基于行动研究法理论的健康管理在老年慢性阻塞性肺疾病患者中的应用
Application of Health Management Based on Action Research Theory in Elderly Patients with Chronic Obstructive Pulmonary Disease
李水泉 1齐艳2
作者信息
- 1. 灵宝市故县镇卫生院内科,灵宝 472500
- 2. 三门峡市中医院中医内科,三门峡 472000
- 折叠
摘要
目的:探讨基于行动研究法理论的健康管理在老年慢性阻塞性肺疾病(COPD)中的效果.方法:选取2023 年 5 月至 2024 年 3 月灵宝市故县镇卫生院内科就诊的 60 例COPD患者作为研究对象.随机将其分为观察组(n=30,实施基于行动研究法理论的健康管理)和对照组(n=30,实施常规健康管理),干预 3 个月后评价干预效果.分别于干预前、干预 3 个月后比较两组患者自我管理效能[COPD自我效能量表(CSES)]、自我护理能力[自我护理能力测定量表(ESCA)];干预结束后随访 6 个月,调查患者COPD急性发作次数及生活质量[曼彻斯特呼吸日常生活能力问卷(MRADL)].结果:干预 3 个月后,两组患者CSES评分、ESCA评分均升高,观察组高于对照组,差异均有统计学意义(P＜0.05).干预 3 个月结束后,全部患者均完成 6 个月随访,获得完整的随访结果.观察组患者COPD急性发作次数少于对照组;随访结束,观察组患者MRADL评分低于对照组,差异均有统计学意义(P＜0.05).结论:基于行动研究法理论的健康管理能提高老年COPD患者自我管理效能、自我护理能力,有利于减少COPD急性发作的次数,患者生活质量提高.
Abstract
Objective:To explore the application effect of health management based on action research theory in elderly patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 patients with COPD from May 2023 to March 2024 in Guxian Town Health Center in Lingbao City were selected as the research objects.They were randomly divided into observation group(n=30,implemented health management based on action research theory)and control group(n=30,implemented routine health management).The intervention effect was evaluated after 3 months of intervention.The COPD self-efficacy scale(CSES)and exercise of self-care agency(ESCA)of the patients in the two groups were compared before the intervention and 3 months after the intervention,respectively.The patients were followed up as well for 6 months after the intervention to investigate the number of acute attacks of COPD and Manchester Respiratory activities of daily living questionnaire(MRADL).Results:After 3 months of intervention,the CSES score and ESCA score of both groups of patients increased,and observation group was higher than control group,and the differences were statistically significant(P＜0.05).All patients completed a 6-month follow-up and obtained complete follow-up results.Observation group had fewer acute exacerbations of COPD than control group,and at the end of follow-up,the MRADL scores of observation group were lower than those of control group,and the difference was statistically significant(P＜0.05).Conclusion:Health management based on action research theory can improve the self-management efficiency and self-care ability of elderly patients with COPD,which is beneficial for reducing the number of acute attacks of COPD and improving the quality of life of patients.
关键词
慢性阻塞性肺疾病/行动研究法/健康管理/自我管理/自我护理能力/生活质量Key words
Chronic obstructive pulmonary disease/Action research method/Health management/Self management引用本文复制引用
出版年
2024
NETL
NSTL
万方数据