CAJ | 학술논문

目的：探讨健康教育对稳定期慢性阻塞性肺疾病(COPD)患者社区康复的意义。方法对前期研究的46例社区稳定期COPD患者(干预组和对照组各23例)，于2013年10月及2014年1月进行两次电话随访，采用Bristol COPD知识问卷(BCKQ)、改良Borg评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)、COPD评估测试(CAT)进行调查。第1轮随访时给予健康教育。结果第1次随访时，干预组各项评分均恶化(P<0.05)，除SAS、SDS外，与对照组已无显著性差异(P>0.05)；其中文化程度较高者，评分无显著性恶化(P>0.05)。第2次随访时，干预组各项评分明显改善(P<0.01)，对照组也有改善(P<0.05)，两组间BCKQ、改良Borg评分、CAT评分有显著性差异(P<0.05)。结论稳定期COPD患者社区康复效果可逆。电话随访式健康教育能提高COPD患者的疾病认知，减轻呼吸困难，改善心理和生活质量。
목적：탐토건강교육대은정기만성조새성폐질병(COPD)환자사구강복적의의。방법대전기연구적46례사구은정기COPD환자(간예조화대조조각23례)，우2013년10월급2014년1월진행량차전화수방，채용Bristol COPD지식문권(BCKQ)、개량Borg평분、초필자평량표(SAS)、억욱자평량표(SDS)、COPD평고측시(CAT)진행조사。제1륜수방시급여건강교육。결과제1차수방시，간예조각항평분균악화(P<0.05)，제SAS、SDS외，여대조조이무현저성차이(P>0.05)；기중문화정도교고자，평분무현저성악화(P>0.05)。제2차수방시，간예조각항평분명현개선(P<0.01)，대조조야유개선(P<0.05)，량조간BCKQ、개량Borg평분、CAT평분유현저성차이(P<0.05)。결론은정기COPD환자사구강복효과가역。전화수방식건강교육능제고COPD환자적질병인지，감경호흡곤난，개선심리화생활질량。
Objective To explore the significance of health education for patients with stable chronic obstructive pulmonary disease (COPD) in community-based rehabilitation based on the previous research. Methods 46 patients with stable COPD recruited in Implementa-tion and Management of COPD Community Rehabilitation Program (23 patients from the intervention group and 23 from the control group) were followed up with telephone twice in October 2013 and January 2014, with the Bristol COPD Knowledge Questionnaire (BCKQ), modi-fied Borg Scale, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and COPD Assessment Test (CAT). Individual health education was given once in the first follow-up in October 2013. Results In the follow-up in October 2013, scores of each assessment were worse in the intervention group (P<0.05). There was no longer statistical significance between the intervention group and the control group (P>0.05) in all the assessments except the mental status (SAS, SDS). But the cases with higher education level in the intervention group were not worse too much (P>0.05). In the follow-up in January 2014, the scores of each assessment improved in the intervention group (P<0.01) and the control group (P<0.05). There was statistical significance between the intervention group and the control group again in the scores of BCKQ, modified Borg Scale and CAT (P<0.05). Conclusion The benefit from community-based rehabilitation can be reversible for patients with stable COPD. Health education with telephone in follow-up can improve the patients' awareness of disease, reduce dys-pnea, and improve their mental status and quality of life.