健康教育在慢性阻塞性肺疾病社区康复中的意义

发布时间：2019-03-26 17:11

【摘要】：目的探讨健康教育对稳定期慢性阻塞性肺疾病(COPD)患者社区康复的意义。方法对前期研究的46例社区稳定期COPD患者(干预组和对照组各23例),于2013年10月及2014年1月进行两次电话随访,采用Bristol COPD知识问卷(BCKQ)、改良Borg评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)、COPD评估测试(CAT)进行调查。第1轮随访时给予健康教育。结果第1次随访时,干预组各项评分均恶化(P0.05),除SAS、SDS外,与对照组已无显著性差异(P0.05);其中文化程度较高者,评分无显著性恶化(P0.05)。第2次随访时,干预组各项评分明显改善(P0.01),对照组也有改善(P0.05),两组间BCKQ、改良Borg评分、CAT评分有显著性差异(P0.05)。结论稳定期COPD患者社区康复效果可逆。电话随访式健康教育能提高COPD患者的疾病认知,减轻呼吸困难,改善心理和生活质量。
[Abstract]:Objective To study the significance of health education in community rehabilitation of patients with chronic obstructive pulmonary disease (COPD). Methods Twenty-six patients with stable COPD (23 in the intervention group and control group) were followed up in October 2013 and January 2014, and the BCKQ, the modified Borg score, the anxiety self-rating scale (SAS) and the self-rating scale (SDS) were used. The COPD Assessment Test (CAT) was investigated. Health education was given at the first round of follow-up. Results At the first follow-up, the scores of the intervention group were all deteriorated (P0.05). There was no significant difference (P0.05) between the control group and the control group except SAS and SDS (P0.05). At the second follow-up, the scores of the intervention group were significantly improved (P0.01), and the control group was also improved (P0.05). There was a significant difference between the two groups (P0.05). Conclusion The rehabilitation effect of community in stable COPD patients is reversible. The telephone follow-up health education can improve the disease cognition of patients with COPD, reduce the difficulty of breathing and improve the mental and quality of life.
【作者单位】：上海市第一人民医院康复医学科;
【基金】：世界健康基金会项目(No.PH05523)
【分类号】：R563.9

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