Application of the case management model based on the theory of phased behavior transformation in patients with stable period of chronic obstruc-tive pulmonary disease
Objective To explore the application of the case management model based on the theory of phased behavior transformation in patients with stable period of chronic obstructive pulmonary disease(hereinafter referred to as"COPD")at stable stage.Methods The prospective study included 112 patients with COPD in stable stage admitted to the outpatient department of Nanjing First Hospital from June 2021 to June 2022.They were divided into control group and observation group by random number table method,with 56 cases in each group.The control group was given the case management mode intervention,and the observation group was given the case management mode based on the theory of behavioral change in stages.Both groups were treated continuously for six months.Respiratory function before intervention and six months after intervention(St.George's respiratory questionnaire[SGRQ]),(modified British Hospital Research Council dyspnea scale[mMRC])and(self-rated abilities for health practices scale[SRAHP])were compared.Results After intervention,SGRQ and mMRC scores in both groups were lower than before intervention,and the observation group was lower than the control group,the differences were statistically significant(P＜0.05).After intervention,SGRQ and mMRC scores in both groups were lower than before intervention,and the observation group was lower than the control group,the differences were statistically significant(P＜0.05).Conclusion The case management model of behavior stage change theory can improve the self-management ability and respiratory function of COPD patients in stable stage,and has a good application effect.
Chronic obstructive pulmonary diseaseStable periodTheory of phased behavior transformationCase management modeRespiratory function
万方数据
维普
