自我效能干预提升老年哮喘患者依从性和疾病控制率的研究

Research on Self-efficacy Intervention to Improve Compliance and Disease Control Rate of Elderly Patients with Asthma

目的探讨自身管理模式应用于老年哮喘患者中,对于提升其治疗依从性和疾病控制率的临床效果。方法选取科室2017年10月—2019年3月收治的老年哮喘患者83例作为研究对象,在满足伦理学和患者知情权的基础上,将83例对象分为实验组(n=44)和对照组(n=39);实验组实施患者自身管理模式护理,对照组行单纯哮喘护理,比较两组的护理效果。结果实验组患者的疾病控制率93.18%(41/44),对照组疾病控制率82.05%(32/39),组间差异有统计学意义(χ^(2)=5.708,P<0.05);实验组患者对于护理服务的满意率为97.73%(43/44),对照组患者的护理满意率为89.74%(35/39),组间差异有统计学意义(P<0.05);实验组患者干预后的自我管理能力及生活质量评分均优于对照组,组间差异有统计学意义(P<0.05)。结论对老年患者实施自身管理模式护理,可提升患者的依从性,进而提高哮喘控制率,达到改善生活质量的目的。

Objective To explore the clinical effect of self-management model applied to elderly patients with asthma in improving their treatment compliance and disease control rate.Methods A total of 83 elderly asthma patients admitted to the department from October 2017 to March 2019 were selected as the research objects.On the basis of meeting ethics and the patient’s right to know,the 83 cases were divided into experimental group(n=44)and control group(n=39);the experimental group implemented patients'self-management model care,and the control group implemented pure asthma care.Compared the care effects of the two groups.Results The disease control rate of patients in the experimental group was 93.18%(41/44),and the disease control rate in the control group was 82.05%(32/39).The difference between the groups was statistically significant(χ^(2)=5.708,P<0.05);the service satisfaction rate was 97.73%(43/44),and the care satisfaction rate of the control group was 89.74%(35/39),the difference between the groups was statistically significant(P<0.05);the self-management of the experimental group after intervention the ability and quality of life scores were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Carrying out self-management model care for elderly patients can improve patient compliance,thereby increasing the rate of asthma control and achieving the goal of improving the quality of life.