基于健商理念的健康教育对老年社区获得性肺炎患者自护能力、肺功能及生存质量的影响  

Effect of Health Education Based on Health Quotient Concept on Self-Care Ability,Lung Function and Quality of Life of Elderly Patients With Community-Acquired Pneumonia

作　　者：王秋燕 徐珍珍[2] 李欣彦 吴玲玲 WANG Qiuyan;XU Zhenzhen;LI XinYan;WU Lingling(Second Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Respiratory Critical Care Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院呼吸与重症二科,河南郑州450000 [2]郑州大学第一附属医院呼吸内科,河南郑州450000 [3]郑州大学第一附属医院呼吸重症科,河南郑州450000

出　　处：《河南医学研究》2024年第10期1905-1909,共5页Henan Medical Research

摘　　要：目的 探究基于健商理念的健康教育对老年社区获得性肺炎(CAP)患者自护能力、肺功能及生存质量的影响。方法 选取2021年6月至2022年4月郑州大学第一附属医院102例老年CAP患者,按照随机数字表法分为两组,每组51例。对照组接受常规护理,于此基础上观察组接受基于健商理念的健康教育。观察两组干预前后肺功能[第1秒用力呼气容积(FEV_(1))、第1秒用力呼气容积与用力肺活量比值(FEV_(1)/FVC)及用力肺活量(FVC)]、健商水平、自护能力[自我护理能力测定表(ESCA)]及随访1 a后CAP再发情况。结果 干预后观察组FEV_(1)/FVC、FEV_(1)、FVC均高于对照组(P<0.05);干预后观察组健商水平中精神状态、生活技能、健康知识、自我保健、生活方式均高于对照组(P<0.05);干预后观察组ESCA中自我概念、健康知识水平、自我责任感、自我护理技能均高于对照组(P<0.05);随访1 a观察组CAP再发率低于对照组(P<0.05)。结论 在老年CAP患者中应用基于健商理念的健康教育,可有效提升患者健商水平,增强自护能力,从而改善肺功能。Objective To explore the effects of health education based on the concept of health quotient on self-care ability,lung function and quality of life in elderly patients with community-acquired pneumonia(CAP).Methods A total of 102 elderly patients with CAP in the First Affiliated Hospital of Zhengzhou University from June 2021 to April 2022 were selected and divided into 2 groups with 51 cases in each group by random number table method.The control group received routine nursing,and the observation group received health education based on the concept of health quotient.The changes in lung function[forced expiratory volume in one second(FEV_(1)),forced expiratory volume in one second to forced vital capacity(FEV_(1)/FVC),and forced vital capacity(FVC)]and health literacy levels,as well as self-care ability[exercise of self-care agency scale(ESCA)]and the recurrence of CAP after 1-year follow-up in both intervention groups were observed.Results After intervention,FEV_(1)/FVC,FEV_(1),FVC in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of mental state,life skills,health knowledge,self-care and lifestyle in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of self-concept,health knowledge,self-responsibility and self-care skill in the observation group were higher than those in the control group(P<0.05).The recurrence rate of CAP in the observation group was lower than that in the control group(P<0.05).Conclusion The application of health education based on the concept of health quotient in elderly patients with CAP can effectively improve the level of health quotient,enhance the ability of self-care,thereby improving lung function.

关 键 词：社区获得性肺炎 生活质量 健商理念 

分 类 号：R473.5[医药卫生—护理学]