Effect of Health Management in Raising Awareness Rate of Disease Prevention and Treatment in Patients with Prehypertension

Objective: To analyze the effect of health management on improving the awareness rate of disease prevention and treatment in patients with prehypertension, so as to provide guidance for clinical management of patients with prehypertension. Methods: 108 patients diagnosed with prehypertension in our hospital were divided into a control group and an experimental group. The control group was not given management measures, while the experimental group was given health management. The incidence of hypertension and cognition level of hypertension knowledge were compared between the two groups after management. Results: The incidence of hypertension in the experimental group was 7.41% lower than that in the control group 29.63%. The cognitive level of hypertension in the patients (66.54 ± 1.25) was significantly higher than that in the patients without health management (41.45 ± 2.45), and P < 0.05;Conclusion: For patients with prehypertension, the implementation of health management is helpful to improve their cognition of hypertension, master related prevention knowledge, and reduce the incidence of hypertension.

Effect of Personalized Education on the Awareness Rate of Protective Knowledge Among Inpatients with Newly Diagnosed Pulmonary Tuberculosis

Objective:This study aims to explore the impact of personalized education on the awareness rate of protective knowledge among inpatients newly treated for pulmonary tuberculosis.Methods:325 initial pulmonary tuberculosis inpatients admitted to our hospital between January 2018 and December 2022 were selected as the research subjects.Using the randomized controlled trial method,they were divided into an experimental group of 163 cases and a control group of 162 cases.The experimental group received personalized education,including personalized guidance on patients'disease awareness,treatment compliance,and preventive measures.The control group received routine health education.After the experiment,the awareness rate of protective knowledge of the two groups of patients was evaluated.Results:The total awareness rate of the experimental group was 76.07%,which was significantly higher than that of the control group,which was 55.63%,and the difference was statistically significant at P<0.05.The transmission route,suspicious symptoms,medical institutions,preferential policies,whether it can be cured,and the full awareness rate of the experimental group were all higher than those of the control group,and the difference was statistically significant at P<0.05.Conclusion:Personalized education positively impacts the awareness rate of protective knowledge among inpatients newly treated for pulmonary tuberculosis.Therefore,when hospitals provide medical services for newly diagnosed pulmonary tuberculosis patients,they should strengthen personalized education,improve patients'awareness of the disease and self-protection ability,and reduce the risk of infection.

Impact of Village-based Health Education of Tobacco Control on the Current Smoking Rate in Chinese Rural Areas

The number of smokers in Chinese rural areas is more than 200 million, which is twice that in cities. It is very significant to carry out tobacco control interventions in rural areas. We performed this community intervention study to evaluate the efficacy of village-based health education of tobacco control on the male current smoking rate in rural areas. The population of this study was the males above 15 years old from 6 villages in rural areas. The villages were randomly assigned to intervention group or control group（3 villages in each group）. Self-designed smoking questionnaire was applied. The intervention group received the village-based health education of tobacco control for one year. The primary outcome measurement was the male current smoking rate. In the baseline investigation, completed surveys were returned by 814 male residents from the control group and 831 male residents from the intervention group. The male current smoking rate in the control group and the intervention group was 61.2% and 58.5%, respectively, before intervention. There was no significant difference between these two groups（P〉0.05）. After one-year intervention, the current smoking rate in the intervention group（51.2%） was significantly lower than that in the control group（62.8%）（P〈0.001）. Our study suggested that the village-based health education of tobacco control was effective in lowering the male current smoking rate in rural areas, which could be a suitable and feasible way for tobacco control in the Chinese rural areas.

Improving myopia awareness via school-based myopia prevention health education among Chinese students

AIM:To investigate the myopia awareness level,knowledge,attitude,and skills at baseline and to implement and evaluate the efficacy of myopia prevention health education among Chinese students.METHODS:A total of 1000 middle school students from 2 middle schools were invited to participate in the study,and myopia prevention health education was conducted.The students were assessed at baseline,followed by a survey.The efficacy of health education was evaluated using the self-comparison method pre-and post-health education.RESULTS:The study included 957 and 850 pre-and post-health education par ticipants,respectively.The baseline knowledge of all respondents on myopic symptoms(87.5%),myopia is a risk of eyes(72.9%),myopia prevention(91.3%),myopia increases with age(86.7%),performing periodic eye examinations(92.8%),and one first,one foot,and one inch(84.8%)significantly increased after health education(P<0.001 for all).However,the percentage of students who still did not think it necessary to take breaks after 30-40min of continuous near work was 27.0%.The opinion that“myopia can be cured”was still present in 38.3%.CONCLUSION:Implementing school-based myopia prevention health education improves knowledge,attitudes,and skills regarding myopia among Chinese middle school students.

