目的 观察呼吸管理对哮喘患者的肺功能、自我效能等方面的影响。方法 将138例哮喘患者以随机数字表法分为对 照组(n=69，给予呼吸系统疾病常规护理)和呼吸管理组(n=69，在常规护理上建立呼吸管理团队)，观察两组患者肺 功能(血氧饱和度、第一秒用力肺活量占预计值比例、最大呼气流量、6min步行实验)指标变化，比较自我护理能力 测定量表和慢性病一般自我效能量表评分。结果 干预后，两组血氧饱和度、第一秒用力肺活量占预计值比例、最 大呼气流量、6min步行实验指标均显著提升(P<0.05)且呼吸管理组各指标提升程度显著高于对照组(P<0.05)；干预 后，两组自我护理技能、自我责任感、自我概念、健康知识水平和总分五个自我护理能力测定量表项目以及慢性病 一般自我效能量表评分均显著提升(P<0.05)，且呼吸管理组各指标提升幅度均显著高于对照组(P<0.05)。结论 呼 吸管理能够改善哮喘患者肺功能，提升其自护能力和自我效能水平。

Objective To observe the effects of respiratory management on lung function and self-efficacy in patients with asthma. Methods A total of 138 patients with asthma were divided into control group (n=69, given routine nursing of respiratory diseases) and respiratory management group (n=69, established respiratory management team on the basis of routine nursing). The changes of lung function indexes (oxygen saturation, percentage of forced vital capacity in 1 s of predicted value, maximum expiratory flow, 6-min walking test) were observed in the two groups. And the scores of self-care ability measurement scale and chronic disease general self-efficacy scale were compared. Results After intervention, the oxygen saturation, percentage of forced vital capacity in 1 s of predicted value, maximum expiratory flow and 6-min walking test index were significantly increased in the two groups (P<0.05), and the increases of indexes in respiratory management group were significantly higher than those in control group (P<0.05). After intervention, the scores of five items of self-care skills, self-responsibility, self-concept, health knowledge level and total score of self-care ability measurement scale and the score of chronic disease general self-efficacy scale were significantly improved in the two groups (P<0.05), and the increases of indexes in respiratory management group were significantly higher than those in control group (P<0.05). Conclusion Respiratory management can improve lung function and enhance self-care ability and self-efficacy level in patients with asthma.