综合干预和健康教育在慢性阻塞性肺疾病患者吸入性药物使用中的应用效果

Effect of comprehensive intervention and health education on inhaled drugs for patients with chronic obstructive pulmonary disease

目的探讨综合干预和健康教育在慢性阻塞性肺疾病患者吸入性药物使用中的应用效果, 以期指导临床工作。方法选取2020年5月至10月黄石市第五医院收治的56例慢性阻塞性肺疾病患者为研究对象, 采用随机数字表法分为研究组(28例)与对照组(28例)。研究组中, 男21例, 女7例;年龄(68.5±2.8)岁;吸烟者20例;病程(12.6±2.2)年。对照组中, 男23例, 女5例;年龄(69.5±3.0)岁;吸烟者21例;病程(12.2±2.6)年。对照组选常规方法开展指导, 研究组在对照组的基础上应用综合干预和健康教育管理模式, 评价干预后两组间患者吸入剂使用的正确率和依从性。采用t检验与χ^(2)检验进行统计分析。结果研究组采用综合干预和健康教育管理模式后, 其吸入剂使用的正确率、依从性均高于对照组[96.43%(27/28)比64.29%(18/28)、78.57%(22/28)比42.86%(12/28)], 差异均有统计学意义(χ^(2)=9.164、7.487, P=0.003、0.006)。结论采用综合干预和健康教育管理模式指导慢性阻塞性肺疾病患者的吸入剂使用, 能有效提高该类患者吸入剂使用的正确率和依从性, 该干预模式和健康教育值得临床推广应用。

Objective To explore the application effect of comprehensive intervention and health education in inhaled drugs for patients with chronic obstructive pulmonary disease(COPD),and to guide the promotion of clinical work.Methods Fifty-six patients with COPD treated in Huangshi Fifth Hospital from May 2020 to October 2020 were selected as the research objects,and were divided into a study group and a control group by the random number table method,with 28 cases in each group.There were 21 males,7 females,and 20 smokers in the study group,and they were(68.5±2.8)years old,with a disease course of(12.6±2.2)years.There were 23 males,5 females,and 21 smokers in the study group,and they were(69.5±3.0)years old,with a disease course of(12.2±2.6)years.The control group chose the conventional method for guidance.On the basis of the control group,the study group applied the comprehensive intervention and health education management mode.The accuracies and compliance of inhaler use in the two groups after the intervention were evaluated.t andχ^(2) tests were applied.Results After the comprehensive intervention and health education management mode was adopted,the accuracy and compliance of inhaler use in the study group were higher than those in the control group[96.43%(27/28)vs.64.29%(18/28)and 78.57%(22/28)vs.42.86%(12/28)],with statistical differences(χ^(2)=9.164 and 7.487;P=0.003 and 0.006).Conclusion Using comprehensive intervention and health education management mode to guide the use of inhalants in patients with chronic obstructive pulmonary disease can effectively improve the accuracy and their compliance,so it is worthy of clinical application.