Health Awareness: A Significant Factor in Chronic Diseases Prevention and Access to Care

Health literacy and awareness are essential strategies in promoting global health and improving access to care. While seen as an essential tool for promoting population health awareness to improve early detection and treatment of chronic diseases, it is yet to be emphasized in most African countries. Health literacy is an essential practice to promote chronic disease prevention and reduce the growing threat to population health. Incidences and mortalities from chronic diseases commonly arise from limited knowledge of the causative risk factors and access to health facilities. Without knowledge about causes, health impacts, and available health services, people continue to indulge in the habits that worsen their health conditions and fail to access care timely. By using health literacy and awareness as a tool for chronic disease prevention, healthcare professionals will develop strategic health awareness programs that fit the socio-demographics of the population they serve. This article explored the significant role health awareness occupies in individual and community health prevention through health promotion and education. It reviewed the concept and dimensions of chronic disease prevention, cultural beliefs and impact on chronic diseases, gaps created by low health literacy, and the significance of health literacy in disease prevention and health promotion. Furthermore, it recommends that health systems and local communities form partnerships to address common and emerging health problems, and health systems should be properly funded.

Integration of Cervical Cancer Screening Services in the Routine Examinations Offered in the Kenyan Health Facilities: A Systematic Review

Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need to study the factors that lead to low uptake of the screening services. One way of increasing the uptake of the screening services is its integration with other routine services, thus leading to a reduction in morbidity and mortality rates associated with the disease. The objective of this study was to review and examine the importance of integrating cervical cancer screening services in the routine examinations offered in the Kenyan health facilities. A retrospective study design was adopted by this study. The review of articles, journals, strategic plans was done from the year 2012 to 2017. Data sources included Medline, PMC, Library, Pubmed, Google scholar, cancer prevention plans and strategies. About 28 data sources were reviewed with 78.5% indicating that increased knowledge and creation of awareness on cervical cancer would greatly improve the utilization of the screening services. More than 87% of the information collected among published work in Kenya demonstrated that knowledge on importance cervical cancer screening is inadequate. The primary results of this study suggest that all women of reproductive age (WRA) should undergo cervical cancer screening as a routine service. An integration approach should be adopted, to enhance knowledge on cervical cancer and the importance of screening, causes, preventive and treatment options. The study recommends that, the Government of Kenya through the Ministry of health should include cervical cancer screening as a routine procedure for all WRA.

Patients’awareness about their own breast cancer characteristics

BACKGROUND Patients’knowledge about the characteristics of their own cancer could be an important factor for understanding treatment regimens and adhering to therapies.However,to date nothing is known about the awareness among Chinese breast cancer patients about the characteristics of their own tumors.AIM To investigate how much knowledge that Chinese breast cancer patients have about their tumor characteristics and the impact of health and education literacy on the acquisition of such information.METHODS The survey was administered to patients who were diagnosed with breast cancer from 2017 to 2019 in three hospitals in China,and who came in for regular followup on an outpatient basis.We collected responses from 226 respondents who were asked about their cancer characteristics(stage,grade,and estrogen receptor status and human epidermal growth factor receptor 2 status of the cancer),and evaluated the correctness by comparing with their medical records.Logistic regression was used to assess the probability of knowing and of correctly answering questions.We also analyzed the association between our findings and the level of the patient’s education and their health literacy.RESULTS Overall,20.80%to 57.96%of the patients reported knowing about the characteristics of breast cancer;of these,10.18%to 46.46%reported these characteristics correctly.Education,age,and health literacy were all significantly associated with awareness rate,and with the level to which this information was accurate.CONCLUSION Breast cancer patients in China know little about their disease,and better education aimed at improving their knowledge about cancer characteristics is urgently needed.The low level of awareness could represent a deficiency of communication between surgeons and patients,which may be one of the reasons why medical disputes occur in China.

