Wang Hongling, Wei Zhenhua, Li Xue, Li Yongjie
Dept. of Nursing, Linzi District People's Hospital, Zibo Shandong Province, Zibo, PR China.
Dept. of Ophthalmology, Linzi District People's Hospital, Zibo Shandong Province, Zibo, PR China.
Iran J Public Health. 2017 Jan;46(1):50-54.
To study the influence values of self-management program intervention on efficacy of emotion regulation for patients suffering from chronic obstructive pulmonary disease (COPD).
Eighty-six diagnosed chronic COPD patients in stable phase in Linzi District People's Hospital, Zibo Shandong Province, PR China from June 2014 to June 2015 were selected in succession. They were divided into control group and observation group randomly with 43 cases in each group. In control group, conventional out-of-hospital continued nursing mode was used while strengthened self-management program guidance was used in observation group (including seven modules that included disease knowledge, breathing exercises, emotion management, home oxygen therapy, medicine intake technique, healthy life behaviors, and action plans in deterioration stage) to compare their differences of results.
For follow-up visits of 6 months, self-management behaviors of patients in two groups had increased, including physical fitness training, cognitive symptom management practice and medical care scores, and the increase range in observation group was more obvious and differences were of statistical significance ( < 0.05); self-efficacy of emotion regulation in two groups is increasing, including positive affect, despondency/distress, anger/irritation and total scores, furthermore, the increase range in observation group is more obvious and differences are of statistical significance ( < 0.05).
Self-management program intervention can improve self-management behaviors of COPD patients and it is significant in terms of improving efficacy of emotion regulation and prognosis.
探讨自我管理项目干预对慢性阻塞性肺疾病(COPD)患者情绪调节效能的影响价值。
选取2014年6月至2015年6月在中国山东省淄博市临淄区人民医院连续诊断的86例稳定期慢性COPD患者。将他们随机分为对照组和观察组,每组43例。对照组采用常规院外延续护理模式,观察组采用强化自我管理项目指导(包括疾病知识、呼吸锻炼、情绪管理、家庭氧疗、用药技巧、健康生活行为和病情恶化阶段行动计划七个模块),比较两组结果差异。
随访6个月时,两组患者的自我管理行为均有所增加,包括体能训练、认知症状管理实践和医疗护理评分,观察组增加幅度更明显,差异有统计学意义(<0.05);两组患者的情绪调节自我效能均在提高,包括积极情感、沮丧/痛苦、愤怒/烦躁和总分,此外,观察组提高幅度更明显,差异有统计学意义(<0.05)。
自我管理项目干预可改善COPD患者的自我管理行为,对提高情绪调节效能和预后具有重要意义。