| 何津津.以BCW理论为指导的肺康复方案对慢性阻塞性肺疾病患者健康素养、CAT评分及肺功能的影响[J].上海护理,2025,25(9): |
| 以BCW理论为指导的肺康复方案对慢性阻塞性肺疾病患者健康素养、CAT评分及肺功能的影响 |
| Effects of a BCW theory-guided pulmonary rehabilitation program on health literacy, CAT scores, and lung function in patients with chronic obstructive pulmonary disease |
| 投稿时间：2024-08-30 修订日期：2025-06-17 |
| DOI： |
| 中文关键词: [关键词] 慢性阻塞性肺疾病 行为改变模式 肺康复方案 健康素养 病情严重程度 肺功能 |
| 英文关键词:[keywords] chronic obstructive pulmonary disease behavior change model pulmonary rehabilitation program health literacy severity of illness lung function |
| 基金项目:江西省卫生健康委科技计划项目(编号:20214545) |
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| 中文摘要: |
| [摘要]目的 探讨慢性阻塞性肺疾病（COPD）患者实施以行为改变模式（BCW）理论为指导的肺康复方案的干预效果。方法 采用随机数字表法将本院2022年5月至2024年5月收治的96例COPD患者分为对照组（48例）和观察组（48例）。对照组采取常规护理，观察组采取以BCW理论为指导的肺康复方案，两组均持续护理随访观察3个月。比较两组患者健康素养、病情严重程度、肺功能以及生活质量。结果 观察组护理后健康素养各项评分均高于对照组（P＜0.05）；观察组护理后慢性阻塞性肺疾病评估测试（CAT）评分低于对照组（P＜0.05）；观察组护理后呼气峰流速（PEF）、用力肺活量（FVC）、每分钟最大通气量（MVV）和第1s用力呼气容积（FEV1）均高于对照组（P＜0.05）；观察组护理后圣乔治呼吸问卷（SGRQ）各项评分均低于对照组（P＜0.05）。结论 以BCW理论为指导的肺康复方案可提升COPD患者健康素养水平，减轻患者疾病症状，改善其肺功能，从而提升患者生活质量水平。 |
| 英文摘要: |
| [Abstract] Objective To explore the intervention effect of implementing a pulmonary rehabilitation program guided by the behavior change model (BCW) theory in patients with chronic obstructive pulmonary disease (COPD). Methods Ninety-six COPD patients admitted to our hospital from May 2022 to May 2024 were divided into a control group (48 cases) and an observation group (48 cases) using a randomized numeric table method. The control group adopted conventional nursing care, and the observation group adopted a pulmonary rehabilitation program guided by BCW theory, and both groups were observed for 3 months of continuous nursing follow-up. The two groups were compared in terms of health literacy, severity of disease, pulmonary function and quality of life. Results: The health literacy scores of the observation group were higher than those of the control group (P < 0.05); the scores of the chronic obstructive pulmonary disease (COPD) assessment test (CAT) of the observation group were lower than those of the control group (P < 0.05); the scores of the peak expiratory flow rate (PEF), forceful lung capacity (FVC), maximal ventilation per minute (MVV), and forceful expiratory volume in the first s (FEV1) of the observation group were higher than those of the control group (P < 0.05); the scores of the observation group were higher than those of the control group (P < 0.05). control group (P < 0.05); all scores of St. George's Respiratory Questionnaire (SGRQ) were lower in the observation group than in the control group after care (P < 0.05). Conclusion The pulmonary rehabilitation program guided by BCW theory can improve the health literacy level of COPD patients, reduce their symptoms, improve their lung function, and thus improve their quality of life. |
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