Application of health education based on self-efficacy theory in the management of patients with chronic obstructive pulmonary disease outside the hospital
10.3760/cma.j.cn115682-20201117-06242
- VernacularTitle:基于自我效能理论的健康教育在院外COPD患者管理中的应用
- Author:
Min ZHOU
1
;
Lu LIU
;
Heying CHU
Author Information
1. 郑州大学第一附属医院呼吸内一科，郑州 450000
- Keywords:
Pulmonary disease, chronic obstructive;
Self-efficacy theory;
Health education;
Rehabilitation compliance
- From:
Chinese Journal of Modern Nursing
2021;27(22):3029-3033
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the application value of health education based on self-efficacy theory in the management of patients with chronic obstructive pulmonary disease (COPD) outside the hospital.Methods:Using the convenient sampling method, a total of 66 COPD patients who were treated and discharged from the First Affiliated Hospital of Zhengzhou University from March to November 2018 were selected as the routine group, and 67 COPD patients who were treated and discharged from December 2018 to August 2019 were selected as the study group. The routine group adopted routine follow-up nursing, while the study group adopted health education based on self-efficacy theory on the basis of routine follow-up nursing. The rehabilitation compliance score and self-efficacy score of the two groups before the intervention, after the intervention and 6 months after the intervention were compared. The readmission rate from the beginning of the intervention to 6 months after the intervention were compared between the two groups.Results:After the intervention, the rehabilitation compliance score of the study group was (39.94±4.91) , which was higher than (33.29±4.60) of the routine group. At 6 months after intervention, the rehabilitation compliance score of the study group was (38.87±4.76) , which was higher than (31.75±4.10) of the conventional group. Repeated measurement analysis of variance showed that there was an interaction between the two groups in rehabilitation compliance score ( Ftime=84.532, Fgroups=10.241, Finteraction=9.785; P<0.05) . After intervention, the self-efficacy score of the study group was (141.36±20.76) , higher than (118.26±15.47) of the control group. On 6 months after the intervention, the self-efficacy score of the study group was (139.21±16.95) , which was higher than (108.51±15.01) of the routine group. Repeated measurement analysis of variance showed that there was an interaction between the two groups in self-efficacy scores ( Ftime=87.541, Fgroups=12.254, Finteraction=13.697; P<0.05) . At 6 months after intervention, the readmission rate of the study group was 16.42%, which was lower than 33.33% of the routine group, and the difference was statistically significant ( χ2=5.099, P=0.024) . Conclusions:The application of health education based on self-efficacy theory in the management of COPD patients outside the hospital can improve rehabilitation compliance and self-efficacy of patients and reduce the frequency of readmissions.
