赣南医学院学报
贛南醫學院學報
공남의학원학보
JOURNAL OF GANNAN MEDICAL COLLEGE
2014年
6期
858-860
,共3页
康复指导%哮喘%肺功能%哮喘控制测试
康複指導%哮喘%肺功能%哮喘控製測試
강복지도%효천%폐공능%효천공제측시
rehabilitation instruction%asthma%pulmonary function%asthma control test
目的：探讨综合康复指导对老年哮喘患者肺功能及哮喘控制测试（ asthma control test，ACT）的影响。方法：40例规律治疗的老年哮喘患者随机分为综合康复指导组20例，对照组20例。对照组老年哮喘患者进行常规治疗及一般入院宣教。综合康复指导组从疾病认知、药物指导、呼吸训练、心理疏导、饮食指导、运动指导、消除诱因、识别先兆等方面进行指导，并给予连续6月的随访指导。采用FEV1、FVC、pEF和ACT分别对两组出院时、出院后6个月进行评估并做统计学分析。结果：出院6月后两组患者肺功能均较出院时有改善，但康复指导组患者的肺功能明显优于对照组，差异具有统计学意义（ p<0.01），且康复指导组ACT评分显著高于对照组，差异具有统计学意义（ p<0.01）。结论：综合康复指导能明显改善老年哮喘患者的肺功能，并能较好控制哮喘发作。
目的：探討綜閤康複指導對老年哮喘患者肺功能及哮喘控製測試（ asthma control test，ACT）的影響。方法：40例規律治療的老年哮喘患者隨機分為綜閤康複指導組20例，對照組20例。對照組老年哮喘患者進行常規治療及一般入院宣教。綜閤康複指導組從疾病認知、藥物指導、呼吸訓練、心理疏導、飲食指導、運動指導、消除誘因、識彆先兆等方麵進行指導，併給予連續6月的隨訪指導。採用FEV1、FVC、pEF和ACT分彆對兩組齣院時、齣院後6箇月進行評估併做統計學分析。結果：齣院6月後兩組患者肺功能均較齣院時有改善，但康複指導組患者的肺功能明顯優于對照組，差異具有統計學意義（ p<0.01），且康複指導組ACT評分顯著高于對照組，差異具有統計學意義（ p<0.01）。結論：綜閤康複指導能明顯改善老年哮喘患者的肺功能，併能較好控製哮喘髮作。
목적：탐토종합강복지도대노년효천환자폐공능급효천공제측시（ asthma control test，ACT）적영향。방법：40례규률치료적노년효천환자수궤분위종합강복지도조20례，대조조20례。대조조노년효천환자진행상규치료급일반입원선교。종합강복지도조종질병인지、약물지도、호흡훈련、심리소도、음식지도、운동지도、소제유인、식별선조등방면진행지도，병급여련속6월적수방지도。채용FEV1、FVC、pEF화ACT분별대량조출원시、출원후6개월진행평고병주통계학분석。결과：출원6월후량조환자폐공능균교출원시유개선，단강복지도조환자적폐공능명현우우대조조，차이구유통계학의의（ p<0.01），차강복지도조ACT평분현저고우대조조，차이구유통계학의의（ p<0.01）。결론：종합강복지도능명현개선노년효천환자적폐공능，병능교호공제효천발작。
Objective:To explore the impact of rehabilitation instruction on pulmonary function and asthma control test ( ACT)of the elderly patient with asthma. Methods:A total of 40 cases of elderly asthmatics from October,2012 to De-cember,2013 were randomly divided into rehabilitation instruction group(n+20)and control group(n+20). Elderly patients with asthma in the control group were given routine guidance and treatment. The rehabilitation instruction group were given rehabilitation education,including disease knowledge,medicine guidance,respiratory exercises,psychologi-cal management,diet,sports suggestion,removing inducements and preventing an outbreak. FEV1,FVC,pEF and ACT were used to evaluate and compare the data of the two groups when discharging and 6 months after. Results:The pulmona-ry function and score of ACT of the two groups 6 months after discharge were better than discharge(p<0. 01). However, the pulmonary function and score of ACT of the rehabilitation instruction group were far better than the control group( p<0. 01). There was statistical significance. Conclusion:Comprehensive rehabilitation guidance can obviously improve the pulmonary function in elderly patients with asthma and gain better control of asthma.
