摘要
目的评价慢性阻塞性肺疾病自我管理项目实施后的效果。方法按照随机对照试验设计,将240名慢性阻塞性肺疾病患者随机分为干预组和对照组。采用方差分析、卡方检验与非参数检验(Mann-whitney U),比较在基线及项目实施6个月之后两组病人在自我管理行为、自我效能、健康状况等方面的变化。结果干预组在自我管理行为方面明显提高,6个月内干预组比对照组每周体能锻炼时间增加了62.84分钟,差别有统计学意义;干预组症状管理自我效能评分6个月的增加值比对照组高出0.95分,差别有统计学意义;健康状况方面,干预组在健康担忧、情绪低落2个指标均明显好于对照组,差别有统计学意义。结论慢性阻塞性肺疾病自我管理项目研究实施后可改善慢性阻塞性肺疾病患者的自我管理行为、自我效能及部分健康状况。
Objective To evaluate the effects of the implementation with patients of chronic obstructive pulmonary disease self-management projects. Methods According randomized controlled experimental design, 200 patients with chronic obstructive pulmonary disease were randomly divided into treatment group and control group. Using covariance Rank test to compare the baseline and the project six months after the two groups of patients in self-management behavior, self-efficacy, health Status of the areas of change. Results Self-management behaviour in the treatment group significantly improved. In addition to the doctor exchanges, Within six months of the treatment group physical training time per week increased by 62.84 points than the control group. Symptom management self-efficacy score of the treatment group increased by 0.85 points than the control group in six month, there was a significant difference. The health concerns, and depression indicators in the treatment group were significantly better than the control group. Conclusions Chronic obstructive pulmonary disease self-management research projects can improve the self-management behavior, self-efficacy and health status of the patients.
出处
《老年医学与保健》
CAS
2008年第5期299-302,共4页
Geriatrics & Health Care
关键词
肺疾病
慢性阻塞性
自我护理
Pulmonary disease, Chronic obstructive
Self care
