以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (24): 1-5.doi: 10.16460/j.issn1008-9969.2020.24.001

• 研究生园地 •    下一篇

体验式学习在COPD患者肺康复训练赋能教育中的应用

李萌1, 冯江雪2, 王慧1, 陈金金1, 刘陆1, 马京华1   

  1. 1.河北中医学院 护理学院,河北 石家庄 050200;
    2.河北省中医院,河北 石家庄 050000
  • 收稿日期:2020-07-03 出版日期:2020-12-25 发布日期:2021-01-15
  • 通讯作者: 马京华（1977-）,女,河北石家庄人,硕士,硕士研究生导师,副教授。E-mail:majh_66@126.com
  • 作者简介:李萌（1994-）,女,河北秦皇岛人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    河北省属高校基本科研业务费专项项目（YXS2019002）; 河北省高等学校人文社会科学研究项目（GH191034）

Experiential Learning in Empowerment Education of Pulmonary Rehabilitation Training for COPD Patients

LI Meng1, FENG Jiang-xue2, WANG Hui1, CHEN Jin-jin1, LIU Lu1, MA jing-hua1   

  1. 1. School of Nursing, Hebei University of Chinese Medicine, Shijiazhuang 050200, China;
    2. Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, China
  • Received:2020-07-03 Online:2020-12-25 Published:2021-01-15

PDF (PC)

275

赞

摘要： 目的 探讨体验式学习在COPD患者肺康复训练赋能教育中的应用效果。方法 选择2019年8—11月呼吸科COPD患者40例为对照组,采用呼吸内科常规护理和赋能教育进行肺康复训练指导;选择2019年12月—2020年3月呼吸科COPD患者40例为观察组,在对照组的基础上加入体验式学习。比较2组患者出院当天的出院准备度;比较2组患者干预前、干预后6周末、12周末肺康复运动自我效能得分和6 min步行距离。结果 观察组出院前出院准备度得分高于对照组（P<0.05）。2组运动自我效能、6 min步行试验重复测量方差分析显示,组间效应、时间效应、交互效应差异有统计学意义（P<0.05）。干预后6周末、12周末观察组肺康复运动自我效能优于对照组（P<0.05）;干预12周末,观察组6 min步行试验优于对照组（P<0.05）。结论 体验式学习在COPD患者肺康复训练赋能教育中的应用,可在短期内提高出院准备度,缩短赋能教育对COPD患者肺康复自我效能的作用时间,更好提高患者运动耐力。是一种简便、易行的肺康复训练管理模式。

关键词: COPD, 体验式学习, 赋能教育, 肺康复

Abstract: Objective To explore the application effect of experiential learning in empowerment education of pulmonary rehabilitation training for COPD patients. Methods Forty patients with COPD in the respiratory department from August 2019 to November 2019 were selected as the control group and routine nursing in respiratory medicine and empowerment education were conducted in pulmonary rehabilitation training. Another forty patients with COPD from December 2019 to March 2020 were selected as the observation group and experiential learning was performed in addition to routine nursing and empowerment education. Discharge preparation on the day of discharge was compared between the two groups;the self-efficacy scores of pulmonary rehabilitation exercise and 6-minute walking distance were compared between the two groups before, 6 and 12 weeks after the intervention. Results The score of discharge preparation in the observation group was higher than that in the control group (P<0.05). Variance of exercise self-efficacy and repeat measurement for 6-minute walking test showed that the differences in intergroup effects, time effects, and interaction effects between the two groups were statistically significant(P<0.05). Six and twelve weeks after the intervention, the pulmonary rehabilitation exercise self-efficacy of the observation group was better than that of the control group (P<0.05). Twelve weeks after the intervention, the 6-minute walking test in the observation group was better than that in the control group (P<0.05). Conclusion Experiential learning in empowerment education of pulmonary rehabilitation training for COPD patients can improve the preparation for discharge in a short time, shorten the effect time of empowerment education on the self-efficacy of COPD patients in pulmonary rehabilitation, and improve the exercise endurance of patients. It is a simple and easy-to-operate management mode for pulmonary rehabilitation training.

Key words: COPD, experiential learning, empowerment education, pulmonary rehabilitation

中图分类号: 

