基于坚强概念的健康教育对慢性阻塞性肺疾病合并肺结核患者自我管理效能及治疗依从行为的影响

Impact of health education based on the strong concept on self-management efficacy and treatment compliance behaviors of patients with chronic obstructive pulmonary disease complicated with tuberculosis

目的探讨基于坚强概念的健康教育对慢性阻塞性肺疾病(COPD)合并肺结核患者自我管理效能及治疗依从行为的影响。方法选择2018年1月至2020年2月江苏省淮安市第四人民医院收治的COPD合并肺结核患者120例,采用随机数字表法分为干预组60例、对照组60例。对照组给予常规健康教育,干预组联合应用基于坚强概念的健康教育。随访6个月,比较两组自我管理效能、治疗依从行为。结果随访6个月,干预组实际完成随访58例,对照组实际完成随访56例。两组自我管理效能评分高于教育前(P<0.05),干预组呼吸困难管理、情感波动、体力活动、环境与温度、自我管理效能总分高于对照组(P<0.05)。两组治疗依从行为评分高于教育前(P<0.05),干预组遵医用药、自我监测、定期复诊、行为改变、治疗遵医行为总分高于对照组(P<0.05)。结论基于坚强概念的健康教育有助于促进COPD合并肺结核患者自我管理效能感的养成,提高治疗依从行为。

Objective To explore the impact of health education based on the strong concept on self-management and treatment compliance behaviors of patients with chronic obstructive pulmonary disease(COPD)complicated with tuberculosis.Methods A total of 120 COPD patients with pulmonary disease tuberculosis admitted to the Fourth People’s Hospital of Huai’an from January 2018 to February 2020 were selected and divided into intervention group 60 cases and control group 60 cases by random number table method.The control group was given regular health education,and the intervention group jointly applied health education based on the strength concept.Follow up for six months the self-management efficacy and treatment compliance behavior of the two groups were compared.Results After six months of follow-up,the intervention group actually completed the follow-up of 58 cases,and the control group actually completed the follow-up of 56 cases.The scores of self-management efficacy in both groups were higher than those before education(all P<0.05).The scores of dyspnea management,emotional fluctuations,physical activity,environment and temperature,and self-management efficacy total scores in the intervention group were higher than those of the control group(P<0.05).The treatment compliance behavior scores of the two groups were higher than those before education(P<0.05).The scores of the intervention group’s compliance with medication,self-monitoring,regular follow-ups,behavior changes,and treatment compliance total score were higher than those of the control group(P<0.05).Conclusion Health education based on the strong concept will help to promote the self-management efficacy of patients with COPD complicated with tuberculosis and improve treatment compliance behavior.