慢性阻塞性肺疾病（COPD）患者院外康复护理疗效分析.docVIP

精品论文 参考文献 慢性阻塞性肺疾病（COPD）患者院外康复护理疗效分析 周兴荣（四川省达州市中心医院 635000） 　　【摘要】目的：观察慢性阻塞性肺疾病（COPD）患者院外康复护理的疗效，探讨对COPD 患者康复锻炼的教育监督机制。方法：随机选取我院于2014 年1 月-2015 年1 月间收治的慢性阻塞性肺疾病急性加重（AECOPD）患者46 例作为研究对象，平均分成实验组和对照组，每组各23 例。调查研究对象对疾病的认知程度；实验组出院后进行每周两次的电话随访，给予健康知识教育以督促指导患者的生活方式、体能锻炼、规律用药等；入院时及预定实验时间后（出院12 周）分别进行COPD 评估测试（CAT），观察COPD 对患者生活质量的影响并进行呼吸困难、动脉血气、肺功能等指标的测量。结果：实验组患者对疾病的认知度、CAT 评分及呼吸困难评分明显优于对照组，差异显著，具有统计学意义(Plt;0.01)。结论 加强院外系统化的健康教育干预，督促患者康复锻炼、规律药物治疗和良好的生活方式能够明显提高COPD 患者的生活质量。 　　【关键词】慢性阻塞性肺疾病；康复；健康教育；生活质量【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）15-0011-02【Abstract】Objective：To observe the level of the impact of COPD on patientsrsquo; life. To observe the compliance and the curative effect of therehabilitation management for COPD patients .Methods：I randomly selected hospital in January 2014 --2015 were treated between January chronicobstructive pulmonary disease (AECOPD) of 46 patients for the study, they were divided into experimental and control groups, 23 in each group. ResearchSubject awareness of the disease; the experimental group were discharged twice-weekly telephone follow-up, to give health education to the supervisionand guidance of the patients lifestyle, physical exercise, regular drug therapy; admission test and after a predetermined time (discharged 12 weeks) wereCOPD assessment Test (CAT), observe the effect on the quality of life in patients with COPD and dyspnea, arterial blood gas measurements, lung functionand other indicators. Results：Experimental group awareness of the disease, CAT scores and dyspnea scores than the control group, the difference wassignificant, statistically significant (P lt;0.01). Conclusion：Strengthening hospital systematic health education intervention, urge patients to rehabilitationexercises, regular medication and a good lifestyle can significantly improve the quality of life in COPD patients.【Keywords】Chronic obstructive pulmonary disease; Rehabilitation exercise; Instruction; Quality of life 　　临床上将具有气道阻塞特征的慢支和肺气肿统称为慢性阻塞性肺疾病。COPD