首页|多元化健康教育联合常规护理对COPD患者疾病认知度及肺功能的影响

多元化健康教育联合常规护理对COPD患者疾病认知度及肺功能的影响

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目的:探究多元化健康教育联合常规护理对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者疾病认知度及肺功能的影响,为临床提供参考.方法:选取2019年1月—2021年12月洛阳市东方人民医院收治的62例COPD患者作研究对象,根据随机数表法将其分为观察组和对照组,每组各31例.对照组进行常规护理,观察组采用多元化健康教育联合常规护理.干预1个月后,比较两组患者疾病认知度、肺功能[第1秒用力呼吸(FEV1)及第1秒用力呼气量占用力肺活量比率(FEV1/FVC)]、训练依从度、机械通气时间、住院时间.结果:两组患者干预后基本知识、治疗知识、康复锻炼知识、自我护理知识评分及总分均较干预前升高,且观察组各项评分及总分均高于对照组,差异有统计学意义(t=5.442、3.402、4.277、6.653、6.856,P<0.05).两组患者干预后FEV1及FEV1/FVC水平较干预前升高,且观察组FEV1 及FEV1/FVC水平较对照组升高,差异有统计学意义(t=3.422、3.208,P<0.05).观察组训练依从度(93.55%)较对照组(74.19%)高,差异有统计学意义(χ2=4.292,P<0.05).观察组机械通气时间、住院时间均较对照组缩短,差异有统计学意义(t=4.720、4.332,P<0.05).结论:多元化健康教育联合常规护理能够提高COPD患者疾病认知度及训练依从度,改善肺功能,同时有利于加速患者康复.
Effects of Diversified Health Education Combined with Routine Care on Disease Awareness and Lung Function in COPD Patients
Objective:To investigate the effects of diversified health education combined with routine nursing care on disease cognition and lung function in patients with chronic obstructive pulmonary disease(COPD),and to provide clinical reference.Methods:62 COPD patients admitted to the hospital from January 2019 to December 2021 were selected as study subjects,and were divided into observation group and control group according to the random number table method,with 31 cases in each group.The control group carried out routine care,and the observation group used diversified health education combined with routine care.After 1 month of intervention,the disease awareness,lung function(FEV1 and FEV1/FVC),training compliance,mechanical venti-lation time,and hospitalization time were compared between the two groups.Results:The basic knowledge,treatment knowledge,rehabilitation exercise knowledge,self-care knowledge scores and total scores of the patients in both groups were elevated after the in-tervention compared with the pre-intervention period,and the scores and total scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=5.442,3.402,4.277,6.653,6.856,P<0.05).The levels of FEV1 and FEV1/FVC in the two groups were higher after the intervention than before the intervention,and the levels of FEV1 and FEV1/FVC in the observation group were higher than those in the control group,and the difference was statistically significant(t=3.422,3.208,P<0.05).Training adherence was higher in the observation group(93.55%)than in the control group(74.19%),and the difference was statistically significant(χ2=4.292,P<0.05).The mechanical ventilation time and hospitalization time of the observation group were shorter than those of the control group,and the difference was statistically significant(t=4.720,4.332,P<0.05).Conclusion:Diversified health education combined with routine care can improve COPD patients'disease awareness and training adherence,improve lung function,and at the same time facilitate accelerated rehabilitation.

Diversified health educationChronic obstructive pulmonary diseaseDisease awarenessPulmonary function

王爱萍、赵军华、徐艳芳

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洛阳市东方人民医院,河南 洛阳 471000

多元化健康教育 慢性阻塞性肺疾病 疾病认知度 肺功能

河南省自然科学研究项目

182102310504

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(2)
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