理論與體驗相結合式健康教育干預對COPD急性加重期患者無創通氣治療臨床效果的影響

[摘要] 目的 探討理論與體驗相結合式健康教育干預對COPD急性加重期患者無創通氣治療臨床效果的影響。方法 方便選取2014年2月—2016年6月在該院進行無創通氣治療的COPD急性加重期患者80例，采用數字隨機法，將80例COPD急性加重期患者分為對照組、健康教育組。對照組（n=40）患者采用傳統護理健康教育，健康教育組（n=40）患者采用理論與體驗相結合式健康教育干預（理論教育及體驗教育等方式）。記錄兩組患者進行無創通氣治療時的平均住院天數，觀察并比較兩組患者無創通氣治療時焦慮狀況情況。結果 ①健康教育組患者住院天數為（14.46±1.61）d，低于對照組患者（20.01±2.16）d，兩組數據差異有統計學意義（P<0.001）；②健康教育組患者焦慮狀況低于對照組，兩組患者焦慮狀況情況比較差異有統計學意義（P<0.05）。結論 理論與體驗相結合式健康教育干預臨床療效佳，可有效減輕COPD急性加重期患者的焦慮狀況，有利于提高患者生活質量水平。

[關鍵詞] 理論與體驗相結合式健康教育干預；慢性阻塞性肺疾病；無創通氣治療

[中圖分類號] R473.5 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0139-03

[Abstract] Objective To investigate the effect of health education intervention based on theory and experience on clinical efficacy of noninvasive ventilation in patients with acute exacerbation of COPD. Methods Convenient selection 80 patients with acute exacerbation of COPD in our hospital from February 2014 to June 2016were selected and randomly divided into control group and health education group. Patients in the control group（n=40） were treated with the traditional health education and patients in health education group（n=40） with the combination of theory and experience of health education intervention （theoretical education and experiential education， etc.）. The average hospitalization days were recorded in two groups of patients with noninvasive ventilation and the anxiety status of the two groups were observed and compared. Results ①The time of ICU hospitalization in health education group was lower than that of the control group [（14.46±1.61）d vs（20.01±2.16）d] with statistically significant differences between the two groups of data （P<0.001）； ②The anxiety of health education group was lower than that of the control group with statistical difference（P<0.05）. Conclusion The health education intervention of combination of theory and experience can effectively reduce the anxiety of patients with acute exacerbation of COPD and improve the quality of life of patients.The effect ofintervention clinical efficacy is better.

[Key words] Health education intervention based on theory and experience；Chronic obstructive pulmonary disease； Noninvasive ventilation.

慢性阻塞性肺疾病（chronic obstructive pulmonary dis ease，COPD）是臨床中常見的一類慢性呼吸系統疾病[1-2]。COPD起病緩慢，患者病程一般較長，早期無明顯臨床癥狀，患者可隨病情的進展，出現慢性咳嗽、氣短、胸悶等臨床癥狀，嚴重影響了患者正常的生活質量水平，患者需及時就醫減輕癥狀[3-4]。目前臨床對COPD主要以無創機械通氣治療為主，但大多數患者在通氣過程中依從性較差，治療療效不佳[5]。該文對2014年2月—2016年6月收治的80例COPD患者進行對照研究，旨在探討理論與體驗相結合式健康教育干預對COPD急性加重期患者無創通氣治療臨床效果，現報道如下。……