  • R473.5
[1] Spencer L.Pulmonary Rehabilitation for Patients with Acute Chronic Obstructive Pulmonary Disease Exacerbations:Is the Evidence Strengthening?[J]. Curr Opin Pulm Med, 2018,24(2):147-151.DOI:10.1097/MCP.0000000000000453.
[2] 陈翠霞. 赋能教育对围绝经期失眠症患者的效果观察[J]. 护理学报,2018,25(10):70-74.DOI:10.16460/j.issn1008-9969.2018.10.070.
[3] 刘亚琪,严谨.体验的概述及其在护理领域的应用研究[J]. 护理学报,2014,21(16):14-16.DOI:10.16460/j.issn1008-9969.2014.16.009.
[4] 张丹凤,罗彩凤. 赋能呼吸康复训练对慢性阻塞性肺疾病患者自我效能的影响[J]. 广东医学, 2014,35(24):3932-3933.DOI:10.2337/diaclin.22.3.123.
[5] 张铁玲,庞晓丽,王汕珊,等. Kolb体验式教学在社区护理课程中的应用[J]. 护士进修杂志, 2020,35(4):305-308.DOI:10.16821/j.cnki.hsjx.2020.04.004.
[6] Lin YH, Kao CC, Huang AM, et al.Psychometric Testing of the Chinese Version of the Readiness for Hospital Discharge Scale[J]. Hu Li Za Zhi, 2014,61(4):56-65.DOI:10.6224/JN.61.4.56.
[7] 吴丽荣,朱芬芬. 中文版COPD患者运动自我调控效能量表的信效度[J]. 江苏医药, 2015,41(7):788-791.DOI:10.19460/j.cnki.0253-3685.2015.07.018.
[8] Crapo ROCRCA.Ats Statement: Guidelines for the Six-Minute Walk Test[J]. Am J Respir Crit Care Med, 2002,166(1):111-117.DOI:10.1164/ajrccm.166.1.at1102.
[9] 李玉霞,李丽萍. 基于Kolb体验学习模式的社区护理学实践教学效果观察[J]. 护理学报, 2017,24(7):10-13.DOI:10.16460/j.issn1008-9969.2017.07.010.
[10] 朱顺芳,刘霖,陈媛,等.基于微信多学科协作团队对稳定期COPD患者家庭自我管理干预研究[J].护理学报, 2019, 26(1):72-76.DOI:10.16460/j.issn1008-9969.2019.01.072.
[11] 马潇然,孙国珍,陈媛媛,等. 心力衰竭患者家庭运动行为的自我效能干预[J]. 护理学杂志, 2017,32(15):4-7.DOI:10.3870/j.issn.1001-4152.2017.15.004.
[1] 黄鑫, 余丽君, 张二明, 哈丽娜. 稳定期COPD患者的能量摄入现状及影响因素分析[J]. 护理学报, 2024, 31(5): 12-16.
[2] 张义静, 李国宏, 赵雨婷. 基于慢性阻塞性肺疾病患者需求的远程肺康复管理方案的构建[J]. 护理学报, 2024, 31(15): 62-67.
[3] 陈莹, 范远玉, 张亚南, 曹韶研, 蒋文中, 潘静. 尘肺病患者肺康复方案制定的最佳证据总结[J]. 护理学报, 2023, 30(10): 46-51.
[4] 孙娟, 李岩, 郑蔚, 王丹丹, 杨展. 基于时机理论的赋能教育在PCI手术患者中的应用[J]. 护理学报, 2022, 29(2): 74-78.
[5] 侯晓洁, 傅荣, 代静泓, 孙晶娜, 李呈慧, 梁丽萍. 国外远程肺康复研究热点前沿可视化分析[J]. 护理学报, 2022, 29(17): 17-22.
[6] 肖洁晨茗, 邓秋兰. 歌唱疗法在COPD稳定期患者中的应用进展[J]. 护理学报, 2021, 28(8): 8-12.
[7] 阎淑婷, 张广清, 滕中华, 白素芳. 对慢性心力衰竭患者实施赋能教育的效果观察[J]. 护理学报, 2020, 27(19): 74-78.
[8] 周西, 杨惠云, 李领侠, 胡艳粉. 并发症体验对2型糖尿病患者疾病态度及血糖控制水平的影响[J]. 护理学报, 2019, 26(17): 57-60.
[9] 孙烯辉, 杨丽, 黄德斌, 张桂宁, 李琳, 廖婷婷, 邱丽燕, 巫雪花. 机械通气患者胸部物理治疗效果的Meta分析[J]. 护理学报, 2019, 26(17): 31-36.
[10] 田丽, 李梦媛, 李佳倩, 朱冰洁, 张青月, 阎玲. COPD患者预立医疗照护计划的研究进展[J]. 护理学报, 2019, 26(17): 22-26.
[11] 陈翠霞. 赋能教育对围绝经期失眠症患者的效果观察[J]. 护理学报, 2018, 25(10): 70-74.
[12] 韩燕,王清馨,罗丹,薛俊林. 八段锦对稳定期慢性阻塞性肺疾病患者肺康复影响Meta分析[J]. 护理学报, 2017, 24(9): 15-19.
[13] 李玉霞,李丽萍. 基于Kolb体验学习模式的社区护理学实践教学效果观察[J]. 护理学报, 2017, 24(7): 10-13.
[14] 万晶,曲兆伟,赵雪. 基于赋能教育对肝动脉灌注化疗栓塞术患者的效果观察[J]. 护理学报, 2017, 24(12): 60-63.
[15] 朱顺芳(综述),张卫珍(审校). COPD机械通气患者运动训练的研究进展[J]. 护理学报, 2014, (15): 17-20.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!