摘要
目的 构建“需求分层-多维教育-动态依从性管理”体系，探究其对慢性呼吸道疾病（COPD、哮喘）患者认知、依从性及急性加重的影响。方法 选取2025年2月-2025年7月78例患者，随机分对照组（39例，常规护理）与实验组（39例，需求分层健康教育+依从性强化护理），干预6个月后比较认知评分、MMAS-8评分及急性加重频率。结果 实验组认知评分、MMAS-8评分高于对照组，急性加重频率低于对照组（P＜0.05）。结论 该体系可提升认知与依从性，减少急性加重，具临床价值。
关键词： 慢性呼吸道疾病；需求分层；健康教育；治疗依从性
Abstract
Objective To construct a "needs stratification - multi-dimensional education - dynamic compliance management" system, and explore its effects on cognition, compliance and acute exacerbation in patients with chronic respiratory diseases (COPD, asthma). Methods A total of 78 patients from February2025to JuIy2025 were selected and randomly divided into the control group (39 cases, routine nursing) and the experimental group (39 cases, needs-stratified health education + compliance-enhanced nursing). After 6 months of intervention, cognitive scores, MMAS-8 scores and frequency of acute exacerbations were compared between the two groups. Results The cognitive score and MMAS-8 score of the experimental group were higher than those of the control group, and the frequency of acute exacerbations was lower than that of the control group (P＜0.05). Conclusion This system can improve cognition and compliance, reduce acute exacerbations, and has clinical value.
Key words： Chronic respiratory diseases; Needs stratification; Health education; Treatment compliance
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