授权教育对COPD行家用无创呼吸机治疗患者自护能力及疾病管理行为的影响

Influence of Empowered Education on Self-care Abilities and Disease Management Behaviors of COPD Patients with Non-invasive Ventilator

目的探讨授权教育对慢性阻塞性肺疾病(COPD)行家用无创呼吸机治疗患者自护能力及疾病管理行为的影响。方法选取2014年8月～2016年2月我科收治的COPD患者50例作为对照组。选取2016年3月～2017年9月我科收治的COPD患者50例作为观察组。对照组给予常规教育。观察组给予授权教育。比较两组护理前后自护能力、生活质量及疾病管理行为。结果观察组干预1个月后症状管理、日常生活管理、情绪管理、信息管理及自我效能评分均高于对照组,差异有统计学意义(P<0.05);观察组干预1个月后症状、活动能力及疾病影响评分均低于对照组,差异有统计学意义(P<0.05);观察组干预1个月后督促患者改变生活方式、症状监测与处理、治疗管理及心理支持评分均高于对照组,差异有统计学意义(P<0.05)。结论授权教育应用于COPD行家用无创呼吸机治疗患者中可提高其自护能力及生活质量,改善疾病管理行为。

Objective To explore the effects of empowerment education on self-care ability and disease management be havior of patients with chronic obstructive pulmonary disease （COPD） undergoing home non-invasive ventilator therapy. Methods Fifty patients with COPD given conventional education from August 2014 to February 2016 were selected as the control group. Fifty patients with COPD who were enrolled in the education from March 2016 to September 2017 were se lected as the observation group. The self-care ability, quality of life, and disease management behavior were compared be tween the two groups before and after nursing. Results The symptom management, daily life management, emotional man agement, information management and self-efficacy scores in the observation group were significantly higher than those in the control group after 1 month of intervention （P〈0.05）; The scores of activity ability and disease impact were lower than those of the control group, and the difference was statistically significant （P〈0.05）; the observation group urged the pa tient to change lifestyle. The symptom monitoring and treatment, treatment management, and psychological support scores after one month of intervention were higher than in the control group. The difference was statistically significant （P〈0.05）. Conclusion Authorized education can be applied to non--invasive ventilator COPD patients to improve their self-care abili ty, improve the quality of life and disease management behavior, it is worth promoting.