动机访谈健康教育在老年慢性阻塞性肺疾病患者中的应用效果
Effects of motivational interviewing health education on elderly patients with chronic obstructive pulmonary disease
石晓静1
作者信息
- 1. 河南省老干部康复医院体检中心,河南 郑州 450000
- 折叠
摘要
目的:观察动机访谈健康教育在老年慢性阻塞性肺疾病患者中的应用效果.方法:选取 2021-2022 年该院收治的 150 例老年慢性阻塞性肺疾病患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各 75 例.对照组采用常规健康教育,观察组在对照组基础上采用动机访谈健康教育,比较两组肺功能指标[第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC]水平、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分和知信行量表评分.结果:教育 1 个月后,两组FEV1、FVC、FEV1/FVC水平和WHOQOL-BREF评分、知信行量表评分均高于教育前,且观察组高于对照组,差异均有统计学意义(P<0.05).结论:在常规健康教育基础上采用动机访谈健康教育可提高老年慢性阻塞性肺疾病患者FEV1、FVC、FEV1/FVC水平以及WHOQOL-BREF、知信行量表评分,效果优于单纯常规健康教育.
Abstract
Objective:To observe effects of motivational interviewing health education on elderly patients with chronic obstructive pulmonary disease.Methods:A prospective study was conducted on 150 elderly patients with chronic obstructive pulmonary disease admitted to the hospital from 2021 to 2022.According to the random number table method,they were divided into observation group and control group,75 cases in each group.The control group was given routine health education,while the observation group was given the motivational interviewing health education on the basis of that of the control group.The levels of pulmonary function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC],the World Health Organization quality of life-BREF(WHOQOL-BREF)score,and the knowledge-attitude/belief practice scale score were compared between the two groups.Results:After 1 month of education,the levels of FEV1,FVC,FEV1/FVC,WHOQOL-BREF scores and the KAP scale scores in the two groups were higher than those before the education,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine health education,the motivational interviewing health education can improve the levels of FEV1,FVC,FEV1/FVC and the WHOQOL-BREF and KAP scale scores in the elderly patients with chronic obstructive pulmonary disease.Moreover,it is superior to single routine health education.
关键词
动机访谈健康教育/老年/慢性阻塞性肺疾病/肺功能/生命质量/知信行量表Key words
Motivational interviewing health education/Elderly/Chronic obstructive pulmonary disease/Lung function/Quality of life/Knowledge-attitude/belief-practice scale引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据