IMB模型下赋权激励教育联合呼吸运动康复操干预在老年COPD稳定期患者中的应用效果

The Application Effect of Empowerment and Motivational Education with Breathing Exercise Rehabilitation Program Based on IMB Model in Older COPD Stable Period Patients:A Comparative Study

目的探究信息-动机-行为技巧(IMB)模型下赋权激励教育联合呼吸运动康复操干预在老年慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法以IMB模型下赋权激励教育联合呼吸运动康复操在福建省南平市第一医院呼吸与危重症医学科推行时间(2022年3月)为分界线,将推行前(2021年4月—2022年3月)接受呼吸运动康复操干预的42例老年COPD患者纳入对照组;将推行后(2022年4月—2022年11月)接受IMB模型下赋权激励教育联合呼吸运动康复操干预的46例老年COPD患者纳入观察组。比较干预前及干预8周后,两组患者肺功能指标[氧气弥散指数(OI)、用力呼气容积(VC)、最大通气量(MVV)]、生活质量[COPD临床问卷(CCQ)]、病情[6 min步行距离试验(6 MWT)、自我评估测试问卷(CAT)]、自我护理能力(COPD患者自我护理量表)变化。结果干预8周后,观察组OI、VC、MVV、6MWD、COPD患者自我护理量表评分均有上升且高于对照组,CCQ评分、CAT评分均有下降且低于对照组,差异有统计学意义(P<0.05)。结论老年COPD稳定期患者应用IMB模型下赋权激励教育联合呼吸运动康复操干预可有效延缓病情,改善肺功能,对提高自我护理能力、生活质量有积极作用。

Objective To investigate the application effect of empowerment and motivational education with breathing exercise rehabilitation program based on IMB model in older patients with chronic obstructive pulmonary disease(COPD)in stable period.Methods The study was divided into two periods:before the implementation of the program(from April 2021 to March 2022)and after the implementation(from April 2022 to November 2022).A total of 42 patients with COPD in the older age group who received breathing exercise rehabilitation before the implementation of the program were included in the control group.A total of 46 patients with COPD in the older age group who received empowerment and motivational education with breathing exercise rehabilitation after the implementation of the program were included in the observation group.The changes in pulmonary function indicators(OI,VC,MVV),quality of life(CCQ),disease status(6MWD,CAT),and selfcare ability(COPD self-care scale)before and after the intervention were compared.Results After 8 weeks of intervention,the observation group showed an increase in OI,VC,MVV,6MWD,and COPD self-care scale scores,which were higher than those in the control group.The CCQ and CAT scores decreased and were lower than those in the control group,with statistically significant differences(P<0.05).Conclusions The application of the IMB model-based weighted incentive education combined with breathing exercise rehabilitation for stable-stage COPD patients in the elderly can effectively slow down the progression of the disease,improve lung function,and have a positive impact on improving self-care ability and quality of life.