老年慢性阻塞性肺疾病患者系统化健康教育干预效果剖析.docVIP

老年慢性阻塞性肺疾病患者系统化健康教育干预效果剖析 　　[摘要] 目的 探讨系统化健康教育对老年慢性阻塞性肺疾病(COPD)患者知信行(KAP)水平和生活质量的影响。方法 将200例老年COPD患者随机分为观察组和对照组各100例。对照组接受一般性健康宣教,观察组接受为期1年的系统化健康教育干预。比较两组干预前后的AKP水平和生活质量评分。结果 干预后观察组的KAP评分明显高于对照组,且明显高于干预前,差异有统计学意义(P0.05或0.01)。干预后观察组的生活质量各维度评分明显高于对照组,且明显高于干预前,差异有统计学意义(P0.01)。结论 系统性健康教育干预有助于提高老年COPD患者的知信行水平和生活质量。 　　[关键词] 阻塞性肺疾病;健康教育;知识、态度、行为;生活质量 　　[中图分类号] R56 [文献标识码] A [文章编号] 1673-9701(2010)04-121-03 　　 　　Efficacy of Systematic Health Education in Treatment of Chronic Obstructive Pulmonary Disease in Aged People 　　NI XinCAO Fengjiao 　　Department of Respiratory of Yiyang City Central Hospital in Hunan Province,Yiyang 413000,China 　　 　　[Abstract] Objective To examine the impact of systematic health education on knowledge -attitude-practice(KAP) level and quality of life in the elderly patients with chronic obstructive pulmonary disease. Methods A total of 200 COPD patients were randomly divided into the two groups with 100 each The control group was treated with ordinary health education,and the observational group received the systematic health education for 1 year. The KAP level and scores of quality of life were compared between both two groups. Results The scores of KAP and quality of life were considerably higher in the observational group than in the control group after intervention, and markedly higher after intervention than before intervention,showing significant differences, all(P0.05 or 0.01). Conclusion Systematic health education can aid in increasing the KAP level and quality of life in the elderly COPD patients. 　　[Key words] Obstructive pulmonary disease;Health education;Knowledge-attitude-practice;Quality of life 　　慢性阻塞性肺疾病(COPD)是老年人常见病、多发病之一。随着社会的老龄化以及环境污染的加剧,它已成为继心脑血管疾病、癌症之后的老年致死病因,严重威胁着老年人的身体健康、生活质量和生命质量。COPD患者不仅在疾病病因、不合理治疗的不良结局和急性加重期自我管理等方面知识贫乏[1],而且在疾病的信念和行为方面还存在诸多不足[2]。知信行(KAP)理论认为只有建立积极正确的信念和态度,才能改变其行为。健康教育是一门通过改变行为来促进健康的科学,投入少、产出高、效益大,其重要性已在国内外引起广泛关注。本研究对100例老年COPD患者实施系统化的健康教育干预,旨在探讨系统化健康教育对老年COPD患者KAP水平和生活质量的影响,以期探索一种行之有效的COPD患者健康教育模