中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
2期
148-151
,共4页
杨素花%张兵%郑玉龙%刘爱琴%徐莉
楊素花%張兵%鄭玉龍%劉愛琴%徐莉
양소화%장병%정옥룡%류애금%서리
肺疾病,慢性阻塞性%社区护理干预%体重指数%稳定期
肺疾病,慢性阻塞性%社區護理榦預%體重指數%穩定期
폐질병,만성조새성%사구호리간예%체중지수%은정기
Pulmonary disease,chronic obstructive%Community nursing intervention%Body mass index%Period of stability
目的 探讨社区护理干预对低体重指数(BMI)的慢性阻塞性肺疾病(COPD)稳定期患者BMI、肺功能及生活质量的影响.方法 将76例低BMI的COPD稳定期患者采用随机数字表法分为干预组和对照组各38例.对照组采用常规护理方法治疗,干预组在此基础上进行社区护理干预治疗,其余治疗相同.3个月后监测两组患者BMI、肺功能变化,并通过圣·乔治呼吸问卷(SGRQ)评估患者生活质量.结果 3个月后,干预组BMI (22.6±2.7) kg/m2、肺功能[FEVI(1.85±0.23)L、FEVI占预计值(60±8)％]及生活质量[SGRQ(127.4±45.1)分、呼吸症状(46.6±18.3)分、活动受限(42.6±17.9)分、疾病影响(38.2±16.2)分]改善程度均明显优于对照组:BMI(18.3±2.4)kg/m2、FEVI(1.57±0.14)L、FEV1占预计值(49±6)％、SGRQ得分(183.0±70.5)、呼吸症状(66.3±21.5)分、活动受限(55.0±23.2)分、疾病影响(61.7 ±23.8)分,两组比较差异均有统计学意义(t值依次为7.39,6.84,6.98,7.63,6.97,6.55,7.11；P＜0.05),其中BMI的升高程度尤为明显(=7.39,P＜0.01).结论 社区护理干预能有效改善低BMI的COPD稳定期患者BMI和肺功能,提高生活质量,具有临床推广价值.
目的 探討社區護理榦預對低體重指數(BMI)的慢性阻塞性肺疾病(COPD)穩定期患者BMI、肺功能及生活質量的影響.方法 將76例低BMI的COPD穩定期患者採用隨機數字錶法分為榦預組和對照組各38例.對照組採用常規護理方法治療,榦預組在此基礎上進行社區護理榦預治療,其餘治療相同.3箇月後鑑測兩組患者BMI、肺功能變化,併通過聖·喬治呼吸問捲(SGRQ)評估患者生活質量.結果 3箇月後,榦預組BMI (22.6±2.7) kg/m2、肺功能[FEVI(1.85±0.23)L、FEVI佔預計值(60±8)％]及生活質量[SGRQ(127.4±45.1)分、呼吸癥狀(46.6±18.3)分、活動受限(42.6±17.9)分、疾病影響(38.2±16.2)分]改善程度均明顯優于對照組:BMI(18.3±2.4)kg/m2、FEVI(1.57±0.14)L、FEV1佔預計值(49±6)％、SGRQ得分(183.0±70.5)、呼吸癥狀(66.3±21.5)分、活動受限(55.0±23.2)分、疾病影響(61.7 ±23.8)分,兩組比較差異均有統計學意義(t值依次為7.39,6.84,6.98,7.63,6.97,6.55,7.11；P＜0.05),其中BMI的升高程度尤為明顯(=7.39,P＜0.01).結論 社區護理榦預能有效改善低BMI的COPD穩定期患者BMI和肺功能,提高生活質量,具有臨床推廣價值.
목적 탐토사구호리간예대저체중지수(BMI)적만성조새성폐질병(COPD)은정기환자BMI、폐공능급생활질량적영향.방법 장76례저BMI적COPD은정기환자채용수궤수자표법분위간예조화대조조각38례.대조조채용상규호리방법치료,간예조재차기출상진행사구호리간예치료,기여치료상동.3개월후감측량조환자BMI、폐공능변화,병통과골·교치호흡문권(SGRQ)평고환자생활질량.결과 3개월후,간예조BMI (22.6±2.7) kg/m2、폐공능[FEVI(1.85±0.23)L、FEVI점예계치(60±8)％]급생활질량[SGRQ(127.4±45.1)분、호흡증상(46.6±18.3)분、활동수한(42.6±17.9)분、질병영향(38.2±16.2)분]개선정도균명현우우대조조:BMI(18.3±2.4)kg/m2、FEVI(1.57±0.14)L、FEV1점예계치(49±6)％、SGRQ득분(183.0±70.5)、호흡증상(66.3±21.5)분、활동수한(55.0±23.2)분、질병영향(61.7 ±23.8)분,량조비교차이균유통계학의의(t치의차위7.39,6.84,6.98,7.63,6.97,6.55,7.11；P＜0.05),기중BMI적승고정도우위명현(=7.39,P＜0.01).결론 사구호리간예능유효개선저BMI적COPD은정기환자BMI화폐공능,제고생활질량,구유림상추엄개치.
Objective To investigate the effects of community nursing intervention on body mass index (BMI),lung function and quality of life in chronic obstructive pulmonary disease (COPD) patients with low BMI during the stable period.Methods Totals of 76 cases with COPD and low BMI during the stable period were divided into two groups randomly:the patients in control group (n =38) were treated by traditional care,while the patients in intervention group (n =38) were treated by community nursing intervention.After 3 months later,the BMI and lung function were determined and the quality of life was assessed by St.George respiratory questionnaire (SGRQ).Results Three months later,the BMI,FEV1,FEV1％ predicted value,SGRQ,breath symptom,limitation of activity,effect of disease in the intervention group respectively were (22.6±2.7),(1.85±0.23)L,(60±8)％,(127.4±45.1),(46.6±18.3),(42.6±17.9),(38.2±16.2),while those in the control group were (18.3 ±2.4),(1.57 ±0.14)L,(49 ±6)％,(183.0 ±70.5),(66.3 ± 21.5),(55.0 ± 23.2),(61.7 ± 23.8),and the difference was statistically significant (t =7.39,6.84,6.98,7.63,6.97,6.55,7.11,respectively; P ＜ 0.05).And the increase of BMI in the intervention group was significantly improved than that in the control group (t =7.39,P ＜ 0.01).Conclusions Community nursing intervention is more effective on increasing the BMI and improving lung function as well as quality of life for COPD patients with low BMI,so it is worthy to spread widely.
