Construction And Application Of The Intervention Program On Home Non-invasive Positive Pressure Ventilation Behaviors In Stable COPD Patients

ObjectiveTo construct a nursing intervention program on home non-invasive positive pressure ventilation behaviors in patients with stable period of COPD based on health belief model and to explore the effects of this program on non-invasive positive pressure ventilation belief,behavior and COPD Assessment Test,average daily time,effective days per month and lung function.Methods1 The Construction of the Home NPPV Behavioral Intervention Program for patients with stable COPDTo provide a good reference and guidance for the Home NPPV behavior intervention program in stable COPD patients,Using the literature research method to read and analyze the literature on Home NPPV behaviors at home and abroad,to understand the current status and influencing factors of Home NPPV behaviors in patients with stable COPD and to analyze the design and implementation of the related intervention programs.Combining semi-structured interview results and health belief model theory to support the construction of a first draft of a Home NPPV behavioral intervention program for patients with stable COPD.Then the expert consultation was carried out.According to the expert opinion to modify the intervention plan.2 The Application of the Home NPPV Behavioral Intervention Program for patients with stable COPDA total of 52 COPD patients who were admitted to the Department of Respiratory Medicine in Zhoukou City,Henan Province,The patients in A ward were intervention group and the patients in B ward were control group.The control group was given routine nursing intervention and demonstrated the operation process of non-invasive ventilator,and the intervention group was given the nursing intervention based on health belief model and non-invasive ventilator operation demonstration.Both groups collected baseline data before intervention and 1 month after discharge and 3 months after discharge Home NPPV beliefs and Behaviors,COPD Assessment Test,using NPPV average daily time,effective days per month and measure the patient’s pulmonary function index.Using SPSS26.0 analysis data,the statistical methods of descriptive statistics,t test,x~2test,non-parametric test and repeated measurement analysis are mainly used.Results1 The Construction of the Home NPPV Behavioral Intervention Program for patients with stable COPDThe literature study included 6 intervention articles as references,combined with2 themes and 6 sub-themes extracted from semi-structured interviews,to construct the first draft of the Home NPPV behavioral intervention plan for patients with stable COPD;revised the intervention plan by consulting 10 experts in related fields,The effective recovery rate of the expert consultation questionnaire is 100%,and the expert Cr is 0.85.The determined intervention plan includes 5 one-to-one interventions,6 telephone/We Chat follow-ups,and the duration of the intervention is3 months.2 The Application of the Home NPPV Behavioral Intervention Program for patients with stable COPD52 cases were included,3 cases were lost,the loss rate was 5.77%,and the effective sample size was 49,including 25 cases in the intervention group and 24cases in the control group.Baseline data of the two groups were not statistically different(P>0.05).The results show that:(1)After 1 month after discharge and 3 months after discharge,the total score of health belief and scores of each dimension in the intervention group were higher than those in the control group(P<0.05);(2)There was no significant difference between the two groups in the first month of discharge and the second month of discharge(P>0.05),but there was significant difference in the third month after discharge(P<0.05);There was no significant difference between the two groups in the effective days of using the Non-invasive Positive Pressure Ventilation at different time per month(P>0.05);(3)There was no significant difference in health behavior score between the two groups one month after discharge(P>0.05),but the score of intervention group was significantly higher than that of control group 3 months after discharge(P<0.05);(4)The CAT score of the intervention group decreased significantly 3 months after discharge(P<0.01),the control group had no significant change(P>0.01),the difference between the two groups was statistically significant(P<0.05);(5)At 3 months after discharge,there was no significant difference in pulmonary function between the two groups(P>0.05).ConclusionsNursing intervention based on health belief model on home non-invasive positive pressure ventilation behavior in patients with stable period of COPD can effectively the level of health belief of patients,have a certain positive effect on improving health behavior,can improve the quality of patients’life,but can’t improve the lung function of patients.