定期随访对COPD患者提高生活质量影响.docVIP

定期随访对COPD患者提高生活质量影响 　　【摘要】目的:了解定期随访对慢性阻塞性肺疾病（COPD）患者提高生活质量的影响。方法 将2008年7月至12月在我院呼吸科住院后好转出院的100例COPD患者分为观察组和对照组。 对照组采用常规出院指导，观察组在常规出院指导基础上于出院后第3d、1个月、3个月、6个月时定期进行家庭随访。观察出院后半年后患者生活质量改善情况包括6min步行试验，圣乔治呼吸问卷得分以及再入院率情况。结果 与对照组相比较，观察组6min步行试验，圣乔治呼吸问卷得分明显提高（P＜0.01),再入院率降低（P＜0.01)。结论 定期随访能改善COPD患者生活质量，促进了医院护理健康教育向家庭延伸，提高了患者的家庭自护能力及生活质量从而减少了患者再入院次数。 　　【关键词】COPD;定期随访;生活质量 　　The influence of regular follow-up to quality of life in patients with chronicobstructive pulmonary disease 　　【Abstract】 0bjective To find The influence of regular follow-up to quality of life in patients with chronicobstructive pulmonary disease(COPD).MethodsTotally 100 patients who were discharged from our department from July to December in 2008 were enrolled and divided into two groups atthe beginning of the study.Regular discharge instructions were carried on in control group.Observation group were regularly followed-up in 1,3,and 6months.6 months later ,two groups were compared in quality of life,including6 min Walking Test, St Georges respiratory questionnaire (SGRQ) and readimission rate.ResultsCompared with control group,the scores of6 min Walking Test are significantly higher and SGRQ are lower in observation group ,readimission rate is reduced .Conclusions: Quality of life in patients with chronicobstructive pulmonary disease may impoved byregular follow-up,which also may promote the nursing in hospital extending to out hospital ,improve the ability of self-nurse and decrease the frequency of admission. 　　【Keywords】 chronicobstructive pulmonary disease，regular follow-up，quality of life 　　【中图分类号】R741 【文献标识码】A 【文章编号】1005-0515(2011)06-0002-02 　　 　　慢性阻塞性肺疾病是严重威胁我国人民健康的疾病，其患病率和死亡率逐年增高，严重威胁公众健康及生命。据预测人类社会进人21世纪后各种慢性非传染性疾病，包??慢性阻塞性肺疾病(COPD)将成为中年以后死亡和致残的主要原因，据统计目前我国每年因COPD造成100万人死亡和大约此数字5～10倍的人致残[1]，如不采取有力措施事态还会更加严重，这将给我国政府造成极其沉重的经济负担和巨大的损失[2]。慢性阻塞性肺疾病患者的肺功能呈进行性下降，目前已知的治疗方法对缓解肺功能的下降作用有限，目前认为COPD的治疗以综合治疗为主。对患者的定期随访能为了切实落实以患者为中心、延伸院内健康教育而实施的一种人性化护理措施。其目的是使患者正确认识疾病，掌握正确的药物使用方法，提高生活质量，减少因急性加重引起的住院。为