基于知信行模式的3H护理联合五音呼吸操康复训练对老年慢性阻塞性肺疾病患者肺功能及健康行为的影响

Effects of 3H nursing based on knowledge-attitude-practice model combined with five-tone respiratory exercise rehabilitation training on pulmonary function and health behavior in elderly patients with chronic obstructive pulmonary disease

目的探讨基于知信行模式的3H护理联合五音呼吸操康复训练在老年慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2019年4月至2021年4月我院收治的74例老年COPD患者为研究对象,以抽签法将其随机分为对照组和观察组,各37例。对照组实施常规护理,观察组在对照组基础上应用基于知信行模式的3H护理联合五音呼吸操康复训练。比较两组的干预效果。结果干预后,观察组的代谢当量(MET)、最大摄氧量(VO2max)及主观用力感觉(RPE)均高于对照组(P<0.05)。干预后,观察组的健康责任、压力管理、营养、体育运动评分均高于对照组(P<0.05)。干预后,观察组的临床症状、活动能力评分均低于对照组(P<0.05)。结论基于知信行模式的3H护理联合五音呼吸操康复训练干预应用在老年COPD患者中,有助于改善肺功能和健康行为,提高生活质量。

Objective To explore the application effect of 3H nursing based on knowledge-attitude-practice model combined with five-tone respiratory exercise rehabilitation training in elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 74 elderly patients with COPD admitted in our hospital from April 2019 to April 2021were selected as the research objects and randomly divided into control group and observation group by drawing lots,with37 cases in each group.The control group was given routine nursing,and the observation group was given 3H nursing based on knowledge-attitude-practice model combined with five-tone respiratory exercise rehabilitation training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the metabolic equivalent(MET),maximal oxygen uptake(VO2max)and rating of perceived exertion(RPE)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of health responsibility,stress management,nutrition and sports in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of clinical symptoms and activity ability in the observation group were lower than those in the control group(P<0.05).Conclusion 3H nursing based on knowledge-attitude-practice model combined with five-tone respiratory exercise rehabilitation training intervention in elderly patients with COPD is helpful to improve pulmonary function,health behavior and quality of life.