保护动机理论下延伸护理对慢性阻塞性肺疾病患者自护能力和遵医行为的影响

Effect of Extended Care under the Protective Motivation Theory on Self-care Ability and Compliance Behavior in Patients with Chronic Obstructive Pulmonary Disease

目的:探究保护动机理论下延伸护理对慢性阻塞性肺疾病患者自护能力和遵医行为的影响。方法:于2020年3月—2023年3月选取厦门大学附属第一医院呼吸与危重症医学科慢性阻塞性肺疾病患者200例,随机分为两组,对照组(n=100)行常规延伸护理,观察组(n=100)行保护动机理论下延伸护理。观察两组临床症状、自护能力、遵医行为及生活质量。结果:干预后,观察组治疗效果优于对照组,差异有统计学意义(P<0.05)。干预后,观察组自我护理能力量表(exercise of self-care agency scale,ESCA)评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组依从性高于对照组(P<0.05)。干预后,观察组生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)分值均高于对照组,差异均有统计学意义(P<0.05)。结论:保护动机理论下延伸护理应用于慢性阻塞性肺疾病中,可改善患者临床症状,提升其自护能力,加强遵医行为,提高生活质量,临床效果显著。

Objective:To explore the influence of extended care under the protective motivation theory on self-care ability and compliance behavior in patients with chronic obstructive pulmonary disease.Method:From March 2020 to March 2023,200 patients with chronic obstructive pulmonary disease in the Department of Respiratory and Critical Care Medicine of the First Affiliated Hospital of Xiamen University were selected,and they were randomly divided into two groups,the control group(n=100)underwent routine extended care,and the observation group(n=100)performed extended care under the protective motivation theory.The clinical symptoms,self-care ability,compliance behavior and quality of life were observed in two groups.Result:After intervention,the treatment effect of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).After intervention,the exercise of self-care agency scale(ESCA)scores of the observation group were higher than those in the control group,the differences were significant(P<0.05).After the intervention,the compliance of the observation group was higher than that of the control group(P<0.05).After the intervention,generic quality of life inventory-74(GQOLI-74)scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of extended care under the theory of protective motivation in chronic obstructive pulmonary disease can improve patients'clinical symptoms,enhance their self-care ability,strengthen their compliance behavior,improve their quality of life,and have significant clinical effects.