医学临床研究
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医学临床研究  2020, Vol. 37 Issue (9): 1376-1378    DOI: 10.3969/j.issn.1671-7171.2020.09.030
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情景模拟健康教育对慢性阻塞性肺疾病患者疾病认知及自我管理能力的影响
亓冬梅, 薛艳丽, 李立峰
济南市人民医院,山东 济南 271100
Effect of Scenario Simulation Health Education on Disease Cognition and Self-management Ability of Patients with Chronic Obstructive Pulmonary Disease
QI Dong-mei, XUE Yan-li, LI Li-feng
Jinan People's Hospital, Jinan, Shandong 271100,China
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摘要 【目的】 探讨情景模拟健康教育对慢性阻塞性肺疾病(COPD)患者疾病认知及自我管理能力的影响。【方法】 选择2019年1~12月收治的94例COPD患者,按照住院时间分为观察组(2019年7~12月)和对照组(2019年1~6月),每组各47例。对照组给予常规健康教育,观察组联合应用情景模拟健康教育。随访12周,比较两组患者疾病认知水平、自我管理能力及肺功能。【结果】 随访12周,两组患者疾病认知水平评分均高于干预前,且观察组明显高于对照组,差异均有统计学意义(P<0.05)。除情绪管理外,两组患者自我管理能力各维度评分均高于干预前,且观察组症状管理、日常生活管理、信息管理及自我效能评分均高于对照组,差异均有统计学意义(P<0.05)。观察组第1秒最大呼气量(FEV1)、FEV1与用力肺活量(FVC)的比值(FEV1/FVC)明显高于对照组(P<0.05)。【结论】 情景模拟健康教育能够提高COPD患者疾病认知水平,增强自我管理能力,对改善肺功能具有重要意义。
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亓冬梅
薛艳丽
李立峰
关键词 肺疾病,慢性阻塞性健康教育疾病管理认知    
Abstract【Objective】 To investigate the effect of scenario-simulated health education on disease cognition and self-management ability of patients with chronic obstructive pulmonary disease (COPD) in China. 【Methods】 A total of 94 COPD patients from January to December 2019 was selected and divided into observation group (July to December 2019) and control group (January to June 2019) according to the length of stay, 47 cases in each group. The control group was given routine health education, and the observation group was given scenario simulation health education. After 12 weeks of follow-up, the cognitive level of disease, self-management ability and lung function were compared between the two groups.【Results】 After 12 weeks of follow-up, the disease cognitive level scores of the two groups were higher than those before the intervention, and the observation group was significantly higher than the control group, the differences were statistically significant (P<0.05). In addition to emotional management, the scores of all dimensions of self-management ability in the two groups were higher than those before the intervention, and the scores of symptom management, daily life management, information management and self-efficacy in the observation group were higher than those in the control group (P<0.05). The ratio of FEV1 to FVC in the observation group was significantly higher than that in the control group (P<0.05).【Conclusion】 Scenario simulation health education can improve the cognitive level of COPD patients and enhance their self-management ability, which is of great significance to improve lung function.
Key wordsPulmonary Disease, Chronic Obstructive    Health Education    Disease Management    Cognition
收稿日期: 2019-01-15     
PACS:  R692  
引用本文:   
亓冬梅, 薛艳丽, 李立峰. 情景模拟健康教育对慢性阻塞性肺疾病患者疾病认知及自我管理能力的影响[J]. 医学临床研究, 2020, 37(9): 1376-1378.
QI Dong-mei, XUE Yan-li, LI Li-feng. Effect of Scenario Simulation Health Education on Disease Cognition and Self-management Ability of Patients with Chronic Obstructive Pulmonary Disease. JOURNAL OF CLINICAL RESEARCH, 2020, 37(9): 1376-1378.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.09.030     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I9/1376
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