| Objective:to analyze the application impact of nursing arrange of protection motivation theory in patients with COPD,investigate the impact of the hypothesis on patients’ well being behavior,self-management capacity and quality of life,and analyze the ability and pertinence of the hypothesis in patients with COPD,so as to supply premise for clinical nursing work.Methods:A total of 110 patients with chronic obstructive pulmonary disease(COPD)were selected from the Department of Respiratory and Critical Care Medicine of a Grade A hospital in Shanxi Province from April 2019 to July 2020.The patients were haphazardly partitioned into intervention group(55cases)and control group(55cases).The control group received routine nursing measures,including admission education,respiratory rehabilitation exercise guidance,discharge guidance and out-of-hospital follow-up.Intervention group has created a six-month nursing intervention plan about protection motivation theory,specifically for the surrounding protection motivation theory of seven core variables to establish the corresponding intervention measures,before the intervention,the implementation of 3 months and 6 months after the intervention,the application of self management ability scale,quality of life scale,the rate of health behavior change,there was no significant difference in general information,total score of self-management and symptom management,total score of quality of life and activity endurance,and compliance rate of lung function exercise between the two groups.To evaluate the effect of the intervention SPSS23.0 software was used to analyze the results.Results:1.In 3 cases,1 case(aggravated hospitalization),Control group lost 2 cases(1 fracture hospitalization,1 interruption contact),A total of 107 COPD patients were collected,there were 54 cases within the intervention group,53 cases within the control bunch.2.Comparison of measurement indexes after intervention between the two groups of subjects:(1)After the intervention and follow-up,The self-management ability scale was used for evaluation and analysis between the two groups.The total score of self-management and the scores of each dimension were improved in different ranges in the two groups,but the increase in the intervention group was more significant(P<0.05).There were significant differences between the two groups at 3 and 6 months(P<0.05).(2)After the intervention and follow-up,the scores of quality of life between the two groups were evaluated and analyzed,and the scores of each dimension and quality of life of the two groups were decreased,which showed that the quality of life had a trend of improvement with the extension of time;the decline trend of the score of the intervention group was more obvious(P<0.05);at 3 months and 6 months,the difference between the two groups was significant(P<0.05).(3)After the intervention and follow-up,the health behavior changes between the two groups were analyzed.Compared with the control group,the improvement rate of lung function exercise and regular medication in the intervention group was more significant(P<0.05),but the improvement of smoking cessation was not statistically significant(P>0.05).Conclusion:Nursing practice based on the theory of the protection motivation is simple,the maneuverability is strong,can fully stimulate the COPD patient’s own protection motivation,improve their self management level,to make it more effective for disease self-management,exert the theory in promoting the change of health behavior,improve the quality of life,improve lung function,the positive effect of COPD patients can benefit in the process of chronic disease management... |
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