摘要
目的探讨动机性访谈联合跨理论模型在COPD患者肺康复训练中的应用效果,为临床干预提供依据。方法采用便利抽样法选取哈尔滨医科大学附属第二医院2018年1—12月在老年科住院的COPD患者120例为研究对象。按照患者入院时间进行分组,将2018年1—6月收治的60例患者设为对照组,2018年7—12月收治的60例患者设为观察组。对照组患者采用常规护理措施,观察组患者采用动机性访谈联合跨理论模型理论进行干预。采用COPD患者自我管理量表和慢性病管理自我效能量表评价干预效果。结果最终对照组有47例患者完成研究,观察组有54例患者完成研究。干预后观察组患者自我管理水平总分,自我效能、症状管理、日常生活管理得分高于对照组,差异有统计学意义(P<0.05);两组患者情绪管理和信息管理维度得分差异无统计学意义(P>0.05)。干预后观察组患者自我效能2个维度得分高于对照组,差异有统计学意义(P<0.05)。结论动机性访谈联合跨理论模型能够提高老年COPD患者的自我管理行为和自我效能感。
Objective To investigate the application of motivational interviews(MI)and transtheoretical models(TTM)in pulmonary rehabilitation exercise for elderly patients with chronic obstructive pulmonary disease(COPD),and to provide evidence for clinical intervention.Methods From January to December of 2018,120 COPD patients hospitalized in Department of Geriatrics,the Second Affiliated Hospital of Harbin Medical University,were selected as research objects and grouped based on their admission time.Totally 60 patients admitted from January to June 2018 were taken as the control group and 60 patients admitted from July to December of 2018 were taken as the observation group.The patients in the observation group were intervened by MI and TTM model.The intervention effect was evaluated by COPD Self-management Scale and Chronic Disease Management Self-efficacy Scale.Results Finally,47 patients in the control group and 54 patients in the observation group completed the study.After intervention,the scores of self-management level,self-efficacy,symptom management and daily life management in the observation group were statistically higher than those in the control group(P<0.05);there was no statistically significant difference in the scores of emotion management and information management dimensions in the two groups(P>0.05).After intervention,the scores of 2 dimensions in self-efficacy in the observation group were statistically higher than those in the control group(P<0.05).Conclusions MI combined with TTM can improve the self-management behavior and self-efficacy of elderly COPD patients.
作者
许文瑶
李顺玉
Xu Wenyao;Li Shunyu(Department of General Medicine,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)
出处
《中华现代护理杂志》
2019年第32期4190-4193,共4页
Chinese Journal of Modern Nursing
关键词
肺疾病
慢性阻塞性
跨理论模型
动机性访谈
肺康复
Lung diseases
chronic obstructive
Transtheoretical model
Motivational interview
Pulmonary rehabilitation
