Application of the self-management-oriented 5A model nursing in elderly asthma patients
自我管理导向下5A模式护理在老年哮喘患者中的应用

摘要

目的 探讨予以老年哮喘患者自我管理导向下5A模式护理的效果。方法 选取2025年1月-12月在本院治疗的42例老年哮喘患者，随机分为两组，21例对照组行常规护理，21例观察组在常规护理基础上行自我管理导向下5A模式护理，对两组自我效能、自我管理能力及病情控制效果进行比较。结果 观察组护理后一般自我效能感量表（GSES）、自我管理能力测定量表（ESCA）评分高于对照组（P＜0.05）；观察组护理后哮喘控制测试（ACT）、成人哮喘生活质量评分表（AQLQ）评分高于对照组（P＜0.05）。结论 在老年哮喘患者中，应用自我管理导向下5A模式护理可促进其自我效能及自我管理能力进一步改善，进而达到良好病情控制效果。

Abstract

Objective To explore the effect of the 5A model nursing under self-management guidance on elderly asthma patients.
Methods A total of 42 elderly asthma patients treated in our hospital from January to December 2025 were selected and randomly divided into two groups. The control group (21 cases) received routine nursing, while the observation group (21 cases) received self-management-guided 5A model nursing in addition to routine care. The self-efficacy, self-management ability, and disease control outcomes were compared between the two groups.
Results After nursing, the General Self-Efficacy Scale (GSES) and Self-Management Capability Assessment Scale (ESCA) scores in the observation group were higher than those in the control group (P < 0.05). Additionally, the Asthma Control Test (ACT) and Adult Asthma Quality of Life Questionnaire (AQLQ) scores in the observation group were also higher than those in the control group (P < 0.05).
Conclusion   In elderly asthma patients, the application of self-management-guided 5A model nursing can further improve their self-efficacy and self-management ability, thereby achieving better disease control outcomes.