教练技术在COPD稳定期患者呼吸功能锻炼中的应用

Application of coaching technique in respiratory function exercise of patients with chronic obstructive pulmonary disease in stable period

目的探讨教练技术在COPD稳定期患者呼吸功能锻炼中的应用效果。方法采用便利抽样法,选取2018年8月—2019年6月于杭州3家省级医院老年科及呼吸科就诊的40例COPD稳定期患者为研究对象。由经过培训的健康教练对其进行为期6个月基于教练技术的呼吸功能锻炼干预,采用慢性阻塞性肺疾病自我效能量表(CSES)、慢性阻塞性肺疾病评估测试量表(CAT)评价患者干预前后自我效能和生活质量。比较干预前后患者对呼吸功能锻炼的知晓度和执行度。结果干预6个月后,与干预前比较,患者呼吸功能锻炼知晓度和执行度评分升高,差异有统计学意义(P<0.05);干预后患者CSES量表评分升高,CAT量表评分降低,与干预前比较差异均有统计学意义(P<0.05)。结论教练技术在COPD稳定期患者呼吸功能锻炼中应用有一定效果,能够提高患者呼吸功能锻炼知晓度和执行度,提高患者自我效能感,改善患者生活质量。

Objective To explore the application effect of coaching technique in respiratory function exercise of patients with chronic obstructive pulmonary disease(COPD)in stable stage.Methods Using the convenient sampling method,a total of 40 COPD patients in stable stage who were treated in Geriatric and Respiratory Departments of 3 provincial hospitals in Hangzhou were selected as the research objects from August 2018 to June 2019.They were given a six-month breathing intervention based on coaching techniques by trained health coaches.COPD Self-Efficacy Scale(CSES)and COPD Assessment Test(CAT)were used to evaluate self-efficacy and quality of life of patients before and after intervention.The awareness and implementation of respiratory function exercise were compared before and after intervention.Results After 6 months of intervention,compared with those before intervention,the score of awareness and implementation of respiratory function exercise of patients increased,and the differences were statistically significant(P<0.05).After the intervention,the score of CSES increased and the scores of CAT decreased,and the differences were statistically significant compared with those before the intervention(P<0.05).Conclusions The application of coaching technique in the respiratory function exercise of COPD patients in stable period has a certain effect,which can improve the awareness and implementation of patients with respiratory function exercise and improve their sense of self-efficacy and quality of life.