中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
24期
51-54
,共4页
健康教育%慢性阻塞性肺疾病%肺功能%生活质量%认知%治疗依从性
健康教育%慢性阻塞性肺疾病%肺功能%生活質量%認知%治療依從性
건강교육%만성조새성폐질병%폐공능%생활질량%인지%치료의종성
Health education%Chronic obstructive pulmonary disease%Lung function%Quality of life%Awareness%Treatment compliance
目的 探讨健康教育对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者的肺功能、生活质量、认知状况和治疗依从性的作用.方法 将106例COPD患者随机分为4组,其中Ⅰ组25例、Ⅱ组26例、Ⅲ组20例、Ⅳ组35例.Ⅰ组患者不接受健康教育,Ⅱ、Ⅲ、Ⅳ组依次接受2、4、8周(包括8周以上)COPD健康教育(健康教育组).以问卷调查、随访的方法,于干预前及6个月后,观察健康教育对COPD患者的肺功能水平、生活质量情况、了解程度以及规律用药情况的影响.结果 健康教育对延缓稳定期COPD患者FEV1、FVC及FEV1/FVC下降有明显作用,同时对提高稳定期COPD患者的生活质量有明显作用,均有Ⅱ、Ⅲ、Ⅳ组优于Ⅰ组,Ⅲ、Ⅳ组优于Ⅰ、Ⅱ组.健康教育能明显提高患者对COPD的认识程度(Ⅰ、Ⅱ、Ⅲ、Ⅳ组不了解率分别为:72.0％,19.2％,0,0),组间比较差异有统计学意义.同时健康教育能明显提高患者规律用药的比例,健康教育效果与健康教育次数呈正相关.但Ⅲ、Ⅳ组间效果比较差异无统计学意义.结论 健康教育能显著提高稳定期COPD患者对COPD的认识程度和规律用药水平,对延缓COPD患者肺功能下降和提高生活质量有积极的作用.
目的 探討健康教育對慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)穩定期患者的肺功能、生活質量、認知狀況和治療依從性的作用.方法 將106例COPD患者隨機分為4組,其中Ⅰ組25例、Ⅱ組26例、Ⅲ組20例、Ⅳ組35例.Ⅰ組患者不接受健康教育,Ⅱ、Ⅲ、Ⅳ組依次接受2、4、8週(包括8週以上)COPD健康教育(健康教育組).以問捲調查、隨訪的方法,于榦預前及6箇月後,觀察健康教育對COPD患者的肺功能水平、生活質量情況、瞭解程度以及規律用藥情況的影響.結果 健康教育對延緩穩定期COPD患者FEV1、FVC及FEV1/FVC下降有明顯作用,同時對提高穩定期COPD患者的生活質量有明顯作用,均有Ⅱ、Ⅲ、Ⅳ組優于Ⅰ組,Ⅲ、Ⅳ組優于Ⅰ、Ⅱ組.健康教育能明顯提高患者對COPD的認識程度(Ⅰ、Ⅱ、Ⅲ、Ⅳ組不瞭解率分彆為:72.0％,19.2％,0,0),組間比較差異有統計學意義.同時健康教育能明顯提高患者規律用藥的比例,健康教育效果與健康教育次數呈正相關.但Ⅲ、Ⅳ組間效果比較差異無統計學意義.結論 健康教育能顯著提高穩定期COPD患者對COPD的認識程度和規律用藥水平,對延緩COPD患者肺功能下降和提高生活質量有積極的作用.
목적 탐토건강교육대만성조새성폐질병(chronic obstructive pulmonary disease,COPD)은정기환자적폐공능、생활질량、인지상황화치료의종성적작용.방법 장106례COPD환자수궤분위4조,기중Ⅰ조25례、Ⅱ조26례、Ⅲ조20례、Ⅳ조35례.Ⅰ조환자불접수건강교육,Ⅱ、Ⅲ、Ⅳ조의차접수2、4、8주(포괄8주이상)COPD건강교육(건강교육조).이문권조사、수방적방법,우간예전급6개월후,관찰건강교육대COPD환자적폐공능수평、생활질량정황、료해정도이급규률용약정황적영향.결과 건강교육대연완은정기COPD환자FEV1、FVC급FEV1/FVC하강유명현작용,동시대제고은정기COPD환자적생활질량유명현작용,균유Ⅱ、Ⅲ、Ⅳ조우우Ⅰ조,Ⅲ、Ⅳ조우우Ⅰ、Ⅱ조.건강교육능명현제고환자대COPD적인식정도(Ⅰ、Ⅱ、Ⅲ、Ⅳ조불료해솔분별위:72.0％,19.2％,0,0),조간비교차이유통계학의의.동시건강교육능명현제고환자규률용약적비례,건강교육효과여건강교육차수정정상관.단Ⅲ、Ⅳ조간효과비교차이무통계학의의.결론 건강교육능현저제고은정기COPD환자대COPD적인식정도화규률용약수평,대연완COPD환자폐공능하강화제고생활질량유적겁적작용.
Objective To evaluate the effect of health education on lung function,quality of life,awareness degree and treatment compliance in chronic obstructive pulmonary disease (COPD) patients during stationary phase.Methods 106 COPD patients during stationary phase were randomly divided into 4 groups,25 patients in group Ⅰ,26 patients in group Ⅱ,20 patients in group Ⅲ,35 patients in group Ⅳ.Group Ⅰ did not accepted the health education,and group Ⅱ,Ⅲ,Ⅳ accepted two,four and eight (or＞eight) weeks health education in file.The lung function,quality of life,awareness degree and inerratic treatment rate were compared before and 6 months after health education by questionnaire and follow-up survey.Results Health education could be successful in delaying the decline of FEV1,FVC and FEV1/FVC and was effective in decreasing the SGRQ score among the COPD patients during stationary phase.The results showed that group Ⅱ,Ⅲ,Ⅳ were superior to group Ⅰ,while group Ⅲ,Ⅳ were superior to group Ⅰ,Ⅱ.Health education could remarkably increase awareness degree and inerratic treatment in COPD patients during stationary phase,and the effect on inerratic treatment was connected with the health education number of times.There were distinct different results among 4 groups.Conclusions Health education could remarkably increase awareness and inerratic treatment rate,and have positive effect to delay lung function decline and to promote quality of life in COPD patients during stationary phase.
