基于行为目标达成度的综合护理干预对COPD缓解期患者健康行为、生活质量的影响  

Impact of comprehensive nursing intervention based on behavioral goal achievement on health behavior and quality of life in COPD patients during remission

作　　者：刘佳敏 谢逍 万园园 李梅 母飞 Liu Jiamin;Xie Xiao;Wan Yuanyuan;Li Mei;Mu Fei(Department of Respiratory and Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Rehabilitation Medicine,Affiliated Mianyang Hospital of University of Electronic Science and Technology of China/Mianyang Central Hospital,Mianyang Sichuan 621000,China;Department of Neurology,Longchang People's Hospital,Neijiang Sichuan 642150,China;Department of Respiratory Medicine,Affiliated Hospital of Chengdu University,Chengdu 610040,China)

机构地区：[1]四川大学华西医院呼吸与危重症医学科,成都610041 [2]电子科技大学医学院附属绵阳医院/绵阳市中心医院康复医学科,四川绵阳621000 [3]四川省隆昌市人民医院神经内科,四川内江642150 [4]成都大学附属医院呼吸内科,成都610040

出　　处：《保健医学研究与实践》2024年第6期116-122,共7页Health Medicine Research and Practice

基　　金：四川省科技计划项目(2018SZ0240)。

摘　　要：目的探究对慢性阻塞性肺疾病(COPD)缓解期患者进行基于行为目标达成度的综合护理干预的效果,以期为COPD缓解期患者的护理干预方案选择提供参考。方法选取2022年3月—2023年3月四川大学华西医院收治的92例COPD缓解期患者为研究对象,采用随机数字表法分为对照组与观察组,每组46例。对照组患者采用常规护理干预,观察组患者采用基于行为目标达成度的综合护理干预。比较2组患者干预前后疾病认知、自我管理能力、健康行为及生活质量。结果2组患者干预前COPD知识态度行为量表的知识、态度、行为3个维度评分及总分比较,差异均无统计学意义(P>0.05);2组患者干预后COPD知识态度行为量表3个维度评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前中文版COPD自我管理量表(COPD-SMS)的情绪管理、日常生活管理、信息管理、症状管理、自我效能5个维度评分及总分比较,差异均无统计学意义(P>0.05);2组患者干预后中文版COPD-SMS量表5个维度评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前健康促进生活方式量表(HPLP)的营养、自我实现、躯体活动、健康责任感、人际关系、压力调节6个维度评分及总分比较,差异均无统计学意义(P>0.05);观察组患者干预后HPLP量表6个维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前中文版生活质量评价量表(SF-36)的精神健康、活动、社会功能、情感职能、生理功能、总体健康、躯体疼痛、生理职能8个维度评分及总分比较,差异均无统计学意义(P>0.05);2组患者干预后SF-36量表8个维度评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论对COPD缓解期患者采用基于行为目标达成度的综合护理干预,有助�Objective To investigate the effectiveness of comprehensive nursing intervention based on behavioral goal achievement for patients with Chronic Obstructive Pulmonary Disease(COPD)during remission,providing evidence for nursing intervention strategies in this patient population.Methods A total of 92 COPD patients in remission,treated at West China Hospital,Sichuan University from March 2022 to March 2023,were selected and randomly assigned to control and observation groups,each with 46 patients.The control group received routine nursing,while the observation group received comprehensive nursing intervention based on behavioral goal achievement.Pre-and post-intervention comparisons were made between the two groups regarding disease cognition,self-management ability,health behavior,and quality of life.Results Before intervention,there were no statistically significant differences between the two groups in the scores of the knowledge,attitude,and behavior subscales of the COPD Knowledge,Attitude,and Practice Scale,nor in the total score(P>0.05).After intervention,the scores of the three dimensions and the total score were significantly higher in both groups,with the observation group scoring higher than the control group(P<0.05).No statistically significant differences were observed between the two groups in the five subscales(emotional management,daily life management,information management,symptom management,and self-efficacy)and total score of the Chinese version of the COPD Self-Management Scale(COPD-SMS)before intervention(P>0.05).Post-intervention scores in all dimensions and the total score were significantly higher in both groups,with the observation group again scoring higher than the control group(P<0.05).Similarly,no statistically significant differences were found in the six dimensions(nutrition,self-realization,physical activity,health responsibility,interpersonal relationship,and stress regulation)and total score of the Health-Promoting Lifestyle Profile(HPLP)before intervention(P>0.05).Post-interventio

关 键 词：慢性阻塞性肺疾病 缓解期 行为目标达成度 生活质量 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]