發(fā)布時(shí)間：2017-12-28 22:02

  本文關(guān)鍵詞：慢性阻塞性肺疾病患者系統(tǒng)化自我效能干預(yù)方案的研究　出處：《青島大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 慢性阻塞性肺疾病 系統(tǒng)化 自我效能 健康相關(guān)生存質(zhì)量

【摘要】：目的:應(yīng)用以自我效能理論為指導(dǎo)的系統(tǒng)化自我效能干預(yù)方案對(duì)慢性阻塞性肺疾病(COPD)患者的自我效能進(jìn)行干預(yù),評(píng)價(jià)COPD患者自我效能和健康相關(guān)生存質(zhì)量的改善情況,為COPD患者進(jìn)一步實(shí)施護(hù)理干預(yù)提供理論依據(jù)。方法:按照“不平衡指數(shù)最小的原則”依據(jù)患者的性別、文化程度、同住情況、醫(yī)療來(lái)源、月收入、病程因素將2014年1月至2014年10月在單縣中心醫(yī)院呼吸內(nèi)科住院符合標(biāo)準(zhǔn)的COPD患者隨機(jī)分為干預(yù)組和對(duì)照組,每組各52例,共104例。兩組患者均接受慢性阻塞性肺疾病的常規(guī)治療及護(hù)理,干預(yù)組在常規(guī)治療和護(hù)理的基礎(chǔ)上接受以自我效能理論為指導(dǎo)的系統(tǒng)化自我效能干預(yù)方案。干預(yù)時(shí)間為16周。干預(yù)前、后分別對(duì)兩組患者的自我效能、肺功能、健康相關(guān)生存質(zhì)量(HRQOL)、血?dú)夥治鲋怠?分鐘步行距離(6MWD)及呼吸困難(MMRC)進(jìn)行評(píng)價(jià)。采用一般資料調(diào)查表收集COPD患者基本資料及患者平靜狀態(tài)下的肺功能、血?dú)夥治鲋怠?分鐘步行距離等信息;采用Kate Loring等人研制的自我效能量表、成人慢性阻塞性肺疾病生存質(zhì)量評(píng)分表及改良的英國(guó)醫(yī)學(xué)研究委員會(huì)呼吸困難量表,分別對(duì)患者自我效能、HRQOL及運(yùn)動(dòng)耐力進(jìn)行測(cè)評(píng)。所得數(shù)據(jù)采用SPSS17.0軟件包進(jìn)行分析。結(jié)果:干預(yù)組的自我效能、HRQOL總分、Pa O2、Pa CO2、Sa O2、6MWD分別為(43.45±6.84)分、(55.59±25.71)分、(68.28±8.51)mm Hg、(45.14±10.14)mm Hg、(92.82±2.48)mm Hg、(274.73±81.29)m,對(duì)照組的自我效能、HRQOL總分、Pa O2、Pa CO2、Sa O2、6MWD分別為(40.57±3.43)分、(74.41±7.63)分、(59.57±10.42)mm Hg、(52.17±11.31)mm Hg、(91.18±2.37)mm Hg、(269.29±57.13)m,干預(yù)組較對(duì)照組明顯改善(P0.05);干預(yù)組患者的肺功能較對(duì)照組有所改善,但兩組間比較差異沒(méi)有顯著的統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:系統(tǒng)化自我效能干預(yù)對(duì)提高COPD患者的自我效能及健康相關(guān)生存質(zhì)量有重要作用。
[Abstract]:Objective: self efficacy intervention scheme of application system based on self-efficacy theory as a guide to chronic obstructive pulmonary disease (COPD) patients' self-efficacy intervention, evaluate and improve COPD patients self-efficacy and health related quality of life, and provide a theoretical basis for the further implementation of nursing intervention in patients with COPD. Methods: according to the "balance principle" index minimum according to patient's gender, educational level, living conditions, medical sources, monthly income, from January 2014 to October 2014 in the course of factors will conform to the standard of COPD patients were randomly divided into intervention group and control group in the respiratory department of Shanxian County Central Hospital, 52 cases in each group, a total of 104 cases. The two groups of patients received routine treatment and nursing of chronic obstructive pulmonary disease. The intervention group accepted the systematic self-efficacy intervention under the guidance of self-efficacy theory on the basis of conventional treatment and nursing. The intervention time was 16 weeks. Before and after intervention, the self-efficacy, lung function, health related quality of life (HRQOL), blood gas analysis, 6 minute walk distance (6MWD) and dyspnea (MMRC) were evaluated in two groups. The pulmonary function and blood gas data were collected in COPD were collected basic data for patients and calm state of the analysis, 6 minutes walking distance and other information; developed by Kate Loring et al's self efficacy scale, adults with chronic obstructive pulmonary disease quality of life scale and modified British Medical Research Council dyspnea scale, respectively. The patients'self-efficacy, HRQOL and endurance testing. The data are analyzed by SPSS17.0 software package. Results: the intervention group self efficacy, scores of HRQOL, Pa O2, Pa CO2, Sa O2 and 6MWD respectively (43.45 + 6.84), (55.59 + 25.71), (68.28 + 8.51) mm, Hg (45.14 + 10.14) mm, Hg (92.82 + 2.48) mm Hg, (274.73. 81.29) m control group, the self-efficacy and the total score of HRQOL, Pa O2, Pa CO2, Sa O2 and 6MWD respectively (40.57 + 3.43), (74.41 + 7.63), (59.57 + 10.42) mm, Hg (52.17 + 11.31) mm, Hg (91.18 + 2.37) mm, Hg (269.29 + 57.13) m, the intervention group improved significantly compared with the control group (P0.05); dry lung function in patients with pre improvement than the control group, but the difference between two groups was not statistically significant (P0.05). Conclusion: systematic self-efficacy intervention plays an important role in improving the self-efficacy and health related quality of life of COPD patients.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.5

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