基于遗忘曲线变化规律的健康教育在老年COPD稳定期吸入治疗患者中的应用

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Abstract Objective To analyze the application effect of health education based on the changing law of forgetting curve in the inhalation treatment of stable chronic obstructive pulmonary disease (COPD) in the elderly. Methods From April 2018 to April 2019, a total of 108 elderly stable COPD patients with inhalation therapy admitted to the First People’s Hospital of Lianyungang, Jiangsu Province were selected and divided into observation group 54 cases and control group 54 cases (2 cases dropped out, 52 cases were actually included) according to the random number table method. The control group was given regular health education, while the observation group jointly applied health education based on the changing law of forgetting curve. Followed up for six months, the correct rate of standardized use of inhalants and compliance with inhalation treatment were compared between the two groups. Results Follow-up for six months, the correct rate of standardized use of inhalants in the observation group was higher than that before education (P ＜ 0.05), and the correct rate of opening, charging, inhaling, closing, and gargle in the control group were higher than before education (P ＜ 0.05); the correct rate of observing assembled medicine, inhaling medicine and holding breath were higher than those of the control group (P ＜ 0.05). Follow-up for six months, ten items of inhalation (except for the control group “I tried to avoid inhalation”) and the overall compliance score of two groups were higher than those before education (P ＜ 0.05). “I will only inhale when needed”, “I will forget to inhale”, “I will change the dosage by myself”, “I will inhale the treatment when other medications are ineffective”, “I will inhale therapy before doing something that may make my breathing difficult” and the overall compliance score of obsarvation group were higher than those of the control group (P ＜ 0.05). Conclusion Health education based on the changing law of the forgetting curve helps to improve the correct rate of standardized use of inhalants for elderly patients with stable COPD, promotes the development of compliance behaviors for inhalation therapy, and is expected to improve the quality of life of patients.

Key words： Chronic obstructive pulmonary disease Dry powder inhalants Forgetting curve Health education Standardized use Compliance

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	YAO Wenjie1 XU Fengqin2 ZHANG Jie1 ZHOU Yufeng3▲

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YAO Wenjie1 XU Fengqin2 ZHANG Jie1 ZHOU Yufeng3▲. Application of health education based on the changing law of forgetting curve in inhalation therapy for elderly patients with stable COPD[J]. 中国医药导报, 2021, 18(19): 172-175,180.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I19/172

[1] 李亚宁.布地奈德福莫特罗粉吸入剂对慢性阻塞性肺疾病稳定期患者肺功能改善的作用[J].中国药物与临床，2020，20（16）：2760-2762.
[2] 沈俊，吴秋惠，张桂凡，等.教育前后干粉吸入器使用不正确的影响因素分析[J].中南药学，2019，17（2）：277-281.
[3] 何胜东，杨树栋，何新兵，等.慢性阻塞性肺疾病患者干粉吸入装置操作错误情况及影响因素研究[J].中国全科医学，2020，23（7）：819-822.
[4] 王玉，苏丹，林莹.慢性阻塞性肺疾病患者使用吸入制剂的依从性分析与评价[J].中国医院用药评分与分析，2020， 20（1）：114-117.
[5] 容根南，黄冬枚，朱惠芳，等.基于专科疾病护理的情景剧和遗忘曲线在护士培训中的应用[J].解放军护理杂志，2018，35（15）：73-76.
[6] 王新霞，刘秀静，张芳，等.艾宾浩斯记忆曲线在慢性心力衰竭病人健康教育中的效果研究[J].全科护理，2020， 18（8）：130-132.
[7] 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.
[8] 余爱萍，陈洁，林郁清.回授法联合视频宣教在COPD患者肺部吸入剂使用中的应用效果[J].中华现代护理杂志，2017，23（10）：3902-3905.
[9] 黄静铭，钟美容，邱予骅，等.连续性健康教育提高COPD稳定期病人舒利迭治疗依从性的效果观察[J].护理研究，2015，29（9）：3397-3398.
[10] Shealy KM，Paradiso VC，Slimmer ML，et al. Evaluation of the precalence and effectiveness of education on metered-dose inhaler technique [J]. Respir Care，2017，62（7）：882-887.
[11] 张小秋，陈敏，胡丹红，等.“知信行”教育模式对COPD患者干粉吸入剂使用规范性及生活质量的影响[J].中华现代护理杂志，2017，23（30）：3885-3889.
[12] Morisky DE，Ang A，Krousel-wood M，et al. Predictive Validity of a Medication Adherence Measure for Hypertension Control [J]. J Clin Hypertens（Greenwich），2008， 10（5）：348-354.
[13] 田庆秀，余丽君.中文版支气管哮喘用药依从性量表的信效度检验[J].中华护理杂志，2014，49（5）：621-624.
[14] 邵红艳.老年COPD患者自我感受负担的研究进展[J].齐鲁护理杂志，2019，25（5）：15-17.
[15] 汤守香，马静.颈部伸直对慢性阻塞性肺疾病患者使用吸入剂疗效的影响[J].中国医药导报，2019，16（7）：96-99.
[16] 刘娟.信息回授法在改善慢性阻塞性肺疾病患者吸入技术中的应用[J].护士进修杂志，2018，33（10）：944-946.
[17] 郭天聪，宁欣，张佳莹，等.视频通话教育在老年COPD患者干粉吸入剂使用技术中的作用[J].中国民康医学，2018，30（21）：10-12.
[18] 佚名.艾宾豪斯遗忘曲线[J].中国护理管理，2019，19（6）：860.
[19] 潘兴，王黎青，王慧铃.患者教育对慢性阻塞性肺疾病患者干粉吸入剂使用正确率及依从性的影响[J].临床肺科杂志，2019，24（11）：1952-1956.
[20] 胡鑫，周德霞.准纳器训练哨干预老年慢性阻塞性肺疾病患者吸入治疗探讨[J].实用临床医药杂志，2018，22（21）：109-111.
[21] 郭蕾，陈艳，岳容兆.基于记忆-遗忘规律的高职内科护理学教学实践[J].中华护理教育，2019，16（2）：119-122.
[22] 毛进，夏泽燕，惠晓芳.基于遗忘曲线的健康教育在居家鼻饲老年病人护理中的应用[J].当代护士：下旬刊，2020，27（11）：158-160.
[23] 安章英，张妍，郑建华.基于遗忘曲线理论的护理干预对原发性肝癌患者疾病相关知识水平和自我管理能力的影响[J].中华现代护理杂志，2020，26（2）：243-247.
[24] 李晶，王伟，刘力玮.遗忘曲线和记忆干扰学说在手术室实习护生带教中的应用效果[J].解放军护理杂志，2017，34（2）：59-62.
[25] 董静芬，俞利红，屠昕，等.知识、信念和行为模式对糖调节受损患者的干预作用[J].中国卫生检验杂志，2019， 29（19）：117-119.