系统性健康教育对稳定期慢性阻塞性肺疾病患者生活质量及预后的影响.docVIP

系统性健康教育对稳定期慢性阻塞性肺疾病患者生活 质量及预后的影响 ［摘耍］日的探讨系统性健康教育改善稳定期慢性阻塞性肺疾病患 者生活质量及预后的作用。方法 将2010年9月?2013年6月义乌市中 心医院新生儿科收治的124例稳定期慢性阻塞性肺疾病患者分为干预组 (65例)和对照组(59例)，干预组采用系统性健康教育进行干预，对照 组采用传统常规健康教育。采用圣乔治呼吸问卷(SGRQ)评价患者生活质 量，症状自评量表(SCL-90)评价患者心理健康状况，观察随访期间急性 发作率、再住院率及病死率。结果 干预后干预组SGRQ量表呼吸症状、 活动能力、社交心理评分分别为(41?06±8?92)、(30?26±5?52)、(27. 15 ±5. 49)分，显著低于对照组的(56?24±10.59)、(40. 89土6. 98)、(32.58 ±6. 22)分，差异冇统计学意义(P 0. 05)o干预后干预组SCL-90量表 的躯体化、人际关系、抑郁、焦虑、敌对、偏执评分分别为(30. 15±4. 34)、 (21. 56±4. 45)、(26. 37±4. 49)、(24. 36±3. 45)、(19. 64±3. 56)、(12. 13 ±3. 35)分,显著低于对照组的(36?92±4.45)、(25. 67±4? 88)、(39.94 ±4.46)、(40?26±4?45)、(19. 36±3? 35)、(20. 65±3. 75)分，差异有 统计学意义(P 0. 05)o干预组急性发作率、再住院率及病死率分别为 18.46%、12.31%、0. 00%,均显著低于对照组的 49.15%、45.76%、5. 08%, 差异有统计学意义(P 0.05)。结论 有针对性地进行健康宣教，通过 综合心理辅导、生活行为指导、康复训练和团体互助形式有利于改善稳定 期慢性阻塞性肺疾病患者健康行为而提高生活质量和心理健康状态，减少 不良预后的发生。 ［关键词］慢性阻塞性肺疾病；系统性健康教育；牛活质量；心理状 况；预后 ［中图分类号］R563. 1 ［文献标识码］B ［文章编号］1673-7210 (2014) 11 (b) -0146-05 ［Abstract］ Objective To investigate the effect of systematic health education to improve the quality of 1 ifo and prognoslic role of patients with stable chronic obstruetive pulmonary disease. Methods 124 patients with stable chronic obstructive pulmonary disease admitted to Department of Neonatology in Yiwu Central Hospital from September 2010 to June 2013 were chosen and divided into intervention group (65 cases) and control group (59 cases), the intervention group received systemic hea1th educati on intervention and control group used traditional conventional health education, St. George respiratory questionnaire (SGRQ) was used to evaluate patients quality of life , symptom checklist-90 (SCL-90) was used to evaluate mental health of patients. The acute exacerbation rate during follow-up, re~hospitalization rate and mortality were observed. Results SGRQ scale in intervention group after the intervention of respiratory symptoms , activity , psychosocial scores were (41. 06土8. 92), (30. 26±5. 52), (27. 15 ±5.49) points, which were significantly lower