雄安新区普通人群精神卫生知识知晓现状调查

目的了解雄安新区普通人群心理健康状况和精神卫生知识知晓率及相关影响因素。方法动员雄安新区20个社区卫生服务中心和33个乡镇卫生院工作人员通过发送二维码海报、网址链接等方式邀请所辖范围内15~70周岁居民参与填写在线问卷。问卷由自编一般人口学资料和精神卫生与心理保健知识问卷两部分构成。结果2591份问卷中2517份问卷有效。总知晓率为77.22%,平均得分(15.44±2.61)分。问卷四个模块中,精神疾病知识方面正确率(67.95%)、精神卫生相关节日部分正确率(55.51%)较低。单因素分析结果显示,不同年龄、职业、婚姻状况、受教育程度、月收入、心理健康自我评价的精神卫生与心理保健知识问卷得分比较,差异均有统计学意义(P<0.01)。回归分析结果显示,年龄、受教育程度、职业、婚姻状况、对自己心理健康程度的评价是精神卫生知识知晓率的影响因素(P<0.01)。结论雄安新区普通人群精神卫生知识知晓率仍需进一步提高。应着重加强精神卫生节日相关节日的宣传,高年龄段、低受教育程度、离异/丧偶、无收入、对自己心理健康程度评价不健康的居民应该是今后精神卫生知识宣教的重点。

徐汇区中学生精神卫生知识知晓率调查分析

目的 通过对徐汇区中学生精神卫生知识知晓率调查分析,探讨人群差异及知晓水平的影响因素,进而为优化中学生心理健康教育提供参考。方法 采用先典型后分层整群随机抽样,使用《中学生心理健康知识问卷》,对徐汇区504名中学生进行调查。以精神卫生知识得分和知晓率作为评价精神卫生知识知晓水平的依据,并就性别、年级、学校级别、家庭状况、是否接受过心理咨询或心理治疗、是否会担心别人误解而拒绝接受心理咨询这5个特征进行t检验和多元线性回归进行统计分析。结果 女生精神卫生知识知晓率为76.05%,高于男生的72.46%(P<0.05);高中生为78.14%,高于初中生的71.75%(P<0.05);接受过心理咨询或心理治疗的77.76%,高于未曾接受过心理咨询或心理治疗的73.72%(P<0.05);不会担心别人误解而拒绝接受心理咨询的中学生精神卫生知晓率为77.03%,高于会担心和不知道会不会担心别人误解的中学生的68.34%(P<0.05)。结论 不同学校类型、不同家庭状况的精神卫生知识知晓水平无差异;性别、年级、是否接受过心理咨询或心理治疗和会不会担心别人误解而拒绝接受心理咨询是精神卫生知识知晓水平的影响因素。

数字化时代社区健康教育融合与创新研究

该文探讨了在“互联网+”背景下的社区健康教育,着重关注数字化学习方式对社区健康水平的积极影响。研究结果表明,数字化学习方式有效提升了社区居民的健康意识,并促进了健康行为的积极改变,为社区健康水平的提升做出了积极贡献。然而,数字化学习方式在实施过程中也面临一系列挑战。该文提出了一系列针对性的策略,旨在促进数字化学习方式在社区健康教育中的持续发展与创新,为社区健康水平的改善提供可行的路径。这有助于解决实施过程中可能出现的问题,推动社区健康教育向更加智能化的方向发展和可持续发展。

