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基于跨理论模型的护理干预对老年慢性阻塞性肺疾病患者衰弱状况的影响

Effect of nursing intervention based on cross-theoretical model on frailty status in elderly patients with chronic obstructive pulmonary disease

    摘要
  • 摘要:
    目的 探讨基于跨理论模型(TTM)的护理干预对老年慢性阻塞性肺疾病(COPD)患者衰弱状况的影响。
    方法 采用便利抽样法选取老年COPD患者100例作为研究对象, 随机分为对照组和观察组, 每组50例。对照组给予常规护理措施, 观察组给予基于TTM的护理干预措施。比较2组患者干预前后的衰弱状况衰弱诊断指标、衰弱指数(FI)。
    结果 干预后, 2组体质量下降、疲乏以及FI比较, 差异无统计学意义(P>0.05); 干预后, 2组患者衰弱指标总分及活动减少占比、6 m步行距离耗时、握力比较, 差异有统计学意义(P < 0.05)。
    结论 基于TTM的护理干预, 可以显著改善老年COPD患者的衰弱状况。

     

    Abstract:
    Objective To explore the effect of nursing intervention based on trans-theoretical model (TTM) on the frailty status of elderly patients with chronic obstructive pulmonary disease (COPD).
    Methods A total of 100 elderly patients with COPD were selected as the research objects by convenience sampling method. They were randomly divided into control group and observation group, with 50 cases in each group. The control group was given routine nursing measures, and the observation group was given nursing interventions based on TTM. Frailty statusfrailty diagnostic index, frailty index (FI) before and after intervention were compared between the two groups.
    Results After intervention, there was no significant difference in body mass loss, fatigue and FI between the two groups (P>0.05); after intervention, the total score of frailty index, the proportion of decreased activity, the time of 6 m walking distance and the grip strength of the two groups were compared, and the differences were statistically significant (P < 0.05).
    Conclusion Nursing intervention based on TTM can significantly improve the debilitating condition of elderly patients with COPD.

     

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