基于认知目标执行理念的干预策略在COPD康复期患者中的应用效果

Effects of intervention strategy based on cognitive goal execution concept on patients with chronic obstructive pulmonary disease during rehabilitation

目的:探讨基于认知目标执行理念的干预策略在COPD康复期患者中的应用效果。方法:采用便利抽样法,选取2019年1—12月于某院住院治疗后病情平稳的89例COPD患者,采用随机数字表法随机分为对照组(47例)与试验组(42例)。对照组给予常规COPD认知教育,试验组给予基于认知目标执行理念的干预策略。于患者入院时和项目实施3个月后检测两组患者的肺功能和COPD疾病认知水平。结果:干预3个月后,两组疾病认知的用药治疗、家庭氧疗、运动锻炼、吸烟情况4个维度评分及总分高于入院时,且试验组的用药治疗、家庭氧疗、运动锻炼、吸烟情况4个维度评分及总分高于对照组,差异均有统计学意义(P<0.01)。干预3个月后,两组的肺活量(VC)、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、呼气流量峰值(PEF)及第1秒用力肺活量占用力肺活量的比值(FEV1/FVC)均高于入院时,且试验组的VC、FVC、FEV1、PEF及FEV1/FVC均高于对照组,差异均有统计学意义(P<0.05)。结论:基于认知目标执行理念的干预策略可以提高患者对疾病的认知水平,改善COPD患者的肺功能,有助于疾病恢复。

Objective:To explore the effects of intervention strategy based on cognitive goal execution concept on patients with chronic obstructive pulmonary disease(COPD)during rehabilitation.Methods:Totally 89 COPD patients who were hospitalized and stabilized in one hospital between January and December 2019 were selected by convenient sampling and divided into the control group(n=47)and the experimental group(n=42)according to the random number table.Patients in the control group received COPD cognition education,while patients in the experimental group were treated with the intervention strategy based on cognitive goal execution concept.The lung function and COPD disease cognition level of the two groups of patients were measured at admission and 3 months after the implementation of the project.Results:The scores of medication,family oxygen therapy,exercise,and smoking and total scores of disease cognition of the two groups after 3 months of intervention were higher than those at admission;the scores of medication,family oxygen therapy,exercise,smoking and total scores of the experimental group were higher than those of the control group;the differences were statistically significant(P<0.01).The vital capacity(VC),forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),peak expiratory flow(PEF)and the percentage of FEV1 in FVC(FEV1/FVC)of the two groups after 3 months of intervention were higher than those at admission;the VC,FVC,FEV1,PEF and FEV1/FVC of the experimental group were higher than those of the control group;the differences between the two groups were statistically significant(P<0.05).Conclusions:The intervention strategies based on cognitive goal execution concept can improve patients'disease cognition,enhance the lung function of COPD patients,and contribute to disease recovery.