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目的探讨合理情绪疗法联合疾病管理护理教育对尘肺患者自护能力的影响。方法选择张家口市建国医院于2011年1月至2016年4月期间收治的尘肺病患者80例,按随机数表法分为观察组和对照组各40例,两组均给予疾病管理护理教育干预,观察组在此基础上实施合理情绪疗法干预。比较两组患者干预前及干预6个月后的自护能力、肺功能变化情况。结果观察组患者干预后自我护理能力量表评分(ESCA)中的自我概念、自护技能、自护的责任感及健康认知维度分别为(20.68±5.13)分、(36.91±9.95)分、(19.80±6.12)分、(47.13±8.05)分,显著高于同期对照组的(17.16±5.01)分、(30.68±10.11)分、(14.56±5.86)分、(41.18±8.87)分,差异均有显著统计学意义(P<0.01);观察组患者干预后的肺活量(VC)、1 s用力呼气容积(FEV1.0)、用力肺活量(FVC)以及FEV1.0/FVC水平分别为(2.83±0.31)L、(1.46±0.67)L、(2.47±0.45)L、(61.65±13.10)%,明显高于同期对照组的(2.35±0.24)L、(1.28±0.37)L、(2.20±0.48)L、(58.23±14.52)%,差异均有显著统计学意义(P<0.01)。结论对尘肺患者采取合理情绪疗法联合疾病管理护理教育可明显增强患者的自责任感与自护技能,提高健康认知水平与自护能力,并落实到日常行为中,从而更好地保护及提高残存的肺功能。
Objective To explore the effect of rational emotion therapy combined with disease management and nursing education on self-care ability of patients with pneumoconiosis. Methods Eighty patients with pneumoconiosis admitted to Jianguo Hospital of Zhangjiakou City from January 2011 to April 2016 were randomly divided into observation group (40 cases) and control group (40 cases) according to random number table method. The two groups were given disease management nursing intervention , The observation group on the basis of the implementation of reasonable emotional therapy intervention. The self-care ability and pulmonary function changes before and after 6 months intervention were compared between the two groups. Results Self-concept, self-care skills, self-care sense of responsibility and health cognition in the self-care ability scale score (ESCA) in the observation group were (20.68 ± 5.13) and (36.91 ± 9.95) 19.80 ± 6.12 and 47.13 ± 8.05 respectively, which was significantly higher than that of the control group at the same period (17.16 ± 5.01), (30.68 ± 10.11), (14.56 ± 5.86) and (41.18 ± 8.87) (FEV1.0), forced vital capacity (FVC), and FEV1.0 / FVC levels in the observation group were significantly higher than those in the control group (2.83 (2.36 ± 0.67) L, (2.47 ± 0.45) L, (61.65 ± 13.10)%, respectively, which was significantly higher than that of the control group at the same period (2.35 ± 0.24) L, (1.28 ± 0.37) L and 0.48) L, (58.23 ± 14.52)%, the differences were statistically significant (P <0.01). Conclusion Reasonable emotional therapy combined with disease management and nursing education for patients with pneumoconiosis can significantly enhance patients’ self-responsibility and self-protection skills, improve their health cognition and self-care ability, and implement them into their daily activities so as to better protect and improve their survivals Lung function.