自我决定理论在老年COPD患者自我管理中的应用研究

目的探讨自我决定理论在老年COPD患者自我管理中的应用及效果。方法将197例老年COPD患者分为对照组和观察组,对照组实施小组工作模式,观察组在此基础上以自我决定理论为指导。6个月后,比较两组患者自我管理水平。结果干预后,观察组老年COPD患者自我管理量表总分和症状管理、日常生活管理、情绪管理、信息管理、自我效能得分均高于对照组,差异有统计学意义(P0.01或P0.05)。结论自我决定理论能有效提高老年COPD患者的自我管理水平和减轻症状。

Application of self-determination theory in the self -management of elderly patients with COPD

Objective To evaluate the application effect of self - determination theory in the self - management of elderly patients with COPD. Methods A total of 197 elderly patients with COPD were divided into the control group and the observation group. Patients in the control group received group work intervention, while patients in the observation group received intervention based self - determination theory. The level of self - management in the two groups were compared af-ter six months. Results After the intervention,the total score of self - management and five dimension scores(symptom management,daily life management,e-motion management,information management and self - efficacy)of patients in the observation group were significantly higher than those of the control group (P ﹤ 0. 01 or P ﹤ 0. 05). Conclusion Self - determination intervention can improve the level of self - management and relieve symptoms in elderly patients with COPD.