量化评估策略下的保护性动机护理对老年慢性阻塞性肺疾病患者疾病控制和自我效能的影响被引量：1

Effects of protective motivation nursing under quantitative evaluation strategy on disease control and self-efficacy of elderly patients with chronic obstructive pulmonary disease

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摘要目的探讨量化评估策略下的保护性动机护理对老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者疾病控制和自我效能的影响。方法选取2019年6月—2021年6月肇庆市高要区中医院收治的100例老年COPD患者,根据随机数字表法分为对照组和观察组,各50例。对照组采用常规护理,观察组采用量化评估策略下的保护性动机护理,均持续护理2个月。对比2组患者的护理效果。结果护理前,2组患者第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))、第1秒用力呼气容积占用力肺活量(forced vital capacity,FVC)比值(FEV_(1)/FVC)、布里斯托COPD疾病认知问卷(bristol COPD knowledge questionnaire,BCKQ)评分、一般自我效能感量表(general self-efficacy scale,GSES)评分、自我管理量表评分和COPD评估测试(COPD assessment test,CAT)评分相比,差异均无统计学意义(P>0.05);护理后,2组患者FEV_(1)、FEV_(1)/FVC、BCKQ评分、GSES评分和自我管理量表评分均明显高于护理前,且观察组FEV_(1)、FEV_(1)/FVC、BCKQ评分、GSES评分和自我管理量表评分均明显高于对照组,2组患者CAT评分均明显低于护理前,且观察组CAT评分明显低于对照组,差异均有统计学意义(P<0.05)。结论量化评估策略下的保护性动机护理可明显提高老年COPD患者的疾病认知水平和自我管理能力,改善疾病控制情况,提升其自我效能感和生活质量。 Objective To explore the effect of protective motivation nursing under quantitative evaluation strategy on disease control and self-efficacy of elderly patients with chronic obstructive pulmonary disease(COPD).Methods 100 elderly patients with COPD treated in Zhaoqing City Gaoyao District Hospital of Traditional Chinese Medicine from June 2019 to June 2021 were divided into two groups according to the random number table method.The control group(n=50)were received routine nursing.The observation group(n=50)adopted the protective motivation nursing under the quantitative evaluation strategy,and the nursing lasted for 2 months.The nursing effects of the two groups were compared.Results Before nursing,there was no significant difference in FEV_(1),FEV_(1)/FVC,BCKQ score,GSES score,self-management ability score and CAT score between the two groups(P>0.05).After nursing,the FEV_(1),FEV_(1)/FVC,BCKQ score,GSES score and self-management ability score of the two groups were significantly improved,and the FEV_(1),FEV_(1)/FVC,BCKQ score,GSES score and self-management ability score of the observation group was significantly higher than that of the control group,and the CAT score of the two groups decreased significantly,and the CAT score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion The protective motivation nursing model under the quantitative evaluation strategy can significantly improve the disease cognition level and self-management ability of elderly COPD patients,improve their disease control,and improve their self-efficacy and quality of life.

作者邓雪贞梁玉芬习秋霞周雪君 Deng Xuezhen;Liang Yufen;Xi Qiuxia;Zhou Xuejun(Zhaoqing City Gaoyao District Hospital of Traditional Chinese Medicine,Zhaoqing,Guangdong 526100)

机构地区肇庆市高要区中医院

出处《基层医学论坛》 2023年第36期13-15,18,共4页 The Medical Forum

关键词量化评估策略保护性动机护理慢性阻塞性肺疾病疾病控制自我效能 Quantitative evaluation strategy Protective motivation nursing Chronic obstructive pulmonary disease Disease control Self efficacy

分类号 R473.5 [医药卫生—护理学]

作者简介邓雪贞,女,本科,主管护师。