首页|期刊导航|沈阳医学院学报|基于行为转变理论的目标导向护理对支气管哮喘缓解期患者康复效果的影响

基于行为转变理论的目标导向护理对支气管哮喘缓解期患者康复效果的影响OA

Rehabilitation effect of goal-oriented nursing based on behavior change theory on patients with bronchial asthma in remission period

中文摘要英文摘要

目的:探讨基于行为转变理论的目标导向护理对支气管哮喘缓解期患者康复效果的影响.方法:选取2022年10月至2023年10月河南大学第一附属医院就诊的124例支气管哮喘缓解期患者为研究对象,按照随机数字表法分为常规组和目标导向组,各62例.常规组采用常规护理,目标导向组在常规护理基础上采用基于行为转变理论的目标导向护理.干预3个月后,比较2组疾病认知水平、自我管理能力[采用自我管理能力问卷(ESCA)评估]、健康素养[采用健康素养调查量表(HeLMS)评估]、哮喘控制状况[采用哮喘控制测试表(ACT)评分评估]、肺功能[包括用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、呼气峰值流速(PEF)]、生活质量[采用哮喘生活质量评估表(AQLQ)评估].结果:干预后,目标导向组疾病认知水平、ESCA、HeLMS、AQLQ各维度评分及ACT评分、FVC、FEV1、PEF均高于常规组(P<0.05).结论:基于行为转变理论的目标导向护理干预可提高支气管哮喘缓解期患者的疾病认知水平、自我管理能力、健康素养,有效控制哮喘症状,改善肺功能,提高生活质量.

Objective:To investigate the rehabilitation effect of goal-oriented nursing based on behavior change theory on patients with bronchial asthma in remission period.Methods:A total of 124 patients with bronchial asthma in remission period in the First Affiliated Hospital of Henan University from Oct 2022 to Oct 2023 were selected and divided into the routine group and the goal-oriented group according to the random number table method,with 62 cases in each group.The routine group received routine nursing,while the goal-oriented group received goal-oriented nursing based on behavior change theory on the basis of the routine group.After 3 months of intervention,the disease cognition level,self-management ability[evaluated with exercise of self-care agency scale(ESCA)],health literacy[evaluated with health literacy management scale(HeLMS)],asthma control status[evaluated with asthma control test(ACT)score],lung function[including forced vital capacity(FVC),forced expiratory volume in one second(FEV1),peak expiratory flow rate(PEF)],and quality of life[evaluated with asthma quality of life questionnaire(AQLQ)]were compared between the two groups.Result:After the intervention,the scores of each dimension in the disease cognition level,ESCA,HeLMS,AQLQ,and ACT,and the levels of FVC,FEV1,and PEF in the goal-oriented group were higher than those in the routine group(P<0.05).Conclusion:Goal-oriented nursing based on behavior change theory can improve the disease cognition,self-management ability,and health literacy of patients with bronchial asthma in remission,effectively control asthma symptoms,improve lung function,and enhance quality of life.

巩尚琦;周莹;沈玉洁

河南大学第一附属医院呼吸与危重症医学科一病区,河南 开封 475000河南大学第一附属医院呼吸与危重症医学科一病区,河南 开封 475000河南大学第一附属医院呼吸与危重症医学科一病区,河南 开封 475000

医药卫生

支气管哮喘行为转变理论目标导向护理疾病认知自我管理生活质量

bronchial asthmabehavior change theorygoal-oriented nursingdisease cognitionself-managementquality of life

《沈阳医学院学报》 2026 (1)

45-50,6

10.16753/j.cnki.1008-2344.2026.01.008

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