《儿童脑肿瘤家庭手册》在脑肿瘤术患儿中的临床应用

目的探讨联合《儿童脑肿瘤家庭手册》的教育干预对脑肿瘤术患儿神经功能恢复、生活质量及家长知识掌握的影响。方法选取上海交通大学医学院附属新华医院行脑肿瘤切除术的患儿110例,采用随机数字表法分为观察组及对照组,每组55例。术后失访10例,失访率9.1%,最终观察组纳入53例,对照组纳入47例。对照组仅给予常规健康教育,观察组在此基础上发放《儿童脑肿瘤家庭手册》,并由专业护理人员指导家长阅读及给予解答。分别于入院时、出院后1个月时使用儿童功能独立性评定量表(Wee-FIM)、格赛尔小儿发展量表(Gesell)评价患儿神经功能,对家长的疾病知识掌握程度及护理满意度进行调查。在入院时、出院后6个月时,采用中文版儿童生活质量普适性核心量表(Peds QLTM 4.0)评价患儿生活质量。结果2组患儿在入院时的Wee-FIM、Gesell得分差异均无统计学意义(P>0.05);出院后1个月时,观察组上述量表得分均优于对照组,差异有统计学意义(P<0.05)。观察组与对照组在入院时Peds QL得分差异无统计学意义(P>0.05);出院后6个月时,观察组Peds QL各维度得分均高于对照组,差异有统计学意义(P<0.05)。经干预后,观察组家长对疾病的认知率为98.0%,优于对照组的76.5%,差异有统计学意义(P<0.05)。观察组护理满意度高达100.0%,高于对照组的83.0%,差异有统计学意义(P<0.05)。观察组家长康复指导措施的依从性优于对照组,差异有统计学意义(P<0.05)。结论《儿童脑肿瘤家庭手册》的教育干预在临床上取到了良好的应用效果,不仅改善了患儿术后的神经功能与生活质量,同时增加了家长对疾病的认识程度,提高了康复指导措施的依从性及护理满意度。

知信行健康教育护理在冠状动脉旁路移植术患者中的应用效果

目的:观察知信行健康教育护理在冠状动脉旁路移植术(CABG)患者中的应用效果。方法:回顾性分析2021年3月至2022年2月该院收治的92例CABG患者的临床资料,按照护理方法不同将其分为观察组与对照组各46例。对照组实施常规护理,观察组在对照组基础上实施知信行健康教育护理,两组均护理至患者出院。比较两组护理依从率,护理前后应对方式[医学应对问卷(MCMQ)]评分、自护能力[自我护理能力测定量表(ESCA)]评分,护理满意度,以及主要心血管不良事件发生率。结果:观察组护理依从率为95.65%(44/46),高于对照组的78.26%(36/46),差异有统计学意义(P<0.05);护理后,观察组面对评分高于对照组,回避、屈服评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组自我概念、自我责任感、自我护理技能、健康知识水平等ESCA各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.83%(45/46),高于对照组的82.61%(38/46),差异有统计学意义(P<0.05);观察组心脏不良事件发生率为4.35%(2/46),低于对照组的19.57%(9/46),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施知信行健康教育护理可提高CABG患者护理依从率、自护能力评分和护理满意度,改善应对方式评分,降低主要心血管不良事件发生率,效果优于单纯常规护理。

5S健康教育模式对2型糖尿病患者口腔保健行为及知识知晓率的影响

目的 探讨5S健康教育模式对2型糖尿病(T2DM)患者口腔保健行为及知识知晓率的影响。方法 选择2021年9月至2022年9月收治的T2DM患者100例,患者随机分为对照组和观察组,每组50例。对照组给予常规健康教育方法,观察组采用5S健康教育模式进行干预,比较2组患者的干预效果、口腔保健行为及知识知晓率。结果 2组干预后的口腔保健行为优于干预前,且观察组优于对照组,差异有统计学意义(P<0.05)。观察组的口腔健康知识知晓率为92.00%(46/50),高于对照组的70.00%(35/50),差异有统计学意义(P<0.05)。2组干预后对口腔护理、疾病危害、注意事项的认知度评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。2组干预后对合理饮食、保持口腔卫生、定期口腔检查的评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。2组干预后的护患信任程度得分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。2组干预后的口腔健康影响程度量表(OHIP-14)评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论 5S健康教育模式用于T2DM患者中,效果显著,有利于患者进行口腔保护。

