CAJ | 학술논문

目的观察社区康复治疗对慢性阻塞性肺疾病稳定期患者肺功能、生活质量及急性发作次数的影响.方法将60例稳定期慢性阻塞性肺疾病患者随机分为干预组及对照组各30例,观察时间为半年.干预组进行心理与行为干预、呼吸肌锻炼、家庭氧疗、营养支持等康复治疗措施.治疗前后检测肺功能和生活质量,同时通过电话、复诊、上门随访等方法随访半年,记录患者病情变化情况.结果经半年干预后,干预组患者的肺功能、生活质量、急性加重及再次住院的频率与干预前、对照组比较有明显改善,差异具有统计学意义(P＜0.05).结论社区康复治疗能改善患者肺功能,延缓肺功能进一步恶化,提高患者的生活质量,改善预后,值得临床推广.
목적 관찰사구강복치료대만성조새성폐질병은정기환자폐공능、생활질량급급성발작차수적영향.방법 장60례은정기만성조새성폐질병환자수궤분위간예조급대조조각30례,관찰시간위반년.간예조진행심리여행위간예、호흡기단련、가정양료、영양지지등강복치료조시.치료전후검측폐공능화생활질량,동시통과전화、복진、상문수방등방법수방반년,기록환자병정변화정황.결과 경반년간예후,간예조환자적폐공능、생활질량、급성가중급재차주원적빈솔여간예전、대조조비교유명현개선,차이구유통계학의의(P＜0.05).결론 사구강복치료능개선환자폐공능,연완폐공능진일보악화,제고환자적생활질량,개선예후,치득림상추엄.
Objective To observe community rehabilitation therapy for stable chronic obstructive pulmonary disease (COPD) patients on pulmonary function, quality of life and the number of acute attacks. Methods Sixty stable COPD patients were randomly divided into intervention group ( n = 30)and control group ( n = 30) for half a year observation period. Community rehabilitation therapy intervention was added to the intervention group include in healthy education, psychology intervention,breathing exercises, home oxygen and nutritional intervention. In both groups were measure pulmonary function and quality of life before and after discharge for half a year. Record changes in patient condition by telephone, return visit, follow-up visits were followed up for half a year. Results After the intervention, the intervention group of lung function, quality of life and the number of exacerbation and readmission were significant improvement compared with before intervention and the control group, the difference was statistically significant ( P ＜0. 05). Conclusions The community rehabilitation therapy can improve pulmonary function, delay further deterioration of lung function, improve quality of life of patients and the prognosis,it is worthy of promotion.