基于行为转变理论的综合康复护理措施对慢性阻塞性肺疾病稳定期患者的效果
| 作者: |
1刘啟,
1孙家蓉,
1万婷,
1卢国辉,
1陶春红
1 南昌大学第一附属医院神经外科，南昌 330006 |
| 通讯: |
陶春红
Email: chunhongtao8884@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.05.021 |
| 基金: | 国家自然科学基金(81560220)；江西省青年科学基金(20151BAB215014)。 |
摘要
目的：探讨行为转变理论模式(transtheoretical model of behavior change，TTM)的综合康复护理措施对慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)稳定期患者肺功能及呼吸困难程度的影响。方法：将84例稳定期的COPD患者采用随机数字表法分为对照组(42例)和观察组(42例)。对照组接受常规综合康复护理措施，包括营养指导、药物治疗、康复训练指导及心理健康教育，观察组在对照组的基础上实施基于TTM的综合康复护理措施。干预前后对两组患者一秒用力呼吸容积(forced expiratory volume in one second，FEV1)、第一秒钟用力肺活量占预计值百分比(the first second forced vital capacity percentage of expected value，FEV1%)、用力肺活量(forced vital capacity，FVC)、第1秒钟用力肺活量占用力肺活量的比值(the ratio of the first second forced vital capacity of forced vital capacity，FEV1%/FVC)及呼吸困难程度分析比较。结果：观察组干预后FEV1，FEV1%，FVC，FEV1%/FVC及呼吸困难程度评估结果较干预前有显著改善(P<0.05)。对照组干预后FEV1，FEV1%与干预前比差异有统计学意义(P<0.05)，而FVC，FEV1%/FVC及呼吸困难程度评估结果干预前后比较无明显改变(P>0.05)。干预后观察组与对照组除FEV1%/FVC无明显差异外，FEV1，FEV1%，FVC及呼吸困难程度评估结果观察组均明显改善(P<0.05)。结论：基于行为转变理论的综合康复护理措施可改善COPD稳定期患者的肺功能，降低其呼吸困难程度。
关键词：
慢性阻塞性肺疾病；行为转变理论；综合康复护理措施
Effect of transtheoretical model of behavior change intervened comprehensive rehabilitation nursing measures on patients with stable chronic obstructive pulmonary disease
CorrespondingAuthor: TAO Chunhong Email: chunhongtao8884@126.com
DOI: 10.3978/j.issn.2095-6959.2018.05.021
Foundation: This work was supported by the National Natural Science Fund (81560220) and Jiangxi Youth Science Fund (20151BAB215014), China.
Abstract
Objective: To study the effect of transtheoretical model of behavior change (TTM) intervened comprehensive rehabilitation nursing measures applied to patients with stable chronic obstructive pulmonary disease (COPD). Methods: A total of 84 patients with stable COPD were randomly divided into an observation group and a control group. Each group had 42 patients. The control group was given routine comprehensive rehabilitation nursing measures, including nutrition guidance, drug treatment, rehabilitation training guidance and mental health education. Meanwhile, on the basis of the control group, the observation group received TTM intervened comprehensive rehabilitation nursing measures. The pulmonary function parameters including the forced expiratory volume in one second (FEV1), the first second forced vital capacity percentage of expected value (FEV1%), forced vital capacity (FVC), the ratio of the first second forced vital capacity of forced vital capacity (FEV1%/FVC) and dyspnea degree of the two groups were analyzed before and after intervention. Results: After intervention, statistically significant of FEV1, FEV1%, FVC, FEV1%/FVC and dyspnea degree was shown in the observation group (P<0.05). There was statistically significant difference in FEV1 and FEV1% (P<0.05), but no difference among FVC, FEV1%/FVC and dyspnea degree before and after intervention in the control group (P>0.05). Additionally, after intervention, the observation group was significantly different from the control group in dyspnea degree and pulmonary function parameters except FEV1%/FVC (P<0.05). Conclusion: TTM intervened comprehensive rehabilitation nursing measures could improve the pulmonary function and reduce the degree of dyspnea in patients with stable chronic obstructive pulmonary disease.
Keywords：
chronic obstructive pulmonary disease; transtheoretical model of behavior change; comprehensive rehabilitation nursing measures