Effectiveness of a nursing intervention based on the Transtheoretical Model combined with the Health Belief Model in patients with pulmonary tuberculosis and chronic obstructive pulmonary disease

doi:10.19982/j.issn.1000-6621.20250037

Abstract

Abstract:

Objective: To evaluate the effectiveness of a nursing intervention based on the Transtheoretical Model (TTM) integrated with the Health Belief Model (HBM) in patients diagnosed with pulmonary tuberculosis (PTB) and coexisting chronic obstructive pulmonary disease (COPD). Methods: This retrospective study included 146 patients diagnosed with both PTB and COPD who were admitted to the First Affiliated Hospital of Xinxiang Medical University between April 1, 2021, and March 31, 2023. Of these, 73 patients admitted from April 2021 to March 2022 received routine nursing care (control group), while the remaining 73 patients admitted from April 2022 to March 2023 received a nursing intervention based on the integrated TTM-HBM model (intervention group). Outcomes were assessed three months after discharge, including pulmonary function parameters, self-management ability, medication adherence, and quality of life. Results: At the three-month post-discharge follow-up, patients in the intervention group exhibited significantly greater improvements across all outcome measures compared with those in the control group. Pulmonary function parameters were markedly better in the intervention group, including forced expiratory volume in one second (FEV₁: (1.99±0.19) L vs. (1.67±0.15) L; t=-11.186, P<0.01), forced vital capacity (FVC: (2.81±0.21) L vs. (2.56±0.18) L; t=-7.792, P<0.01), and the FEV₁/FVC ratio (0.71±0.04 vs. 0.65±0.03; t=-9.311, P<0.01). Similarly, the intervention group scored significantly higher in self-management ability (6.03±1.22 vs. 4.56±1.35; t=-6.858, P<0.01), medication adherence (6.99±0.87 vs. 5.29±1.11; t=-10.188, P<0.01), and quality of life (73.68±10.99 vs. 66.08±8.66; t=-4.639, P<0.01). Conclusion: A nursing intervention grounded in the integrated TTM and HBM yields significant clinical benefits for patients with PTB and coexisting COPD. This approach not only enhances pulmonary function but also improves patients’ self-management abilities and medication adherence, ultimately contributing to sustained improvements in quality of life.

Key words: Tuberculosis, pulmonary, Pulmonary disease, chronic obstructive, Comorbidity, Rehabilitation nursing, Nursing evaluation research

CLC Number:

R473.5
R521

Peng Hua, Cui Junwei, Shang Qiubai, Li Siqing, Peng Ruiqin. Effectiveness of a nursing intervention based on the Transtheoretical Model combined with the Health Belief Model in patients with pulmonary tuberculosis and chronic obstructive pulmonary disease[J]. Chinese Journal of Antituberculosis, 2025, 47(6): 727-731. doi: 10.19982/j.issn.1000-6621.20250037

Figures/Tables 4

References 15

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组别	FEV₁(L)		FVC(L)		FEV₁/FVC
组别	干预前	干预后	干预前	干预后	干预前	干预后
对照组	1.36±0.13	1.67±0.15	2.21±0.18	2.56±0.18	0.62±0.03	0.65±0.03
观察组	1.33±0.11	1.99±0.19	2.15±0.12	2.81±0.21	0.61±0.02	0.71±0.04
t值	1.648	-11.186	2.155	-7.792	0.087	-9.311
P值	0.102	<0.01	0.062	<0.01	0.928	<0.01

组别	干预前	干预后
对照组	3.47±1.33	4.56±1.35
观察组	3.69±1.12	6.03±1.22
t值	-0.651	-6.858
P值	0.517	<0.01

组别	干预前	干预后
对照组	4.11±0.81	5.29±1.11
观察组	4.34±0.71	6.99±0.87
t值	-1.850	-10.188
P值	0.073	<0.01

组别	干预前	干预后
对照组	55.41±16.11	66.08±8.66
观察组	58.19±13.18	73.68±10.99
t值	-1.142	-4.639
P值	0.264	<0.01