The Integrated Theory of Health Behavior Change in elderly patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn115682-20230220-00592
- VernacularTitle:健康行为改变整合理论在老年慢性阻塞性肺疾病患者中的应用
- Author:
Yanrui JIA
1
;
Chenxi SHI
;
Liang DONG
;
Yining ZHANG
;
Shu DING
;
Shuqin WANG
;
Yunqing LIU
;
Fengli GAO
Author Information
1. 首都医科大学护理学院，北京 100069
- Keywords:
Pulmonary disease, chronic obstructive;
Integrative theory of health behavior change;
Inhalation medication compliance
- From:
Chinese Journal of Modern Nursing
2023;29(22):3038-3042
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of inhaled medication compliance intervention in elderly patients with chronic obstructive pulmonary disease (COPD) based on integrated theory of health behavior change.Methods:A total of 117 elderly COPD patients who visited Respiratory Department of Beijing Chaoyang Hospital Affiliated to Capital Medical University from July to December 2021 were selected by the convenient sampling method. According to the random number table method, they were divided into the experimental group and the control group. 7 cases fell off during follow-up, and a total of 110 cases were finally included in the study, of which 55 cases were in the experimental group and 55 cases in the control group. The control group adopted the conventional health education method, while the experimental group adopted the intervention plan of inhalation medication compliance of elderly COPD patients based on the integrated theory of health behavior change. The accuracy of inhalation device use, inhalant medication compliance, forced expiratory volume in the first second (FEV 1) and Chronic Obstructive Pulmonary Diseases Assessment Test (CAT) scores were compared between the two groups before intervention and 3 months after intervention. Results:After 3 months of intervention, the inhalation device use accuracy, inhalation medication compliance in experimental group were higher than those in the control group, the score of CAT in experimental group was lower than that in the control group, the differences were statistically significant ( P<0.05). There was no statistically significant difference in FEV 1 between two groups ( P>0.05) . Conclusions:The intervention plan for inhalation medication compliance in elderly patients with chronic obstructive pulmonary disease based on the integrated theory of health behavior changes can improve their inhalation medication compliance and improve their quality of life.