2019—2022年上海市静安区学校结核病密接筛查及学校卫生教师结核病知识知晓情况调查

目的:了解上海市静安区学校结核病防控工作现状,为完善学生结核病防治策略提供理论依据。方法:通过静安区学校肺结核登记本,汇总2019—2022年学校或家庭地址位于静安区的学生肺结核患者及结核病密切接触者的相关信息,分析学校结核病流行特征、密切接触者结核感染率等;对静安区托幼机构、小学、初中、高中及中专的学校卫生教师开展问卷调查,了解其对学校结核病相关知识的知晓程度。结果:2019—2022年静安区共发生学校结核病54例,其中,托幼机构、小学、初中、高中学生共17例,大学生25例,托幼机构、小学、初中教职员工12例;主要为因症就诊,共40例。2019—2022年静安区共筛查学校结核病患者密切接触者735人,其中,接受结核感染筛查679人,发现结核潜伏感染阳性63人,潜伏感染阳性率为9.28%(63/679)。其中,托幼机构儿童、学生感染阳性率为7.44%(43/578),教职员工感染阳性率为19.80%(20/101)。符合预防性服药标准且应服药者服药率为13.64%(6/44)。接受调查的202名卫生教师对学校结核病核心信息总知晓率为65.10%,对结核感染核心信息总知晓率为53.34%。结论:静安区学生结核病患者主动发现比例、潜伏感染阳性者预防性服药比例以及学校卫生教师结核病信息知晓率均较低,学校结核病防治相关工作仍需加强。

云南省居民营养健康知识知晓率调查及影响因素分析

[目的]分析云南省居民营养健康知识知晓情况及影响因素,为营养干预政策制定提供科学依据。[方法]采用问卷调查的方式收集云南省7个州(市)10个区(市、县)的3440名18~64岁居民营养健康知识知晓率,根据调查内容进行基本情况分析、t/F检验和线性回归分析,检验水准α=0.05。[结果]调查对象的营养健康知识总体知晓率为16.9%,单因素分析显示,营养健康知识得分与性别、年龄、文化程度、职业和健康状况的差异有统计学意义。Logistics回归分析显示,性别、文化程度为营养健康知识知晓率的影响因素。线性回归分析表明,性别、文化程度是影响居民营养健康知识知晓水平的重要因素,呈现文化程度越高,知晓率越高的趋势,且女性知晓率高于男性。[结论]云南省居民营养健康知识知晓水平相对偏低,有较大的提升空间,应进一步加强营养知识宣传教育,提高居民营养健康素养。

循证理念支持下多维可视化健康教育对剖宫产初产妇母乳喂养认知度及成功率的影响

目的探讨循证理念支持下多维可视化健康教育对剖宫产初产妇母乳喂养认知度及成功率的影响。方法选取2021年6月至2022年12月期间于郑州大学第五附属医院产科进行剖宫产手术的120例初产产妇作为研究对象,根据所行护理时间不同,将2021年6月至2022年4月期间予以剖宫产术后常规干预的60例产妇纳为对照组,将2021年4月至2022年12月期间予以循证理念支持下多维可视化健康教育干预的60例产妇纳为循证组,两组均干预至出院。比较两组产妇喂养认知度、术后24 h以内喂养成功率、产后泌乳始动时间、喂养意愿以及护理满意度。结果干预后,循证组医院自制母乳喂养知识问卷总分、术后24 h以内喂养成功率均高于对照组(P<0.05),产后泌乳始动时间短于对照组(P<0.05);循证组母乳喂养动机量表下各维度评分、中文版母乳喂养自我效能简式量表评分均高于对照组(P<0.05);循证组护理满意度量表下各维度评分及总分均高于对照组(P<0.05)。结论循证理念支持下多维可视化健康教育可明显提升剖宫产初产妇母乳喂养认知度与喂养成功率,缩短产后泌乳始动时间,提高产妇喂养意愿和护理满意度。

海南省居民对国家基本公共卫生服务项目知晓率与满意度网络调查分析

[目的]了解海南省居民对国家基本公共卫生服务项目的知晓率和满意度情况。[方法]采用方便抽样方法,对海南省31507名居民进行网络问卷调查,运用卡方检验、二分类Logistic回归和Spearman相关分析进行统计分析。[结果]海南居民对基本公共卫生服务项目的总体知晓率为85.8%,知晓率的主要影响因素为性别、民族、居住地区、年龄、文化程度、职业、人群类型和家庭平均月收入。居民总体满意度为93.8%,满意度的主要影响因素为年龄、文化程度、居住地区和职业。知晓率与满意度之间呈正相关(r s=0.330,P<0.001)。[结论]海南省居民对国家基本公共卫生服务项目知晓率和满意度较高,应进一步加大宣传力度,提高服务质量,进而提高居民的获得感。

