基于桑代克学习定律建立PTP激励机制对COPD患者健康心理控制源的影响
|
摘要
目的:探讨基于桑代克学习定律建立PTP(Patient To Patient)激励机制,以"患友面对面"为切入点,以"健康心理控制源量表"为抓手,指导康复期慢性阻塞性肺疾病(COPD)患者实施功能锻炼,增强患者疾病内控信念,提高其生活质量。方法:将131例COPD患者分为观察组65例和对照组66例。对照组采用常规运动训练指导,观察组在对照组基础上加以PTP激励机制方案。两组均采用多维度健康状况心理控制源量表(MHLC)测评健康心理控制源。结果:干预前两组MHLC评分比较差异无统计学意义(P>0.05);干预3个月后,观察组MHLC评分显著提高(P<0.05),而对照组无明显变化(P>0.05)。结论:基于桑代克学习定律建立的PTP激励机制可有效引导COPD患者转变疾病控制倾向,改善内控维度评分,提高护理效果。
Objective:To explore the PTP(Patient To Patient)incentive mechanism based on the Thorndike′s law,taking "face to face with friends" as the breakthrough point,and taking "health mental control source scale" as the gripper,in order to guide rehabilitation function exercise in patients with chronic obstructive pulmonary disease(COPD),enhance internal control beliefs in patients,and improve their quality of life.Methods:A total of 131 patients with COPD were divided into observation group(65 cases)and control group(66 cases).The control group was guided by routine exercise training,and the observation group was given PTP incentive scheme on the basis of the control group.The MHLC was used to evaluate the health mental control sources in both groups.Results:there was no statistically significant difference in MHLC scores between the two groups before intervention(P>0.05).After 3 months of intervention,MHLC score in the observation group increased significantly(P<0.05),while there was no significant difference in the control group(P>0.05).Conclusion:the PTP incentive mechanism established based on Thorndike′s learning law can effectively guide COPD patients to change the tendency of disease control,improve the score of internal control dimension,and improve the nursing effect.
Objective:To explore the PTP(Patient To Patient)incentive mechanism based on the Thorndike′s law,taking "face to face with friends" as the breakthrough point,and taking "health mental control source scale" as the gripper,in order to guide rehabilitation function exercise in patients with chronic obstructive pulmonary disease(COPD),enhance internal control beliefs in patients,and improve their quality of life.Methods:A total of 131 patients with COPD were divided into observation group(65 cases)and control group(66 cases).The control group was guided by routine exercise training,and the observation group was given PTP incentive scheme on the basis of the control group.The MHLC was used to evaluate the health mental control sources in both groups.Results:there was no statistically significant difference in MHLC scores between the two groups before intervention(P>0.05).After 3 months of intervention,MHLC score in the observation group increased significantly(P<0.05),while there was no significant difference in the control group(P>0.05).Conclusion:the PTP incentive mechanism established based on Thorndike′s learning law can effectively guide COPD patients to change the tendency of disease control,improve the score of internal control dimension,and improve the nursing effect.
引文
[1] 陈淑娟,王维利,潘庆.多维度健康状况心理控制源量表临床应用研究[J].护理研究,2014,28(5):1682-1684.
[2] 李小姝.护理教育学[M].北京:人民卫生出版社,2002:1.
[3] 周小香,彭宝营,杨小英,等.桑代克的学习理论在临床健康教育中的应用[J].河北医药,2013,35(4):619-620.
[4] 周玉兰,刘枢晓,查云,等.呼吸肌功能锻炼对慢性阻塞性肺疾病康复期患者临床症状及肺功能的影响[J].中华护理学杂志,2003,38(8):616-618.
[5] 陈琦,刘儒德.当代教育心理学[M].北京:北京师范大学出版社,2007:136.
[6] 张国初,潘岁月,蒋宏,等.运动训练对慢性阻塞性肺疾病康复期患者肺功能的影响[J].临床肺科杂志,2010,15(12):1753-1755.
[7] 于欣.多维度健康状况心理控制源量表[J].中国心理卫生杂志,1999,12(增刊):344-345.
[8] Donald Baken,Christine Stephens.More dimensions for the Multidimensional Health Locus of Control:Confirmatory factor analysis of competing models of the structure of control beliefs[J].Journal of Health Psychology,2005,10(5):643-656.
[9] De Valck C,Vinck J.Health locus of control and quality of life in lung cancer patients[J].Patient Education and Counseling,1996,28(2):179-186.
[10] Aging J.Health:Effects of the sense of control[J].Science,1986,233(4770):1271-1276.
[11] 申自力,蔡太生.一般领域控制感与控制方式量表的修订[J].中国健康心理学杂志,2010,18(3):361-362.
[12] Rotter JB.Generalized expectancies for internai versus externai control reinforcement[J].Psychological Monographs,1996,80(1):1-28.
[13] Maurer J,Rebbapragada V,Borson S,et al.Anxiety and depression in COPD current understanding,unanswered questions,and research needs[J].Chest,2008,134(4):43-56.
[2] 李小姝.护理教育学[M].北京:人民卫生出版社,2002:1.
[3] 周小香,彭宝营,杨小英,等.桑代克的学习理论在临床健康教育中的应用[J].河北医药,2013,35(4):619-620.
[4] 周玉兰,刘枢晓,查云,等.呼吸肌功能锻炼对慢性阻塞性肺疾病康复期患者临床症状及肺功能的影响[J].中华护理学杂志,2003,38(8):616-618.
[5] 陈琦,刘儒德.当代教育心理学[M].北京:北京师范大学出版社,2007:136.
[6] 张国初,潘岁月,蒋宏,等.运动训练对慢性阻塞性肺疾病康复期患者肺功能的影响[J].临床肺科杂志,2010,15(12):1753-1755.
[7] 于欣.多维度健康状况心理控制源量表[J].中国心理卫生杂志,1999,12(增刊):344-345.
[8] Donald Baken,Christine Stephens.More dimensions for the Multidimensional Health Locus of Control:Confirmatory factor analysis of competing models of the structure of control beliefs[J].Journal of Health Psychology,2005,10(5):643-656.
[9] De Valck C,Vinck J.Health locus of control and quality of life in lung cancer patients[J].Patient Education and Counseling,1996,28(2):179-186.
[10] Aging J.Health:Effects of the sense of control[J].Science,1986,233(4770):1271-1276.
[11] 申自力,蔡太生.一般领域控制感与控制方式量表的修订[J].中国健康心理学杂志,2010,18(3):361-362.
[12] Rotter JB.Generalized expectancies for internai versus externai control reinforcement[J].Psychological Monographs,1996,80(1):1-28.
[13] Maurer J,Rebbapragada V,Borson S,et al.Anxiety and depression in COPD current understanding,unanswered questions,and research needs[J].Chest,2008,134(4):43-56.