健康教育管理在贵州某社区慢性阻塞性肺疾病稳定期患者中的意义-内科学(呼吸系病)专业论文.docxVIP

万方数据 万方数据 The significance of health education management in patients with stable chronic obstructive pulmonary disease in a community of Guizhou province. Major: Respiratory Medicine Candidate: Yanju Xu Supervisor: Xiangyan Zhang [Abstract] Objective:with the purpose of providing theoretical guidance for clinic medicine to conduct effective health education, this article investigates the potential effect of pulmonary health education management on life behavior, treatment compliance and life quality of patients with stable COPD in a community of Guizhou province. Method: 1. Duration: From 2013 June to 2014 December.2. Sampling: in this research, the sample size had been determined as 118 objects who lived in Wudang community, Guiyang, Guizhou province, and all the samples were patients with stable COPD and in pulmonary rehabilitation.3. Grouping: all patients were divided into 56 cases in the observation group, 62 cases in the control group. The observation group received health education and monthly follow-up, while the control group didn’t. 4.Data collection :After six months, compared the two groups with smoking status, regular medication,rehabilitation exercise, quality of life (CAT questionnaire) and the lung function examination index. Results:All 118 patients completed follow-up. Before and after six months, the statistics of observation group shows that the proportion of giving up smoking increased (28.6% vs 57.1% ), the proportion of regularly using medicine increased (46.4% vs 75.0 %), the proportion of rehabilitation exercise increased (28.6% VS 57.1% ),and CAT scores decreased(18.93±5.91 vs 14.04±6.17 ).The above indexes w ere statistically significant(all P0.05 ). Meanwhile, FEV1/FVC%（41.87±8.10 vs 43.16±7.34）and FEV1% pred（48.25±10.90 vs 46.52±10.81）data of observation group had no statistical significance (all P0.05). Compared with six months before the control group showed no change in the proportion of giving up smoking (51.6 % vs 54.