基于赋权理论的肺部康复计划的应用效应,用于COPD患者与心力衰竭相结合的患者
Yue Zhang1, Chunfang Gu, Lin Sun
1The First People's Hospital of Yancheng, The Yancheng Clinical College of Xuzhou Medical University, Yancheng, PR China.
Medicine
|October 28, 2024
概括
基于赋权的肺部康复显著改善了慢性阻塞性肺病 (COPD) 和心力衰竭的患者的肺和心脏功能,以及自我有效性. 这种方法提高了康复合规性,并显示出强大的临床潜力.
科学领域:
- 肺部医学 肺部医学
- 心脏病学 心脏病学
- 康复科学 康复科学 康复科学
背景情况:
- 慢性阻塞性肺病 (COPD) 和心力衰竭经常同时存在,严重损害患者的心肺功能和生活质量.
- 肺部康复,特别是利用赋权理论的项目,可以提高自我效能和患者参与度,从而改善临床结果.
研究的目的:
- 评估基于赋权的肺部康复计划在患有慢性肺炎和心力衰竭同时存在的患者中的有效性.
- 评估该计划对肺功能,心脏功能,心肺功能,自我有效性和康复合规性的影响.
主要方法:
- 一项随机对照试验,涉及70名COPD和心力衰竭患者.
- 患者被分配到对照组 (常规护理) 或观察组 (常规护理加上为期4周的基于赋权的肺部康复计划).
- 测量包括肺功能,动脉血液气体水平,心脏功能,心肺功能,自我有效性和干预前后康复遵守.
主要成果:
- 与对照组相比,观察组显示肺功能,动脉血液气体水平,心脏功能和心肺功能显著改善 (P <0.05).
- 在干预后的观察组中,自我有效性得分和康复遵守率显著更高 (P <0.05).
- 在干预之前,没有观察到组之间的显著差异 (P > 0.05).
结论:
- 基于赋权的肺部康复计划在改善康复遵守,肺和心脏功能以及心力衰竭COPD患者的自我有效性方面是有效的.
- 这些发现表明,这种类型的康复计划在管理这些复杂的患者中具有实质性的临床应用潜力.
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