老年慢性阻塞性肺疾病患者应用Swanson关怀理论的健康教育实践研究OACSTPCD
Research on effects of health education based on Swanson's caring theory in elderly patients with chronic obstructive pulmonary disease
目的 观察基于Swanson关怀理论的健康教育对老年慢阻肺患者治疗依从性和生活质量的影响.方法 回顾性选取2021年6月-2023年6月间在亳州市人民医院接受治疗的老年COPD稳定期患者104例,依据不同干预措施将患者分为对照组和观察组,每组52例.对照组患者行常规健康教育,观察组采用基于Swanson关怀理论的健康教育.观察并比较2组干预前后患者治疗依从性、生活质量和肺功能指标值变化情况.结果 干预后,观察组和对照组患者吸入药物治疗依从性量表(TAI)评分均较同组干预前升高,且观察组TAI评分高于对照组(均P<0.05);观察组和对照组患者活动能力、胸闷、精力和日常活动能力评分较同组干预前降低,且观察组上述评分均低于对照组(均P<0.05).干预后,观察组和对照组患者FVC、FEV1/FVC较干预前升高,且观察组高于对照组(P<0.05).结论 应用基于Swanson关怀理论的健康教育可显著改善老年慢阻肺患者的治疗依从性,提高患者的生活质量和肺功能.
Objective To analyze the effects of health education based on Swanson's caring theory on treatment compli-ance and quality of life of elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 104 eld-erly patients with stable COPD who received treatment in People's Hospital of Bozhou City from June 2021 to June 2023 were retrospectively selected.They were divided into control group and observation group according to different intervention meas-ures,with 52 cases in each group.The control group received routine health education,while the observation group received health education based on Swanson's caring theory.The changes of treatment compliance,quality of life and lung function in-dexes before and after intervention were observed and compared between the two groups.Results After intervention,the scores of Test of Adherence to Inhalers(TAI)of both groups were higher than those of the same group before intervention,and the observation group was higher than the control group(all P<0.05);the scores of activity ability,chest tightness,energy and daily activity ability of both groups were lower than those of the same group before intervention,and the observation group was lower than the control group(all P<0.05).After intervention,the levels of FVC and FEV1/FVC of both groups were higher than those of the same group before intervention,and the observation group was higher than the control group(P<0.05).Conclusion The application of health education based on Swanson's caring theory can significantly improve the treat-ment compliance of elderly COPD patients,thereby improving their quality of life and lung function.
梁艳芳;陈静;杜萍
亳州市人民医院呼吸与危重症医学科二病区,安徽亳州 236800
老年慢性阻塞性肺疾病Swanson关怀理论健康教育治疗依从性
elderlychronic obstructive pulmonary diseaseSwanson's caring theoryhealth educationtreatment com-pliance
《老年医学与保健》 2024 (004)
990-993,1048 / 5
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