CAJ | 학술논문

目的观察康复训练结合健康教育对老年慢性阻塞性肺疾病(COPD)患者生活质量及心理的影响.方法选取中、重度老年COPD稳定期住院患者108例,按随机数字表法分为干预组和对照组各54例,2组患者均接受呼吸内科常规治疗,干预组在此基础上进行个体化运动锻炼指导和健康教育相结合的综合康复治疗,对照组仅通过电话随访进行健康宣教和康复锻炼指导.2组患者均于治疗前和治疗1年后(治疗后)行COPD生活质量调查问卷(SGRQ)和症状自评量表(SCL-90)评分.结果治疗后,对照组SGRQ问卷各项评分与组内治疗前比较,差异均无统计学意义(P＞0.05);干预组SGRQ问卷症状、活动能力、生活影响评分及总分分别为(42.12±11.32)分、(45.17 ±10.23)分、(29.98 ±6.54)分和(41.02±9.92)分,分别与组内治疗前及对照组治疗后比较,差异均有统计学意义(P＜0.01).治疗后,干预组SCL-90量表各项评分与组内治疗前和对照组治疗后比较,差异均有统计学意义(P＜0.05).治疗期间,2组患者急性发作和急性发作导致住院人次组间比较,差异均有统计学意义(P＜0.05).结论康复训练结合健康教育可显著改善COPD患者的生活质量和心理健康状况.
목적 관찰강복훈련결합건강교육대노년만성조새성폐질병(COPD)환자생활질량급심리적영향.방법 선취중、중도노년COPD은정기주원환자108례,안수궤수자표법분위간예조화대조조각54례,2조환자균접수호흡내과상규치료,간예조재차기출상진행개체화운동단련지도화건강교육상결합적종합강복치료,대조조부통과전화수방진행건강선교화강복단련지도.2조환자균우치료전화치료1년후(치료후)행COPD생활질량조사문권(SGRQ)화증상자평량표(SCL-90)평분.결과 치료후,대조조SGRQ문권각항평분여조내치료전비교,차이균무통계학의의(P＞0.05);간예조SGRQ문권증상、활동능력、생활영향평분급총분분별위(42.12±11.32)분、(45.17 ±10.23)분、(29.98 ±6.54)분화(41.02±9.92)분,분별여조내치료전급대조조치료후비교,차이균유통계학의의(P＜0.01).치료후,간예조SCL-90량표각항평분여조내치료전화대조조치료후비교,차이균유통계학의의(P＜0.05).치료기간,2조환자급성발작화급성발작도치주원인차조간비교,차이균유통계학의의(P＜0.05).결론 강복훈련결합건강교육가현저개선COPD환자적생활질량화심리건강상황.
Objective To observe the effects of rehabilitation training combined with health education on quality of life and psychological state of elderly patients with chronic obstructive pulmonary disease (COPD).Methods A total of 108 elderly inpatients with moderate to severe COPD in stable conditions were randomly divided into an intervention group and a control group,with 54 patients in each group.The patients in both groups received general respiratory medical therapy.The patients in intervention group also received additional comprehensive rehabilitation training consisting of individualized exercise instructions and health education,while the patients in control group only received online telephone health education and rehabilitation training instruction.Patients in both groups were assessed by using St.George's respiratory questionnaire (SGRQ) and symptom checklist 90 (SCL-90) before and after one year of treatment.Results After treatment,the control group's scores for various SGRQ items were similar to the scores within the group before treatment (P ＞ 0.05).The intervention group's SGRQ scores for symptoms,mobility and impact on life and the total score were (42.12 ± 11.32),(45.17 ± 10.23),(29.98 ± 6.54) and (41.02±9.92),respectively,significantly different from their baseline values and those of the control group after treatment (P ＜ 0.01).After treatment,the intervention group's SCL-90 scores were significantly improved from baseline values and were also significantly different from the control group (P ＜ 0.05).Comparison between the two groups showed that throughout the treatment period,the number of patients with acute attacks and the number of patients' hospitalization due to acute attacks were statistically significantly lower in the intervention group (P ＜ 0.05).Conclusions Rehabilitation training combined with health education can significantly improve quality of life and psychological health of COPD patients.