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
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.
关键词
慢性阻塞性肺疾病/稳定期/行为分阶段转变理论/个案管理模式/呼吸功能
Key words
Chronic obstructive pulmonary disease/Stable period/Theory of phased behavior transformation/Case management mode/Respiratory function
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