赋权激励教育结合共享决策对慢性阻塞性肺疾病急性加重期患者肺康复的影响

Effects of Empowerment,Incentive Education and Shared Decision Making on Pulmonary Rehabilitation in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的探讨赋权激励教育结合共享决策对慢性阻塞性肺疾病急性加重期(AECOPD)患者肺康复的影响。方法选取郑州大学第一附属医院2021年9月1日至2022年9月1日就诊的150例AECOPD患者,根据护理方法分为研究组(75例)和对照组(75例)。对照组接受常规护理干预,研究组在对照组基础上接受赋权激励教育结合共享决策,比较两组肺功能[最大呼气中期流速(MMEF)、呼气峰流速(PEF)、第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)]、呼吸困难症状严重程度[呼吸困难评分量表(mMRC)]、健康行为、睡眠质量[匹兹堡睡眠质量量表(PSQI)]、生活质量。结果干预后研究组MMEF、FEV_(1)、PEF、FVC高于对照组(P<0.05);干预后研究组mMRC、PSQI评分低于对照组,人际间支持、运动锻炼、自我实现、压力管理、营养、健康责任评分及健康行为总分高于对照组(P<0.05);干预后研究组情感、疲劳、病情控制、喘息评分及生活质量总分较对照组高(P<0.05)。结论赋权激励教育结合共享决策可促进AECOPD患者肺康复,改善患者健康行为,减轻呼吸困难症状,提升患者睡眠质量及生活质量。

Objective To explore the effects of empowerment and incentive education combined with shared decision-making on pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 150 cases of AECOPD patients treated in the First Affiliated Hospital of Zhengzhou University from September 1,2021 to September 1,2022 were selected and divided into study group(75 cases)and control group(75 cases)according to different nursing methods.The control group was given routine nursing intervention,and the research group was given empowerment,incentive,education and shared decision-making on the basis of the control group.The lung function[maximum mid-expiratory flow rate(MMEF),forced expiratory volume in the first second(FEV_(1)),peak expiratory flow rate(PEF),forced vital capacity(FVC)],dyspnea symptom severity[modified medical research council dyspnea scale(mMRC)],health behavior,sleep quality[Pittsburgh sleep quality scale(PSQI)]and quality of life of the two groups were compared.Results After intervention,the MMEF,FEV_(1),PEF and FVC of the study group were higher than those of the control group(P<0.05).After intervention,the scores of mMRC and PSQI in the study group were lower than those in the control group,while the scores of self-actualization,health responsibility,exercise,nutrition,interpersonal support,stress management and total scores of health behavior in the study group were higher than those in the control group(P<0.05).After intervention,the scores of emotion,fatigue,disease control,wheezing and total quality of life in the study group were higher than those in the control group(P<0.05).Conclusion Empowerment,incentive education and shared decision making can promote pulmonary rehabilitation,improve health behaviors,reduce dyspnea symptoms,and improve sleep quality and life quality of patients with AECOPD.