何永梅

【摘  要】目的：探讨医护合作式健康教育联合行为干预在COPD（慢阻肺）患者护理中的应用效果。方法：入组对象选自本科在2017年7月至2019年1月期间诊治的74例COPD患者，按照随机数字表方法将患者分成两组对照组和观察组，每一组各37例，对照组采用常规护理，观察组在常规护理基础上采用医护合作式健康教育联合行为干预，比较两组护理的临床效果。结果：观察组有效率为94.59%，对照组有效率为78.38%，两组比较差异有统计学意义，P<0.05;经过不同干预，观察组和对照组CAT积分均有所改善，且观察组改善更加明显，与对照组比较差异有统计学意义（P<0.05）;随访半年，观察组复发率为2.70%，对照组复发率为18.92%，两组比较差异有统计学意义（P<0.05）。结论：对COPD患者实施医护合作式健康教育联合行为干预，取得了更好的治疗效果，值得在临床上推广和应用。

【关键词】医护合作式健康教育;行为干预;COPD;应用效果

【中图分类号】 R19;R47       【文献标识码】 B      【文章编号】1004-7484（2019）06-0089-01

【Abstract】 Objective： To explore the effect of health education combined with behavioral intervention in the nursing of COPD patients. Methods： 74 patients with COPD were selected from our hospital from January 2018 to January 2019. According to the random number table method， the patients were divided into two groups： control group and observation group， 37 cases in each group. The control group was given routine nursing， while the observation group was given health education combined with behavioral stem based on routine nursing. Prepare， compare the clinical effect of two groups of nursing.Results： The effective rate of the observation group was 94.59%， and that of the control group was 78.38%. There was significant difference between the two groups （P < 0.05）. After different interventions， the CAT scores of the observation group and the control group were improved， and the improvement of the observation group was more obvious， with significant difference compared with the control group （P < 0.05）. Follow-up for half a year， observation was made. The recurrence rate was 2.70% in group A and 18.92% in control group. There was significant difference between the two groups （P < 0.05）.Conclusion： Cooperative health education combined with behavioral intervention for COPD patients has achieved better therapeutic effect， which is worthy of clinical promotion and application.

【Key words】 cooperative health education between doctors and nurses; behavioral intervention; COPD; application effect

慢阻肺是臨床上常见的一种呼吸系统疾病，该病病程比较长，容易复发，急性发作期症状更为严重，对患者正常的生活和工作带来了巨大不利影响[1]。要想促进慢阻肺患者预后改善，除了对患者进行治疗，还需要配合有效的护理干预措施[2]。我院对诊治的部分慢阻肺患者实施医护合作式健康教育联合行为干预方法，取得了较好的干预效果，详细情况见下文：

1资料与方法

1.1一般资料  资料来源于本科在2017年7月至2019年1月期间诊治的74例COPD患者，按照随机数字表方法将患者分成两组对照组和观察组，每一组各37例，采用不同的护理干预措施。……