健商理念联合协同干预在慢性呼吸衰竭患者中的影响研究  

Effect of health quotient combined with collaborative intervention on patients with chronic respiratory failure

作　　者：杨海健 王晓丹 YANG Haijian;WANG Xiaodan(Department of Respiratory,Qidong People's Hospital&Qidong Liver Cancer Institute&Affiliated Qidong Hospital of Nantong University,Qidong 226200,Jiangsu,China)

机构地区：[1]启东市人民医院/启东肝癌防治研究所/南通大学附属启东医院呼吸科,江苏启东226200

出　　处：《护士进修杂志》2024年第4期431-435,共5页Journal of Nurses Training

基　　金：南通市基础研究和民生科技计划指导性项目(编号:MSZ21127)。

摘　　要：目的探究健商理念联合协同干预对慢性呼吸衰竭(CRF)患者自我管理效能、希望水平及治疗依从性的影响。方法选取本院2021年6月-2022年12月期间收治的80例CRF患者为研究对象,按照随机数字表法将患者分为对照组和观察组,各40例。对照组予常规护理,观察组在此基础上予基于健商理念指导的健康教育联合协同干预,2组患者均连续干预3个月。观察并比较2组患者自我管理效能、肺功能指标、治疗依从性、希望水平,以及健康行为。结果(1)干预后,2组患者慢性病自我管理研究测量量表(CDSMS)评分、第1 s用力呼气容积(FEV_(1))、FEV1占用力肺活量(FVC)的比值(FEV_(1)/FVC)、最大呼气流量(PEF)比较差异有统计学意义(P<0.05)。(2)观察组治疗总依从率90.00%高于对照组72.50%,差异有统计学意义(P<0.05)。(3)干预后,2组患者Herth希望量表(HHI)各维度评分及总分比较差异有统计学意义(P<0.05)。(4)干预后,2组患者健康促进生活方式评定量表Ⅱ(HPIP-Ⅱ)评分比较差异有统计学意义(P<0.05)。结论基于健商理念指导的健康教育联合协同干预可改善CRF患者肺功能、自我管理效能、治疗依从性、希望水平以及健康行为。Objective To explore the effect of health education guided by the concept of health quotient combined with collaborative intervention on self-management efficacy,hope level,and treatment compliance of patients with chronic respiratory failure(CRF).Methods A total of 80 patients with CRF admitted to our hospital from June 2021 to December 2022 were selected as the research subjects,and were divided into the control group and the observation group with 40 cases in each group according to random number table method.The control group was given routine nursing,while the observation group was given health education guided by the concept of health quotient combined with collaborative intervention on this basis,and all patients of 2 groups were given 3 months of continuous intervention.Self-management efficacy,pulmonary function indicators,treatment compliance,hope level,and health behaviors of 2 groups were observed and compared.Results(1)There were significant difference in the scores of Chronic Disease Self-Management Support(CDSMS)Scale,forced expiratory volume in the first second(FEV_(1)),the ratio of FEV_(1)to forced vital capacity(FEV 1/FVC),and peak expiratory flow(PEF)between 2 groups after intervention.(2)The total treatment compliance rate(90.00%)in the observation group was higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).(3)There were significantly differences in each dimensions and total scores of Herth Hope Index(HHI)Scale between 2 groups after intervention(P<0.05).(4)There was significantly difference in the score of Health Promoting Lifestyle ProfileⅡ(HPIP-Ⅱ)Scale between 2 groups after intervention(P<0.05).Conclusion Health education guided by the concept of health quotient combined with collaborative intervention can improve lung function,self-management efficacy,treatment compliance,hope level,and health behaviors of patients with CRF.

关 键 词：慢性呼吸衰竭 健商理念 健康教育 协同干预 治疗依从性 

分 类 号：R193[医药卫生—卫生事业管理] R473.56[医药卫生—公共卫生与预防医学]