基于健康信念模式干预对慢性阻塞性肺疾病患者长程家庭氧疗行为效果.docVIP

基于健康信念模式干预对慢性阻塞性肺疾病患者长程家庭氧疗行为效果 　　[摘要] 目的 探讨基于健康信念模式的干预对慢性阻塞性肺疾病（COPD）患者长程家庭氧疗行为的影响。 方法 选择2016年6月～2017年1月于北京大学首钢医院和中国医科大学航空总医院呼吸内科住院的COPD患者68例，采用掷硬币法分为干预组和对照组，每组各34例。对照组接受常规出院指导，干预组采用基于健康信念模式的干预，比较两组患者干预前后长程家庭氧疗行为。 结果 干预前两组患者平均每日吸氧时间和长程家庭氧疗行为得分比较，差异无统计学意义（P 0.05）。干预后干预组患者平均每日吸氧时间和长程家庭氧疗行为得分显著优于对照组，且显著高于干预前，差异有统计学意义（P 0.05）。长程家庭氧疗行为执行率高于同期对照组（P 0.05）。 结论 基于健康信念模式的干预可有效改善患者长程家庭氧疗行为，提高患者生活质量。 　　[关键词] 慢性阻塞性肺疾病；长程家庭氧疗行为；平均每日吸氧时间；健康信念模式 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）06（b）-0165-05 　　Effect of health belief model intervention on long-term home oxygen therapy behaviors in patients with chronic obstructive pulmonary disease YAN Jinying1 ZHANG Erming2 YU Lijun1 　　1.School of Nursing， Peking Union Medical College， Peking 100730， China； 2.Department of Respiratory Medicine， Peking University Shougang Hospital， Peking 100144， China 　　[Abstract] Objective To explore the effects of health belief model （HBM） intervention on long-term home oxygen therapy behaviors in COPD patients. Methods From June 2016 to January 2017， 68 patients with COPD in Peking University Shougang Hospital and China Medical University Aviation General Hospital were selected， and they were divided into control group and intervention group， according to throw coins， with 34 cases in each group.Patients of the control group were received routine nursing intervention and patients of the intervention group were received intervention based on HBM. Long-term home oxygen therapy behaviors of patients in the two groups before and after intervention were compared. Results Average daily oxygen time and long-term home oxygen therapy behaviors of two groups before the intervention had no significant differences （P 0.05）， while the two indexes of intervention group after the intervention were all better than those of control group and the results before the intervention， the comparison indexes had significant differences （P 0.05）； compared with the control group， there was significant difference