CAJ | 학술논문

目的：探讨自我管理指导在 COPD 患者中的应用效果。方法将80例 COPD 患者随机分为观察组和对照组各40例，对照组采用常规护理，观察组在对照组基础上加强自我管理指导，比较2组的希望水平、肺功能和生活质量。结果观察组的现实和未来的积极态度、采取积极的行动以及希望总体评分高于对照组，差异有统计学意义（P ＜0．05）。观察组护理后的肺功能指标 FEV1、FEV1/FVC 均高于对照组，差异有统计学意义（P ＜0．05）。观察组在躯体功能、社会功能、心理功能等生活质量方面的评分均高于对照组，差异有统计学意义（P ＜0．05）。结论自我管理指导有利于提高 COPD 患者对疾病治疗的希望水平，改善患者带病期间的生活质量。
목적：탐토자아관리지도재 COPD 환자중적응용효과。방법장80례 COPD 환자수궤분위관찰조화대조조각40례，대조조채용상규호리，관찰조재대조조기출상가강자아관리지도，비교2조적희망수평、폐공능화생활질량。결과관찰조적현실화미래적적겁태도、채취적겁적행동이급희망총체평분고우대조조，차이유통계학의의（P ＜0．05）。관찰조호리후적폐공능지표 FEV1、FEV1/FVC 균고우대조조，차이유통계학의의（P ＜0．05）。관찰조재구체공능、사회공능、심리공능등생활질량방면적평분균고우대조조，차이유통계학의의（P ＜0．05）。결론자아관리지도유리우제고 COPD 환자대질병치료적희망수평，개선환자대병기간적생활질량。
Objective To investigate the effect of self-management guidance in COPD pa-tients.Methods 80 COPD patients were randomly divided into the observation group and the con-trol group,with 40 patients in each group.The control group was received routine nursing while the observation group was given self-management guidance based on the control group.Hope level, pulmonary function and life quality were compared between the two groups.Results Realistic and positive attitude,positive action in the future and general hope score in the observation group were higher than those in the control group,the difference was statistically significant (P <0.05). Lung function index in FEV1 and FEV1 /FVC in the observation group were higher than those in the control group,so the difference was statistically significant (P <0.05).Life quality score in physical function,social function and mental function in the observation group was higher than that in the control group ,the results revealed that the difference was statistically significant (P <0.05).Conclusion Self-management guidance can increase the treatment hope level of COPD pa-tients and improve the life quality during the illness.