摘要
目的:探讨基于双向知信行理念设计的专科护理对慢性阻塞性肺疾病(COPD)患者干粉吸入剂使用效果的评定。方法:选取某医院2020年10月至2021年5月呼吸内科需要使用吸入剂的COPD住院患者为研究对象,分为观察组和对照组。对照组37例患者进行常规护理,观察组37例患者在常规护理基础上进行基于“知信行”设计的健康教育模式。比较两组患者入组第1、2、3天及出院当天吸入给药装置使用情况评分,入组第1天及出院当天COPD评估测试量表(CAT),入组第1天、出院当天及出院后30天用药依从性量表(MMAS-8)等3个维度的差别。结果:观察组使用吸入剂的合格率及用药依从性高于对照组,CAT评分低于对照组,差异均有统计学意义(P<0.05)。结论:双向知信行模式设计的呼吸内科专科护理和健康教育模式提高了患者的自我健康管理,显著提高了COPD患者使用干粉吸入剂的规范性,从而提高了患者吸入剂的疗效和用药依从性。
Objective:To explore the evaluation of the efficacy of dry powder inhalers in Chronic obstructive pulmonory disease(COPD)patients using designed specialized nursing based on the concept of two-way knowledge,belief,and practice.Methods:37 hospitalized COPD patients who needed inhalers in the respiratory department of one hospital from October 2020 to May 2021 were selected as the study subjects,while the control group consisted of 37 patients who received routine nursing care.Firstly,based on the theory of knowledge,belief,and action,specialized nursing knowledge training was provided to the specialized nursing team.After training,the nursing team members provided a designed health education model based on“knowledge,belief,and action”on top of routine nursing care for 38 patients in the observation group.Compare the differences in three dimensions:the scores of how the patients use of inhaled devices between two groups on the first,second,and third days of admission and on the day of discharge;the COPD assessment test scale(CAT)on the first day of admission and on the day of discharge;also the medication compliance scale(MMAS-8)on the first day of admission,on the day of discharge,and 30 days after discharge.Results:The qualified rate of using inhalers and medication compliance of the observation group were higher than those of the control group,the CAT score was lower in control group than that of the control group,with statistical significance(P<0.05).Conclusion:The designed respiratory specialized nursing and health education model with a bidirectional knowledge,belief,and practice concept has improved patients'self health management and significantly improved the standardization of using dry powder inhalers in COPD patients,thereby improving the medication efficacy and compliance with inhalers.
作者
张素红
陈静
杨晓静
ZHANG Suhong;CHEN Jing;YANG Xiaojing(Department of Respiratory Medicine,Huaihe Hospital,Henan University,Kaifeng 475000,CHN;Medical Department of Kaifeng University,Kaifeng 475004,CHN)
出处
《河南大学学报（医学版）》
CAS
2023年第6期439-443,共5页
Journal of Henan University:Medical Science
基金
开封市科技攻关计划(2204027)。
关键词
慢性阻塞性肺疾病
干粉吸入装置
COPD评估测试量表
用药依从性
影响因素
chronic obstructive pulmonary disease
dry powder inhaler device
COPD Assessment Test Scale(CAT)
drug compliance
affect factor
