多元化健康教育干预对慢性阻塞性肺疾病患者生活质量影响.docVIP

多元化健康教育干预对慢性阻塞性肺疾病患者生活质量影响 　　【摘要】 目的 探讨多元化健康教育对桂西地区慢性阻塞性肺疾病（COPD）患者生活质量的影响。 　　方法 选取2013年3～12月在呼吸内科治疗的200例COPD患者为研究对象，按患者入院顺序编号分为实验组和对照组各100例，偶数入实验组，奇数入对照组。对照组实施传统的健康教育指导；实验组实施多元化健康教育。分别于干预前、出院当天采用自行设计的COPD知识评价表评价两组患者的COPD知识掌握情况；干预前、干预后3个月用COPD生命质量（QOL）测评表评价患者生活质量。 　　结果 干预前两组患者疾病知识得分比较差异无统计学意义（P0.05），干预后两组患者疾病知识得分均较干预前提高（P0.05），干预后实验组患者生活质量评分均较前下降（P0.05）。干预后实验组患者生活质量评分下降幅度大于对照组（P0.01）。 　　结论 多元化健康教育能有效帮助桂西地区COPD患者掌握疾病相关知识，患者能更好地进行自我管理，提高生活质量。 　　【关键词】 COPD；桂西地区；多元化健康教育；生活质量 　　中图分类号：R563.9 文献标识码：A 　　【Abstract】 Objective To explore effect of diversified health education on quality of life of patients with chronic obstructive pulmonary disease（COPD） in western Guangxi. 　　Methods 200 cases of COPD，who received treatment in the Department of Respiratory Medicine of our hospital from March to December，2013 were selected to the study，and they were divided into experimental group and control group according to hospital admission number with 100 cases in each group.Cases with even numbers were selected to the experimental group，and those with odd numbers were selected to the control group.The control group were given routine health education，while the experimental group were given diversified health education.The COPD knowledge mastering situation in the two groups was appraised at the day before intervention and the day of discharge by self-designed COPD knowledge evaluation table.In addition，the quality of life of both groups were evaluated by the quality of life （QOL） evaluation form of COPD 3 months before and 3 months after the intervention，respectively. 　　Results There was no statistically significant difference in the COPD knowledge mastery between two groups before the intervention（P005），but the COPD knowledge mastery levels in both groups after the intervention（P0.05）.Besides，scores of quality of life in the experimental group decreased more significantly than that of the control group after the intervention（P 　　Conclusion Diversified health education can ef