健康教练技术在慢性阻塞性肺疾病患者肺康复中的应用

Effect of health coaching technique in pulmonary rehabilitation of patients with chronic obstructive pulmonary disease

目的探讨健康教练技术在COPD患者肺康复中的应用,为COPD患者的临床干预提供依据。方法采用方便抽样法,选取2019年1—6月郑州大学第一附属医院收治的COPD患者75例,按照随机数表法分为观察组(n=38)和对照组(n=37)。对照组患者给予COPD常规护理,观察组采用健康教练技术对患者进行干预。采用COPD患者自我管理量表、慢性病病人健康素养量表、运动自我效能量表评价干预的效果。结果干预6个月后,观察组患者自我管理量表各维度得分以及健康素养量表中信息获取能力、交流互动能力、改善健康意愿得分高于对照组,差异有统计学意义(P<0.05)。干预后观察组患者运动自我效能量表得分(8.26±2.43)分,对照组(6.45±2.07)分,差异有统计学意义(t=3.468,P<0.01)。结论健康教练技术能够提高COPD患者自我管理能力,提高患者的健康素养和运动自我效能。

Objective To explore the effect of health coaching technology in the pulmonary rehabilitation of chronic obstructive pulmonary disease(COPD)patients,and provide basis for clinical intervention of COPD patients.Methods From January to June 2019,convenience sampling was used to select 75 COPD patients admitted to the First Affiliated Hospital of Zhengzhou University.According to the random number table method,patients were divided into observation group(n=38)and control group(n=37).Patients in control group were given routine care for COPD,and observation group implemented the health coaching technology.The intervention effects were evaluated with the Self-Management Scale for Chinese Patients with Chronic Obstructive Pulmonary Disease,the Scale on Health Literacy for Patients with Chronic Disease and the Exercise Self-efficacy Scale.Results After 6 months of intervention,the scores of each dimension of the self-management scale,and the scores of information acquisition ability,communication and interaction ability,and willingness to improve health in the health literacy scale of patients in observation group were higher than those in control group,the difference was statistically significant(P<0.05).After intervention,the scores of the Exercise Self-efficacy Scale of patients in observation group and control group were(8.26±2.43)and(6.45±2.07)respectively,and the difference was statistically significant(t=3.468,P<0.01).Conclusions Health coaching technology can improve the self-management ability,health literacy and exercise self-efficacy of COPD patients.