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目的探讨以自我效能理论为基础的护理干预在老年慢性阻塞性肺疾病(COPD)患者用药依从性中的应用效果。方法选取华中科技大学同济医学院附属梨园医院2014年1月至2015年5月住院的老年COPD患者321例,按数字表法随机分为对照组158例和干预组163例。对照组给予呼吸内科常规治疗及护理,干预组在对照组的基础上给予自我效能理论为基础的护理干预,两组患者给予同样的问卷调查。结果两组患者出院时MMAS-8用药依从性、生活质量评分测定(CAT)比较,差异有统计学意义(P<0.05)。结论自我效能理论能提高老年COPD患者用药依从性,提高生活质量。
Objective To explore the application of nursing intervention based on self-efficacy theory in medication adherence of elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 321 elderly COPD patients admitted to Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 2014 to May 2015 were randomly divided into control group (n = 158) and intervention group (n = 163) according to the digital table method. The control group was given routine treatment and nursing of respiratory medicine. The intervention group was given self-efficacy theory-based nursing intervention on the basis of the control group, and the two groups were given the same questionnaire. Results There was significant difference in MMAS-8 compliance and quality of life (CAT) between the two groups at discharge (P <0.05). Conclusion Self-efficacy theory can improve medication adherence and improve quality of life in elderly COPD patients.