知信行健康教育联合针对性护理在矽肺患者药物治疗期间的干预效果  

Intervention Effect of Knowledge-attitude-practice Health Education Combined with Targeted Nursing During Drug Treatment of Silicosis Patients

作　　者：陈山花 李彬芬 CHEN Shanhua;LI Binfen(Department of Respiratory and Critical Care Medicine,Hui’an County Hospital,Quanzhou 362100,Fujian,China;Department of Nursing,Hui’an County Hospital,Quanzhou 362100,Fujian,China)

机构地区：[1]惠安县医院呼吸与危重症医学科,福建泉州362100 [2]惠安县医院护理部,福建泉州362100

出　　处：《中国药物滥用防治杂志》2024年第9期1751-1755,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：泉州市科技计划项目(编号:2023N002S)。

摘　　要：目的:探讨知信行健康教育联合针对性护理在矽肺患者药物治疗期间的干预效果。方法:选取我院2022年1月—2023年6月收治的80例矽肺患者作为研究对象,应用随机数字表法将其分为观察组与对照组,各40例。对照组在药物治疗期间实施常规护理,观察在对照组基础上实施知信行健康教育联合针对性护理。比较两组自我管理能力[成人健康自我管理能力量表(ESCA)]、用药依从性、健康素养水平[慢性病健康素养量表(He LMS)]肺功能水平。结果:干预后,观察组两组患者饮食管理、症状管理、社会适应和心理以及药物管理相关ESCA评分高于对照组(P<0.05);观察组不依从人数低于对照组,完全依从人数高于对照组(P<0.05);观察组He LMS评分高于对照组(P<0.05);观察组第1秒用力呼气容积(FVE_(1))、用力肺活量(FVC)、FVE_(1)/FVC、每分钟最大通气量(MVV)水平均升高,高于对照组(P<0.05)。结论:针对矽肺患者药物治疗期间采取知信行健康教育联合针对性护理可提升其自我管理能力与患者用药依从性,促进患者养成有利于疾病康复的健康素养,改善肺功能。Objective:To explore the intervention effect of knowledge-attitude-practice health education combined with targeted nursing on silicosis patients during drug treatment.Methods:A total of 80 patients with silicosis admitted to our hospital from January 2022 to June 2023 were selected as the research objects.They were divided into observation group and control group by random number table method,with 40 patients in each group.The control group was given routine nursing during drug treatment,and the observation group was given knowledge-attitude-practice health education combined with targeted nursing on the basis of the control group.The self-management ability[adult exercise of self-care agency(ESCA)],medication compliance,health literacy level[chronic disease health literacy management scale(HeLMS)]and lung function level were compared between the two groups.Results:After intervention,the ESCA scores of diet management,symptom management,social adaptation and psychology,and drug management in the observation group were higher than those in the control group(P<0.05).The number of non-compliance in the observation group was lower than that in the control group,and the number of complete compliance was higher than that in the control group(P<0.05).The HeLMS score of the observation group was higher than that of the control group(P<0.05).The levels of forced expiratory volume in one second(FVE_(1)),forced vital capacity(FVC),FVE_(1)/FVC and maximum ventilation volume per minute(MVV)in the observation group were higher than those in the control group(P<0.05).Conclusion:The knowledgeattitude-practice health education combined with targeted nursing for silicosis patients during drug treatment can improve their self-management ability and patients’medication compliance,promote patients to develop health literacy conducive to disease rehabilitation,and improve lung function.

关 键 词：知信行 健康教育 针对性护理 矽肺 药物治疗 肺功能 

分 类 号：R473.5[医药卫生—护理学]