互动达标理论指导下的肺康复护理对COPD患者的干预效果

目的 探讨互动达标理论指导下的肺康复护理对慢性阻塞性肺疾病(COPD)的干预效果。方法 随机选取2020年6月～12月浙江中医药大学附属第三医院收治的180例COPD患者为研究对象。按照随机数字表法将180例患者分为试验组和对照组，每组90例患者。试验组患者在常规护理的基础上给予互动达标理论指导下的肺康复护理，对照组患者给予常规护理。实施干预3个月后，通过肺功能、运动耐力、生活质量和自我护理能力等指标比较两组患者的干预效果。结果 实施干预3个月后，试验组患者第1秒最大呼气量(FEV1)、FEV1/用力肺活量(FVC)、6 min步行试验距离(6WMTD)均高于对照组患者，圣乔治呼吸问卷(SGRQ)3个维度上的评分均低于对照组患者(均P<0.05),自我护理能力测定量表(ESCA)4个维度上的评分均高于对照组患者(均P<0.05),各项比较差异均具有统计学意义(均P<0.05)。结论 互动达标理论指导下的肺康复护理对改善COPD患者的肺功能、提高患者的生活质量和自我护理能力等具有积极的促进作用。

Intervention effect of pulmonary rehabilitation nursing guided by interactive reaching standard theory on COPD patients

Objective To explore the effect of pulmonary rehabilitation nursing intervention on chronic obstructive pulmonary disease(COPD)according to the guidance of the theory of interactive achievement.Methods A total of 180 COPD patients who were treated in The Third Affiliated Hospital of Zhejiang Chinese Medical University from June 2020 to December 2020 were randomly selected as the research objects.According to random number table method,patients were divided into either the control group or the observation group,with 90 cases in each group.The control group was given routine nursing care,and the observation group was given pulmonary rehabilitation nursing according to the guidance of the theory of interactive compliance on the basis of the control group.The indexes of lung function,exercise endurance,quality of life and self-care ability of the two groups before and after 3 months of nursing intervention were compared.Results After 3 months of intervention,the maximum expiratory volume in 1 second(FEV1),FEV1/forced vital capacity(FVC),and 6 min walking test distance(6 WMTD)in the experimental group were higher than those in the control group.The scores of the three dimensions of the St.George’s Respiratory Questionnaire(SGRQ)in the experimental group were lower than those in the control group(all P<0.05).The scores of the four dimensions of the Self-Care Ability Scale(ESCA)in the experimental group were higher than those in the control group(all P<0.05).All the differences were statistically significant(all P<0.05).Conclusions Pulmonary rehabilitation nursing according to the guidance of the theory of interactive compliance has a positive role in improving the lung function of patients with COPD,improving the quality of life and self-care ability of patients.