基于需要理论的层级护理结合家庭赋权方案对慢性阻塞性肺疾病家庭氧疗患者氧疗依从性及健康信念的影响  

Effects of hierarchical nursing based on need theory combined with family empowerment program on oxygen therapy compliance and health belief of patients with chronic obstructive pulmonary disease undergoing home oxygen therapy

作　　者：乔珍 窦娟 QIAO Zhen;DOU Juan(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)

机构地区：[1]陕西省核工业二一五医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第9期137-140,共4页Clinical Research and Practice

摘　　要：目的探究基于需要理论的层级护理结合家庭赋权方案在慢性阻塞性肺疾病(COPD)家庭氧疗中的应用效果。方法选择2018年4月至2021年6月我院收治的150例COPD家庭氧疗患者为研究对象,根据随机数字表法将其分为对照组、观察组,各75例。对照组接受常规护理,观察组在对照组基础上加施基于需要理论的层级护理结合家庭赋权方案。比较两组的干预效果。结果观察组的氧疗依从性高于对照组(P<0.05)。干预后,观察组的Champion健康信念量表(CHBMS)评分高于对照组(P<0.05)。干预后,观察组的家庭照顾者照顾能力量表(FCTI)评分低于对照组(P<0.05)。干预后,观察组的气道阻力(Raw)、气道平均压(MPaw)低于对照组(P<0.05)。结论基于需要理论的层级护理结合家庭赋权方案用于COPD家庭氧疗患者护理中,不仅能提高患者的氧疗依从性及健康信念,还能提升家庭照顾者的照顾能力,促进呼吸力学参数恢复。Objective To explore the application effect of hierarchical nursing based on need theory combined with family empowerment program in home oxygen therapy for chronic obstructive pulmonary disease(COPD).Methods A total of 150 COPD patients with home oxygen therapy admitted in our hospital from April 2018 to June 2021 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 75 cases in each group.The control group received routine nursing,while the observation group received hierarchical nursing based on need theory combined with family empowerment program on the basis of the control group.The intervention effects of the two groups were compared.Results The compliance of oxygen therapy in the observation group was higher than that in the control group(P<0.05).After intervention,the Champion Health Belief Model Scale(CHBMS)score of the observation group was higher than that of the control group(P<0.05).After intervention,the Family Caregiver Task Inventory(FCTI)score of the observation group was lower than that of the control group(P<0.05).After intervention,the airway resistance(Raw)and mean airway pressure(MPaw)in the observation group were lower than those in the control group(P<0.05).Conclusion The hierarchical nursing based on need theory combined with family empowerment program for COPD patients with home oxygen therapy can not only improve the patients'oxygen therapy compliance and health beliefs,but also improve the care ability of family caregivers and promote the recovery of respiratory mechanics parameters.

关 键 词：基于需要理论的层级护理 家庭赋权方案 慢性阻塞性肺疾病 家庭氧疗 依从性 健康信念 

分 类 号：R473.5[医药卫生—护理学]