【摘要】 目的探讨知信行理论导向下的中医特色护理干预对支气管哮喘慢性持续期患者遵医行为及生活质量的影响。方法将90例支气管哮喘慢性持续期患者按建档顺序分为观察组(45例)和对照组(45例),两组均予以常规护理,观察组在此基础上予以知信行理论导向下的中医特色护理干预,观察住院全程。比较干预前后两组肺功能(第1秒用力呼气容积、呼吸峰流量、第1秒用力呼气容积/用力肺活量)、哮喘控制测试量表、成人哮喘生活质量量表评分及遵医行为。结果干预后观察组第1秒用力呼气容积、呼吸峰流量、第1秒用力呼气容积/用力肺活量显著高于对照组(P<0.01),哮喘控制测试量表、成人哮喘生活质量量表评分显著高于对照组(P<0.01)。干预后观察组保持健康行为、遵医用药、按时复诊遵医率及健康知识知晓率显著高于对照组(P<0.05或0.01)。结论知信行理论导向下的中医特色护理干预可改善支气管哮喘慢性持续期患者的肺功能,缓解哮喘症状,增强遵医性,提高生活质量。更多还原

【Abstract】 Objective To investigate the effect of traditional Chinese medicine characteristic nursing intervention guided by knowledge-attitude-practice(KAP)theory on compliance behavior and quality of life of patients with chronic persistent bronchial asthma.Methods A total of 90 patients with chronic persistent bronchial asthma were divided into observation group(n=45)and control group(n=45)according to the order of establishment.Both groups were given routine nursing,and the observation group was given TCM characteristic nursing intervention guided by KAP theory on this basis.Observe the whole hospitalization.Lung function[forced expiratory volume in one second(FEV1),peak respiratory flow(PEF),FEV1/forced vital capacity(FVC)],asthma control test(ACT),asthma quality of life questionnaire(AQLQ)and compliance behavior were compared between the two groups before and after intervention.Results After intervention,FEV1,PEF and FEV1/FVC in the observation group were significantly higher than those in the control group(P<0.01),ACT and AQLQ scores were significantly higher than those in the control group(P<0.01).After intervention,the observation group was significantly higher than the control group in maintaining healthy behaviors,adherence to medical regimens,compliance with doctors on time and awareness of health knowledge(P<0.05 or 0.01).Conclusions The traditional Chinese medicine characteristic nursing intervention guided by KAP theory can improve the lung function of patients with chronic persistent bronchial asthma,relieve asthma symptoms,enhance compliance and improve the quality of life.更多还原