【摘要】 【目的】探讨基于肯定性效果的纵深细致化干预在慢性阻塞性肺疾病（COPD）患者中的应用效果。【方法】80例COPD患者，随机分为对照组和观察组，每组40例。对照组接受常规健康教育，观察组在对照组基础上实施基于肯定性效果的纵深细致化干预。比较两组患者干预前及干预2个月后肺功能、健康知识掌握情况、康复依从性、情绪状况及生活质量。【结果】干预后，观察组患者第1秒用力呼气容积（FEV₁）、用力肺活量（FVC）、呼气高峰流量（PEFR）均高于对照组（P<0.05）。观察组知识、态度和实践评分（KAP）及康复依从性得分均高于对照组（P<0.05）。观察组汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分均低于对照组，生活质量评分高于对照组（P<0.05）。【结论】基于肯定性效果的纵深细致化干预能有效改善COPD患者的肺功能，提高健康知识掌握情况和康复依从性，改善情绪状况及生活质量，值得临床推广应用。更多还原

【Abstract】 【Objective】 To explore the application effect of in-depth and detailed intervention based on affirmative effects in health education for patients with chronic obstructive pulmonary disease（COPD）.【Methods】 A total of 80 COPD patients were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received conventional health education, while the observation group received in-depth and detailed intervention based on affirmative effects in addition to the conventional education. Pulmonary function, health knowledge acquisition, rehabilitation compliance, emotional status, and quality of life were compared between the two groups before and after two months of intervention.【Results】 After the intervention, the forced expiratory volume in one second（FEV₁）, forced vital capacity（FVC）, and peak expiratory flow rate（PEFR） of patients in the observation group were significantly higher than those in the control group（P< 0.05）. The knowledge, attitude, and practice（KAP） scores and all dimensions of rehabilitation compliance in the observation group were also higher than those in the control group（P<0.05）. The Hamilton Anxiety Scale（HAMA） and Hamilton Depression Scale（HAMD） scores in the observation group were lower than those in the control group, while the quality of life score in the observation group was significantly higher than that in the control group（P< 0.05）.【Conclusion】 In-depth and detailed intervention based on affirmative effects can effectively improve pulmonary function, enhance health knowledge acquisition and rehabilitation compliance, and improve emotional status and quality of life in COPD patients. It is worthy of clinical promotion and application.更多还原