儿童家长对预防接种知晓率的调查以及影响因素分析

目的探讨儿童家长对预防接种知晓率的情况以及影响因素,旨在促进儿童接种工作的顺利进行。方法选取日照市2020年1月—2022年12月接种疫苗的2000名儿童家长进行问卷调查,所有被调查对象均自愿参与,对其调查结果进行分析与统计。采用logistic回归模型预防接种知晓率的影响因素。结果具有大专及以上学历的儿童家长答题正确率最高,占87.61%。该组儿童家长预防接种知识答题情况显示,对于“乙肝疫苗可预防哪种疾病”的回答正确率最高,占97.4%;而对于“百白破三联疫苗预防哪种疾病”的回答正确率最低,占33.00%。儿童家长获得预防接种知识的主要渠道显示,“通过接种门诊医生告知”此种途径所占比例最多,为95.60%;“通过社区卫生室医务人员告知”占37.80%;以其他医生告知,占5.00%;其他途径,占0.40%。采用logistic多因素分析,不同监护人身份、知识知晓途径以及有无参加妈妈课堂的监护人在预防接种知晓率可作为影响儿童家长对预防接种知晓率的高危因素(P<0.05)。结论有关部门应通过多种手段提高儿童家长对预防接种相关知识的知晓率,能够做到向基层普及相关知识,促进预防接种工作的顺利开展。

基于结构化健康教育理念的Neuman护理对维持性血液透析患者自护能力、心智觉知度及水钠控制依从性的影响

目的:探讨基于结构化健康教育理念的Neuman护理对维持性血液透析(MHD)患者自护能力、心智觉知度及水钠控制依从性的影响。方法:选取98例MHD患者为研究对象,根据护理干预方式不同分为研究组和对照组,每组各49例。研究组患者给予基于结构化健康教育理念的Neuman护理干预;对照组患者给予常规护理干预,两组患者干预时间均为12周。比较两组患者干预前后自护能力[自护能力测定量表(ESCA)评分]、心智觉知度[正念觉知注意量表(MAAS)评分]、社会支持[领悟社会支持量表(PSSS)评分]及水钠控制依从性。结果:干预12周后,研究组患者ESCA及MAAS各维度评分均高于对照组(P<0.05);PSSS各维度评分及总分均高于对照组(P<0.05);水钠控制依从率高于对照组(P<0.05)。结论:基于结构化健康教育理念的Neuman护理有利于改善MHD患者自护能力,调节心智觉知度,提升社会支持水平与水钠控制依从性。

多元化健康教育联合常规护理对COPD患者疾病认知度及肺功能的影响

目的:探究多元化健康教育联合常规护理对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者疾病认知度及肺功能的影响,为临床提供参考。方法:选取2019年1月—2021年12月洛阳市东方人民医院收治的62例COPD患者作研究对象,根据随机数表法将其分为观察组和对照组,每组各31例。对照组进行常规护理,观察组采用多元化健康教育联合常规护理。干预1个月后,比较两组患者疾病认知度、肺功能[第1秒用力呼吸(FEV_(1))及第1秒用力呼气量占用力肺活量比率(FEV_(1)/FVC)]、训练依从度、机械通气时间、住院时间。结果:两组患者干预后基本知识、治疗知识、康复锻炼知识、自我护理知识评分及总分均较干预前升高,且观察组各项评分及总分均高于对照组,差异有统计学意义(t=5.442、3.402、4.277、6.653、6.856,P<0.05)。两组患者干预后FEV_(1)及FEV_(1)/FVC水平较干预前升高,且观察组FEV_(1)及FEV_(1)/FVC水平较对照组升高,差异有统计学意义(t=3.422、3.208,P<0.05)。观察组训练依从度(93.55%)较对照组(74.19%)高,差异有统计学意义(χ^(2)=4.292,P<0.05)。观察组机械通气时间、住院时间均较对照组缩短,差异有统计学意义(t=4.720、4.332,P<0.05)。结论:多元化健康教育联合常规护理能够提高COPD患者疾病认知度及训练依从度,改善肺功能,同时有利于加速患者康复。