Effect of health belief model intervention on long-term home oxygen therapy behaviors in patients with chronic obstructive pulmonary disease
YAN Jinying1 ZHANG Erming2 YU Lijun1
1.School of Nursing, Peking Union Medical College, Peking 100730, China;
2.Department of Respiratory Medicine, Peking University Shougang Hospital, Peking 100144, China
Abstract：Objective To explore the effects of health belief model (HBM) intervention on long-term home oxygen therapy behaviors in COPD patients. Methods From June 2016 to January 2017, 68 patients with COPD in Peking University Shougang Hospital and China Medical University Aviation General Hospital were selected, and they were divided into control group and intervention group, according to throw coins, with 34 cases in each group．Patients of the control group were received routine nursing intervention and patients of the intervention group were received intervention based on HBM. Long-term home oxygen therapy behaviors of patients in the two groups before and after intervention were compared． Results Average daily oxygen time and long-term home oxygen therapy behaviors of two groups before the intervention had no significant differences (P > 0.05), while the two indexes of intervention group after the intervention were all better than those of control group and the results before the intervention, the comparison indexes had significant differences (P < 0.05); compared with the control group, there was significant difference in the implementation rate of items (P < 0.05). Conclusion Intervention based on HBM can improve the long-term home oxygen therapy behaviors and improve the quality of life of patients
闫金英1 张二明2 余丽君1. 基于健康信念模式的干预对慢性阻塞性肺疾病患者长程家庭氧疗行为的效果[J]. 中国医药导报, 2017, 14(17): 165-169.
YAN Jinying1 ZHANG Erming2 YU Lijun1. Effect of health belief model intervention on long-term home oxygen therapy behaviors in patients with chronic obstructive pulmonary disease . 中国医药导报, 2017, 14(17): 165-169.
[1] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南（2013年修订版）[J].中华结核和呼吸杂志，2013，36（4）：255-264.
[2] 蔡柏蔷.慢性阻塞性肺疾病发病机制的新进展[J].中华内科杂志，2000，39（3）：204.
[3] 葛均波，徐永健.内科学[M].8版.北京：人民卫生出版社，2013.
[4] Mcevoy C，Kerestes GP，Yawn B，et al. I ICS diagnosis and management of chronic obstructive pulmonary disease [G]. 2011.
[5] Vogelmeie C，Agusti AG，Anzueto A，et al. Global strategy for the diagnosis，management，and prevention of chronic obstructive pulmonary disease（update 2016）[EB/OL].[2016. 1.6]. http：//www.goldcopd.org/．
[6] Siafakas NM，Vermeire P，Pride NB，et al. Optimal assessment and management of chronic obstructive pulmonary disease （COPD）[J]. Eur Respir J，1995，8（8）：1398-1420.
[7] Earnest MA. Explaining adherence to supplemental oxygen therapy：the patient's perspective [J]. J Gen Intern Med，2002，17（10）：749-755.
[8] Kaljee LM，Genberg BL，Minh TT，et al. Alcohol use and HIV risk behaviors among rural adolescents in Khanh Hoa Province Viet Nam [J]. Health Educ Res，2005，20（1）：71-80.
[9] Janz N，Becker M. The Health Belief Model：a decade later [J]. Health Educ Quart，1984，11（1）：1-47.
[10] Barjaktarevic I，Cooper CB. Supplemental oxygen therapy for patients with chronic obstructive pulmonary disease [J]. Semin Respir Crit Care Med，2015，36（4）：552-566.
[11] Qaseem A，Wilt TJ，Weinberger SE，et al. Diagnosis and management of stable chronic obstructive pulmonary disease： a clinical practice guideline update from the American College of Physicians，American College of Chest Physicians，American Thoracic Society，and European Respiratory Society [J]. Ann Intern Med，2011，5（3）：179-191.
[12] Hardinge M，Annandale J，Bourne S，et al. British Thoracic Society guidelines for home oxygen use in adults [J]. Thorax，2015，70（Suppl 1）：i1-i43.
[13] Hardinge M，Suntharalingam J，Wilkinson T. Guideline update：The British thoracic society guidelines on home oxygen use in adults [J]. Thorax，2015，70（6）：589-591.
[14] Celli BR，Macnee W，Pauwels R，et al. Standards for the diagnosis and management of patients with COPD [R]. American Thoracic Society，European Resiratory Society，2004.
[15] Pepin J，Rarjhoux CE，Deschaux C，et al. Compliance with medical prescription and effective use of therapy [J]. Chest，1996，109（5）：1144-1150.
[16] 段颖杰.慢性阻塞性肺疾病患者家庭长程氧疗现状及其影响因素的研究[D].北京：中国协和医科大学，2010.
[17] Katsenos S，Froudarakis ME，Charisis A，et al. Long-term oxygen therapy in Ioannina [J]. Respiration，2004，71（6）：619-624.
[18] 王海燕，赵秋艳，陈茜.老年慢性阻塞性肺疾病患者家庭氧疗知识调查[J].实用医院临床杂志，2013，10（6）：193-195.
[19] 安丛丛，齐彦春.鼻塞吸氧患者鼻腔保湿方法的探讨[J].护理学杂志，2011（9）：33.
[20] 庄淑梅，王春梅.氧疗湿化液温度对呼吸系统疾病病人氧疗舒适度和效果影响[J].护理研究，2008（25）：2294-2296.
[21] 彭慧蛟，万丽红，黄月友，等.脑卒中患者健康信念与健康行为的调查研究[J].中华护理杂志，2012（1）：10-13.
[22] 陈瑜，夏海鸥，Oakley D，等.护理干预对促进上海市妇女乳腺癌早期筛查信念及行为的效果研究[J].中华护理杂志，2010，45（5）：401-404.
[23] Tanash HA，Huss F，Ekstr?觟m M. The risk of burn injury during long-term oxygen therapy：a 17-year longitudinal national study in sweden [J]. Int J Chron Obstruct Pulmon Dis，2015，10（1）：2479-2484.
2017, Vol. 14 
京公网安备 11010502046598号