摘要
目的分析基于知信行模式下的3H护理在慢性阻塞性肺疾病(COPD)急性加重期患者中的应用效果。方法选取2020年9月—2023年9月南京市第一医院收治的64例COPD急性加重期患者,将2020年9月—2021年9月收治的32例患者作为对照组,将2021年10月—2023年9月收治的32例患者作为观察组。对照组采取常规护理,观察组实施基于知信行模式的3H护理。比较两组护理前后心理弹性、生活质量、自我护理能力及自我效能。结果护理后,两组Connor Davidson心理弹性量表(CD-RISC)、慢性呼吸系统疾病问卷(CRQ)、自我护理能力测定量表及健康促进策略量表(SUPPH)各维度评分均高于护理前,且观察组CD-RISC、CRQ、SUPPH各维度评分及健康知识水平、自我概念、自我责任感评分高于对照组(P<0.05);但两组护理技能评分比较,差异无统计学意义(P>0.05)。结论基于知信行模式下的3H护理能够提高COPD急性加重期患者的心理弹性、生活质量、自我护理能力和自我效能。
Objective To analyze the application effect of 3H nursing based on knowledge-belief-behavior model in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods A total of 64 patients with acute exacerbation of COPD were selected from September 2020 to September 2023 in Nanjing First Hospital.A total of 32 patients admitted from September 2020 to September 2021 were selected as control group,and 32 patients admitted from October 2021 to September 2023 were selected as observation group.The control group received routine nursing,and the observation group received 3H nursing based on knowledge-belief-behavior model.Mental resilience,quality of life,self-care ability and self-efficacy were compared between the two groups before and after nursing.Results After nursing,the scores of each dimension of Connor Davidson Resilience Scale(CD-RISC),Chronic Respiratory Disease Questionnaire(CRQ),Exercise of Self-Care Agency Scale,and Strategies Used by People to Promote Health Scale(SUPPH)in the two groups were higher than those before nursing,and the scores of each dimension of CD-RISC,CRQ and SUPPH in the observation group were higher than those in the control group,and the scores of health knowledge level,self-concept and self-responsibility in the observation group were higher than those in the control group(P<0.05);however,there was no significant difference in the scores of nursing skills between the two groups(P>0.05).Conclusions 3H nursing based on knowledge-belief-behavior model can improve the mental resilience,quality of life,self-care ability and self-efficacy of patients with acute exacerbation of COPD.
作者
邵丽华
吉婷
SHAO Lihua;JI Ting(Department of Respiratory Medicine,Nanjing First Hospital,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu 210000,China)
出处
《医药前沿》
2025年第10期110-113,共4页
Journal of Frontiers of Medicine
关键词
慢性阻塞性肺疾病
急性加重
知信行模式
3H护理
心理弹性
生活质量
自我护理能力
自我效能
Chronic obstructive pulmonary disease
Acute exacerbation
Knowledge-belief-behavior model
3H nursing
Mental resilience
Quality of life
Self-care ability
Self-efficacy
