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蒋胜华,李 岷,秦茂华,曹秀芬,张秀莲,山凤莲,宋 敏,姜鲁宁.从慢性病自我管理、自我效能的角度对慢性阻塞性肺疾病综合性肺康复的评价[J].中国康复医学杂志,2017,(9):1030~1034
从慢性病自我管理、自我效能的角度对慢性阻塞性肺疾病综合性肺康复的评价    点此下载全文
蒋胜华  李 岷  秦茂华  曹秀芬  张秀莲  山凤莲  宋 敏  姜鲁宁
山东省济宁医学院附属医院呼吸内科,济宁,272100
基金项目:济宁市科技局基金项目(2012jnnk02;2013jnw54);济宁医学院青年基金项目(JYQ2011KM061)
DOI:
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摘要:
      摘要 目的:本研究从慢性病自我管理、自我效能的角度,评价对中重度稳定期慢性阻塞性肺疾病(COPD)进行综合性肺康复的价值。 方法:选择呼吸科进行肺康复训练的Ⅱ—Ⅳ级慢阻肺患者26例为研究对象,实施院内综合康复训练和院外康复跟踪指导,分别测量患者入院康复训练时、康复训练半年时的运动耐力(BODE指数),分别填写“自我管理量表、自我效能量表”,观察康复训练干预效果。 结果:肺康复前的自我管理总分:122.61±11.92,自我效能总分:31.50±4.76;BODE指数分别为:体重指数(BMI):22.88±3.22,第1秒用力肺活量占预计值百分比(FEV1%Pred):47.97±6.42,改良的英国医学研究委员会呼吸困难量表(MMRC):2.26±0.59,6分钟步行距离(6MWD):343.38±54.45。训练半年后资料分析显示:患者自我管理总分:182.82±8.49,自我效能总分:46.64±4.47,均高于肺康复前得分,差异具有显著性意义(P<0.05)。BODE指数分别为:BMI:23.03±3.07,FEV1%Pred:48.54±6.40,MMRC:1.70±0.55,6MWD:385.31±57.22,较前比较呼吸困难评分下降,6MWD增加,差异具有显著性意义(P<0.05)。 结论:综合性肺康复可以提高患者的自我管理水平、自我效能感,有效减轻COPD患者的呼吸困难症状、增强活动耐力、延缓病情进展。
关键词:慢性阻塞性肺疾病  肺康复  自我管理水平  自我效能
Evaluation of self-management, self-efficacy in the comprehensive pulmonary rehabilitation for COPD    Download Fulltext
Department of Respiratory,The Affiliated Hospital of Jining Medical College,Jining,272100
Fund Project:
Abstract:
      Abstract Objective: To evaluate the effects of comprehensive pulmonary rehabilitation therapy on self-management, self-efficacy of patients with moderate and severe COPD. Method: Twenty-six moderate and severe COPD patients accepted treatment in our hospital were enrolled in this study. Treatment strategies included routine drug therapy and comprehensive pulmonary rehabilitation for 6 months. Self-management, self-efficacy questionnaire survey and BODE index were adopted before and after treatment to evaluate the efficacy of comprehensive pulmonary rehabilitation therapy. Result: After comprehensive pulmonary rehabilitation for 6 months, the self-management(182.82±8.49), self-efficacy(46.64±4.47) and 6MWD scores(385.31±57.22) improved than before (corresponding 122.61±11.92,31.50±4.76,343.38±54.45 )significantly. The total score of BODE index(BMI:23.03±3.07,FEV1%Pred:48.54±6.40) and MMRC(1.70±0.55) score were getting lower than before(22.88±3.22,47.97±6.42). Conclusion: Comprehensive pulmonary rehabilitation can improve the level of self-management, self-efficacy and exercise tolerance of patients with COPD.
Keywords:chronic obstructive pulmonary disease  pulmonary rehabilitation  self-management  self-efficacy
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