慢性阻塞性肺疾病患者的家庭氧疗护理干预研究
摘 要
慢性阻塞性肺疾病（COPD）是一种常见的慢性呼吸系统疾病，家庭氧疗作为其重要治疗手段之一，对改善患者预后具有重要意义。然而，家庭氧疗的规范性和依从性问题亟待解决。本研究旨在探讨针对COPD患者的家庭氧疗护理干预措施及其效果，以提高患者的治疗依从性和生活质量。研究采用随机对照试验设计，选取120例接受家庭氧疗的COPD患者，分为干预组和对照组各60例。干预组实施基于健康信念模型的综合护理干预，包括个性化教育、心理支持及远程监测等措施，而对照组仅接受常规护理。经过6个月的随访观察，结果显示干预组患者的氧疗依从性显著提高，动脉血氧分压水平明显改善，且急性加重次数显著减少，生活质量评分较对照组有明显提升。这表明基于健康信念模型的护理干预能够有效优化COPD患者的家庭氧疗效果。本研究创新性地将远程监测技术与传统护理相结合，为家庭氧疗护理提供了新思路，同时为临床实践提供了理论依据和参考价值。
关键词：慢性阻塞性肺疾病; 家庭氧疗; 健康信念模型; 护理干预; 远程监测
Abstract
Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease, and home oxygen therapy, as one of its critical treatment modalities, plays a significant role in improving patient outcomes. However, the standardization and compliance of home oxygen therapy remain pressing issues to be addressed. This study aimed to explore nursing intervention measures for home oxygen therapy in COPD patients and their effects, with the goal of enhancing treatment adherence and quality of life. A randomized controlled trial design was adopted, involving 120 COPD patients receiving home oxygen therapy, who were randomly divided into an intervention group and a control group, each consisting of 60 participants. The intervention group received comprehensive nursing interventions based on the Health Belief Model, including personalized education, psychological support, and remote monitoring, while the control group only received routine care. After six months of follow-up observation, the results demonstrated that the oxygen therapy compliance of patients in the intervention group significantly increased, along with marked improvements in arterial blood oxygen partial pressure levels and a notable reduction in acute exacerbation episodes. Moreover, the quality of life scores in the intervention group were significantly higher than those in the control group. These findings indicate that nursing interventions based on the Health Belief Model can effectively optimize the outcomes of home oxygen therapy in COPD patients. Innovatively, this study integrated remote monitoring technology with traditional nursing practices, offering new insights into home oxygen therapy nursing and providing valuable theoretical evidence and practical references for clinical applications.
Key words:Chronic Obstructive Pulmonary Disease; Home Oxygen Therapy; Health Belief Model; Nursing Intervention; Remote Monitoring
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、慢性阻塞性肺疾病概述 3
1.1、疾病特征与病理机制 3
1.2、家庭氧疗的必要性分析 3
1.3、护理干预的研究背景 4
第2章、家庭氧疗护理干预模式构建 5
2.1、护理干预的核心目标 5
2.2、氧疗设备管理与维护 5
2.3、患者及家属教育体系 6
第3章、家庭氧疗护理干预实施策略 7
3.1、个性化护理方案设计 7
3.2、氧疗依从性提升方法 7
3.3、心理支持与健康指导 8
第4章、家庭氧疗护理干预效果评估 9
4.1、生理指标监测与分析 9
4.2、患者生活质量改善研究 9
4.3、干预措施优化建议 10
结 论 11
参考文献 12
摘 要
慢性阻塞性肺疾病（COPD）是一种常见的慢性呼吸系统疾病，家庭氧疗作为其重要治疗手段之一，对改善患者预后具有重要意义。然而，家庭氧疗的规范性和依从性问题亟待解决。本研究旨在探讨针对COPD患者的家庭氧疗护理干预措施及其效果，以提高患者的治疗依从性和生活质量。研究采用随机对照试验设计，选取120例接受家庭氧疗的COPD患者，分为干预组和对照组各60例。干预组实施基于健康信念模型的综合护理干预，包括个性化教育、心理支持及远程监测等措施，而对照组仅接受常规护理。经过6个月的随访观察，结果显示干预组患者的氧疗依从性显著提高，动脉血氧分压水平明显改善，且急性加重次数显著减少，生活质量评分较对照组有明显提升。这表明基于健康信念模型的护理干预能够有效优化COPD患者的家庭氧疗效果。本研究创新性地将远程监测技术与传统护理相结合，为家庭氧疗护理提供了新思路，同时为临床实践提供了理论依据和参考价值。
关键词：慢性阻塞性肺疾病; 家庭氧疗; 健康信念模型; 护理干预; 远程监测
Abstract
Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease, and home oxygen therapy, as one of its critical treatment modalities, plays a significant role in improving patient outcomes. However, the standardization and compliance of home oxygen therapy remain pressing issues to be addressed. This study aimed to explore nursing intervention measures for home oxygen therapy in COPD patients and their effects, with the goal of enhancing treatment adherence and quality of life. A randomized controlled trial design was adopted, involving 120 COPD patients receiving home oxygen therapy, who were randomly divided into an intervention group and a control group, each consisting of 60 participants. The intervention group received comprehensive nursing interventions based on the Health Belief Model, including personalized education, psychological support, and remote monitoring, while the control group only received routine care. After six months of follow-up observation, the results demonstrated that the oxygen therapy compliance of patients in the intervention group significantly increased, along with marked improvements in arterial blood oxygen partial pressure levels and a notable reduction in acute exacerbation episodes. Moreover, the quality of life scores in the intervention group were significantly higher than those in the control group. These findings indicate that nursing interventions based on the Health Belief Model can effectively optimize the outcomes of home oxygen therapy in COPD patients. Innovatively, this study integrated remote monitoring technology with traditional nursing practices, offering new insights into home oxygen therapy nursing and providing valuable theoretical evidence and practical references for clinical applications.
Key words:Chronic Obstructive Pulmonary Disease; Home Oxygen Therapy; Health Belief Model; Nursing Intervention; Remote Monitoring
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、慢性阻塞性肺疾病概述 3
1.1、疾病特征与病理机制 3
1.2、家庭氧疗的必要性分析 3
1.3、护理干预的研究背景 4
第2章、家庭氧疗护理干预模式构建 5
2.1、护理干预的核心目标 5
2.2、氧疗设备管理与维护 5
2.3、患者及家属教育体系 6
第3章、家庭氧疗护理干预实施策略 7
3.1、个性化护理方案设计 7
3.2、氧疗依从性提升方法 7
3.3、心理支持与健康指导 8
第4章、家庭氧疗护理干预效果评估 9
4.1、生理指标监测与分析 9
4.2、患者生活质量改善研究 9
4.3、干预措施优化建议 10
结 论 11
参考文献 12
