Effects of Empowerment,Incentive Education and Shared Decision Making on Pulmonary Rehabilitation in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective To explore the effects of empowerment and incentive education combined with shared decision-making on pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 150 cases of AECOPD patients treated in the First Affiliated Hospital of Zhengzhou University from September 1,2021 to September 1,2022 were selected and divided into study group(75 cases)and control group(75 cases)according to different nursing methods.The control group was given routine nursing intervention,and the research group was given empowerment,incentive,education and shared decision-making on the basis of the control group.The lung function[maximum mid-expiratory flow rate(MMEF),forced expiratory volume in the first second(FEV1),peak expiratory flow rate(PEF),forced vital capacity(FVC)],dyspnea symptom severity[modified medical research council dyspnea scale(mMRC)],health behavior,sleep quality[Pittsburgh sleep quality scale(PSQI)]and quality of life of the two groups were compared.Results After intervention,the MMEF,FEV1,PEF and FVC of the study group were higher than those of the control group(P＜0.05).After intervention,the scores of mMRC and PSQI in the study group were lower than those in the control group,while the scores of self-actualization,health responsibility,exercise,nutrition,interpersonal support,stress management and total scores of health behavior in the study group were higher than those in the control group(P＜0.05).After intervention,the scores of emotion,fatigue,disease control,wheezing and total quality of life in the study group were higher than those in the control group(P＜0.05).Conclusion Empowerment,incentive education and shared decision making can promote pulmonary rehabilitation,improve health behaviors,reduce dyspnea symptoms,and improve sleep quality and life quality of patients with AECOPD.
万方数据
维普
