以家庭为基础信息―动机―行为技巧管理模式在.docVIP

以家庭为基础的信息―动机―行为技巧管理模式在 　　[摘要] 目的 探讨以家庭为基础的信息-动机-行为技巧管理模式（IMB）在慢性阻塞性肺疾病（COPD）患者随访管理中的运用价值。 方法 将72例COPD患者随机分为干预组和对照组，各36例，对照组采用常规出院管理模式，干预组采用以家庭为基础的IMB随访管理模式，随访期为3个月。收集两组患者进行肺康复锻炼的依从性，干预前后肺功能、6 min步行距离（6MWD）及生存质量指标变化情况。 结果 干预组患者进行康复锻炼完全完成率为47.22%，明显高于对照组的11.11%，差异有统计学意义（P 0.05）；在肺功能方面及运动耐力方面，干预后干预组患者的1秒用力呼气容积/用力肺活量、1秒用力呼气容积/预计值、每分钟最大通气量和6MWD均明显高于同组干预前及对照组同期水平（P 0.05）；在生活质量方面，干预后干预组患者症状评分、活动评分、影响评分和总分均明显低于同组干预前及对照组同期水平（P 0.05）。 结论 以家庭为基础的IMB随访管理模式，能够明显提升COPD患者进行康复锻炼的依从性，改善患者的肺功能状态和生存质量，促进患者康复。 　　[关键词] 慢性阻塞性肺疾病；生存质量；以家庭为中心；信息-动机-行为技巧模型 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2016）02（a）-0164-04 　　Application of family-based information-motivation-behavioral skills model in follow-up management of COPD patients 　　OU Yanyun LIANG Xiaying CHEN Yanling GAO Yanfang 　　Department of Respiratory， the Fourth Peoples Hospital of Nanhai District in Foshan City， Guangdong Province， Foshan 528211， China 　　[Abstract] Objective To explore the application value of family-based information-motivation-behavioral skills model （IMB） in follow-up management of chronic obstructive pulmonary disease（COPD） patients. Methods 72 cases of COPD patients were randomly divided into the intervention group and the control group， each group had 36 cases. Conventional discharge management model was performed in the control group and family-based IMB skills model was performed in the intervention group， with a follow-up period of 3 months. For patients in both groups， their compliance to pulmonary rehabilitation training， changes of lung function， 6-minute walking distance （6MWD） and quality of life indexes before and after intervention were observed. Results The full completion rate of rehabilitation training was 47.22% in the intervention group， which was significantly higher than the rate of 11.11% in the control group， with statistically significant difference （P 　　[Key words] Chronic obstructive pulmonary disease； Quality of life； Family-based； Information-motivation-behavioral skills