CAJ | 학술논문

目的：探讨健康教育对长期氧疗慢性阻塞性肺疾病患者肺功能和生活质量的影响。方法选择2012年1月~2013年2月杭州市第三人民医院诊治慢性阻塞性肺疾病稳定期患者118例，分为干预组(60例)和对照组(58例)，两组均接受家庭长期氧疗，干预组对患者持续进行健康教育。采用QLICD-COPD量表和Barthel指数评价患者生活质量，并对比两组干预前后肺功能参数、治疗依从性、并发症及预后。结果6个月后，干预组一秒用力呼气容积(FEV1)[(1.57±0.42)L]、一秒用力呼气容积/用力肺活量(FEV1/FVC)[(58.62±4.56)]、每分钟最大通气量(MVV)[(60.62±7.56)L/min]均显著高于对照组[(1.35±0.35)L、(50.36±4.35)、(56.95±6.33)L/min]，差异有统计学意义(P<0.05)。干预组躯体功能、心理功能、社会功能、特异模块、总分及Barthel指数评分均显著高于对照组差异有统计学意义(P<0.05)。干预组治疗依从性显著高于对照组差异有统计学意义(P<0.05)，干预组呼吸道干燥(3.33豫)、呼吸抑制(1.67豫)、氧气中毒(0.00豫)、COPD急性发作(1.67豫)发生率均显著低于对照组(13.79豫、13.79豫、8.62豫、8.62豫)，差异有统计学意义(P<0.05)，干预组再次住院率(0.00豫)低于对照组(6.90豫)，但差异无统计学意义(P>0.05)。结论健康教育有助于长期氧疗慢性阻塞性肺疾病患者坚持氧疗提高肺功能、生活质量，减少并发症及不良预后。
목적：탐토건강교육대장기양료만성조새성폐질병환자폐공능화생활질량적영향。방법선택2012년1월~2013년2월항주시제삼인민의원진치만성조새성폐질병은정기환자118례，분위간예조(60례)화대조조(58례)，량조균접수가정장기양료，간예조대환자지속진행건강교육。채용QLICD-COPD량표화Barthel지수평개환자생활질량，병대비량조간예전후폐공능삼수、치료의종성、병발증급예후。결과6개월후，간예조일초용력호기용적(FEV1)[(1.57±0.42)L]、일초용력호기용적/용력폐활량(FEV1/FVC)[(58.62±4.56)]、매분종최대통기량(MVV)[(60.62±7.56)L/min]균현저고우대조조[(1.35±0.35)L、(50.36±4.35)、(56.95±6.33)L/min]，차이유통계학의의(P<0.05)。간예조구체공능、심리공능、사회공능、특이모괴、총분급Barthel지수평분균현저고우대조조차이유통계학의의(P<0.05)。간예조치료의종성현저고우대조조차이유통계학의의(P<0.05)，간예조호흡도간조(3.33예)、호흡억제(1.67예)、양기중독(0.00예)、COPD급성발작(1.67예)발생솔균현저저우대조조(13.79예、13.79예、8.62예、8.62예)，차이유통계학의의(P<0.05)，간예조재차주원솔(0.00예)저우대조조(6.90예)，단차이무통계학의의(P>0.05)。결론건강교육유조우장기양료만성조새성폐질병환자견지양료제고폐공능、생활질량，감소병발증급불량예후。
Objective To investigate the impact of health education on lung function and quality of life of long-term oxygen therapy in chronic obstructive pulmonary disease patients. Methods From January 2012 to Febrary 2013, 118 patients with stable chronic obstructive pulmonary disease were selected and divided into intervention group (60 cases) and the control group (58 cases). Both groups were given families receiving long-term oxygen therapy, and patients in the intervention group were given continued health education. QLICD-COPD scale and Barthel index were given for e-valuating life quality of patients, and the two groups before and after the intervention of lung function parameters, treat-ment compliance, complications and prognosis were compared. Results After 6 months, the FEV1 [(1.57±0.42) L], FEV1/FVC [(58.62±4.56)], MVV [(60.62±7.56) L/min] in intervention group were significantly higher than those in control group [(1.35±0.35) L, (50.36±4.35), (56.95±6.33) L/min], the differences were statistically significant (P< 0.05). In the inter-vention group physical function, psychological function, social function, specific modules, score and Barthel Index scores were significantly higher than those in the control group, the differences were statistically significant (P<0.05). In the intervention group treatment compliance was significantly higher than that in the control group, the difference was statistically significant (P<0.05). In the intervention group respiratory dry (3.33%), respiratory depression (1.67%), oxygen poisoning (0.00%), COPD incidence of acute exacerbation (1.67%) occurrence rates were significantly lower than those in the control group (13.79%, 13.79%, 8.62%, 8.62%), the differences were statistically significant (P<0.05). In the intervention group again hospitalized occurrence rates (0.00%) lower than that in the control group (6.90%), but the difference was not statistically significant (P> 0.05). Conclusion Health education can helps long-term oxygen therapy in patients with chronic obstructive pulmonary disease persist oxygen therapy to improve lung function, quality of life, reduce complications and a poor prognosis.