锻炼依从性和生活质量。Objective To explore the effect of IKAP model health education on respiratory function exercise in patients with pulmonary tuberculosis complicated with chronic obstructive pulmonary disease.Methods A total of 106 patients with pulmonary tuberculosis complicated with chronic obstructive pulmonary disease admitted to the tuberculosis department of our hospital from January 2019 to June 2022 were selected as the research objects and divided into observation group(53 cases)and control group(53 cases)by random number table method.The control group received routine health education,while the observation group received IKAP model health education.The patients were followed up for 3 months after treatment.The differences of pulmonary function indexes(FVC,FEV1,FEV1/FVC),dyspnea(MMRC dyspnea scale,mMRC),mobility(6 minute walking test,6WMT),respiratory function compliance and quality of life(St.George's respiratory questionnaire,SGRQ)were compared between the two groups before and after intervention.Results There was no significant difference in FVC,FEV1 and FEV1/FVC between the two groups(P>0.05).After intervention,the dyspnea of the observation group was better than that of the control group(P<0.05).After intervention,the 6WMT of the two groups was significantly prolonged,and the distance of the observation group was longer than that of the control group(P<0.05).After intervention,the compliance score of respiratory function exercise in the observation group was higher than that in the control group(P<0.05).After intervention,the SGRQ scores and total scores of each dimension in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The implementation of IKAP model health education can promote the effect of respiratory function exercise in patients with pulmonary tuberculosis and chronic obstructive pulmonary disease,improve dyspnea,improve patients'activity ability,respiratory function exercise compliance and quality of life.

关 键 词：IKAP健康教育 肺结核 慢性阻塞性肺病 呼吸功能锻炼 

分 类 号：R563[医药卫生—呼吸系统]