哮喘家属健康教育及家庭护理干预对哮喘患者生活质量的影响

Objective To investigate how the family health education and nursing intervention reduce asthma attack and improve the life quality of asthma patients.Methods Health education was implemented among50 cases of asthma pstients and their family.The adult asthma quality of life score shect and St o George respiratoty questionnaire(SGRQ)scale were adopted for patients.The life quality of sustained intervention was compared with that of we-intervention after 6 months. Results After 6 months interveatien,the score of life quality and the score of SGRQ were statistically significant(P＜0.05).Cenclusions The family health education and nursing intervention can improve medication compliance,reduce acute attack,cut their charges and improve their life quality.     

哮喘家属健康教育及家庭护理干预对哮喘患者生活质量的影响

Objective To investigate how the family health education and nursing intervention reduce asthma attack and improve the life quality of asthma patients.Methods Health education was implemented among50 cases of asthma pstients and their family.The adult asthma quality of life score shect and St o George respiratoty questionnaire(SGRQ)scale were adopted for patients.The life quality of sustained intervention was compared with that of we-intervention after 6 months. Results After 6 months interveatien,the score of life quality and the score of SGRQ were statistically significant(P＜0.05).Cenclusions The family health education and nursing intervention can improve medication compliance,reduce acute attack,cut their charges and improve their life quality.     

脂肪肝病人生活质量与个性心理特征相关性研究

Objective To investigate the relation of quality of life and personal psychology of fatty liver patients.Methods The health starus questionnaire (SF-36) and the Eysenck Personality Questionnaire (EPQ) of the 100 cases of moderate and severe patients of fatty liver were investigated and 100 normal cases were selected as control.Results Dimensions of SF-36 score in patients of fatty liver were significantly lower than those of control group (all P ＜0.01) .E sub-scale in patients of fatty liver were lower than those of control group (P ＜0.01),and N Scale points were higher (P ＜0.01) .Patients of fatty liver had tendencies within the personality and emotional instability,quality of life of patients of fatty liver was negatively correlated with the amount of points E and N (all P ＜0.05) .Conclusion Patients of fatty liver have lower quality of life,their quality of life are closely related to psychological characteristics of personality.Nurses should estimate the patients from physical,psychological,social function and psychological characteristics of personality,at the same time afford personalized health education,with a view to improve patients quality of life.     

腰椎间盘突出症患者术前自我效能感相关因素分析

Objective To study the preoperative self-efficacy of patients with lumbar disc herniation(LDH) and its influential factors. Methods Seventy-six patients with LDH underwent operation from June 2008 to March 2009 were enrolled in the current study. The patients were investigated with GSES,SAS,SDS and self-made general characteristics before operation. The data were analyzed with SPSS 11.5. Results The score of preoperative self-efficacy was 25. 84 ±6. 76. The course of disease, education level, patients' hobbits could affect self-efficacy (F = 15. 371,P<0.01;F = 18.078,P<0.01;t =2. 368,P<0. 05). Preoperative self-efficacy correlated negatively with the course of disease (r = - 0.541, P < 0. 01). And preoperative self-efficacy correlated with education level and hobbits(r = 0. 589, P < 0. 01; r = 0. 226, P < 0.05) . The score of preoperative dysphoria and depression was significantly higher than norm (P < 0. 01) . Preoperative self-efficacy correlated negatively with dysphoria and depression (r = -0. 494, P < 0.01; r = - 0. 443, P < 0. 01). Conclusions The score of preoperative self-efficacy with LDH is low; the score of preoperative dysphoria and depression is high. Preoperative self-efficacy correlated negatively with the course of disease. And preoperative self-efficacy correlated with education level and hobbits; Preoperative self-efficacy correlated negatively with preoperative dysphoria and depression.     

腰椎间盘突出症患者术前自我效能感相关因素分析

Objective To study the preoperative self-efficacy of patients with lumbar disc herniation(LDH) and its influential factors. Methods Seventy-six patients with LDH underwent operation from June 2008 to March 2009 were enrolled in the current study. The patients were investigated with GSES,SAS,SDS and self-made general characteristics before operation. The data were analyzed with SPSS 11.5. Results The score of preoperative self-efficacy was 25. 84 ±6. 76. The course of disease, education level, patients' hobbits could affect self-efficacy (F = 15. 371,P<0.01;F = 18.078,P<0.01;t =2. 368,P<0. 05). Preoperative self-efficacy correlated negatively with the course of disease (r = - 0.541, P < 0. 01). And preoperative self-efficacy correlated with education level and hobbits(r = 0. 589, P < 0. 01; r = 0. 226, P < 0.05) . The score of preoperative dysphoria and depression was significantly higher than norm (P < 0. 01) . Preoperative self-efficacy correlated negatively with dysphoria and depression (r = -0. 494, P < 0.01; r = - 0. 443, P < 0. 01). Conclusions The score of preoperative self-efficacy with LDH is low; the score of preoperative dysphoria and depression is high. Preoperative self-efficacy correlated negatively with the course of disease. And preoperative self-efficacy correlated with education level and hobbits; Preoperative self-efficacy correlated negatively with preoperative dysphoria and depression.     

哮喘家属健康教育及家庭护理干预对哮喘患者生活质量的影响

目的 探讨支气管哮喘(简称哮喘)家属健康教育及护理干预,对减少哮喘发作,提高哮喘患者生活质量的影响.方法 对50例哮喘患者及监护家属进行健康教育,并要求家属督促患者遵循健康教育及家庭护理内容.采用成人哮喘生命质量评分表及圣·乔治呼吸问卷(SGRQ)量表对患者干预前及干预后6个月的生活质量进行评价、比较.结果 干预后6个月哮喘患者的生命质量评分及SGRQ评分比较,差异具有统计学意义(P＜0.05).结论 哮喘家属及家庭护理干预后,哮喘患者的药物依从性提高,急性发作减少,医疗费用降低,患者生活质量提高.

Abstract：

Objective To investigate how the family health education and nursing intervention reduce asthma attack and improve the life quality of asthma patients.Methods Health education was implemented among50 cases of asthma pstients and their family.The adult asthma quality of life score shect and St o George respiratoty questionnaire(SGRQ)scale were adopted for patients.The life quality of sustained intervention was compared with that of we-intervention after 6 months. Results After 6 months interveatien,the score of life quality and the score of SGRQ were statistically significant(P＜0.05).Cenclusions The family health education and nursing intervention can improve medication compliance,reduce acute attack,cut their charges and improve their life quality.     

心理干预联合高压氧治疗对脑卒中后抑郁患者生命质量的影响

Objective To investigate the effect of the psychological intervention combined with hyperbaric oxygen therapy on the mental status and the quality of life of patients with depression after cerebral stroke.Methods 45 patients with depression after cerebral stroke were randomly divided into the study group (n = 22)and the control group(n = 23). The two groups had the same clinical routine treatments including improving cerebral cirulation, reducing intracranial pressure, drugs to anti-infection, nervous nutrition and corresponding operation for 8 weeks as a course of treatment, and psychological behavior intervention combined with hyperbaric oxygen therapy was added to the study group. The scores of Hamilton depression rating scale (HAMD) on both groups were evaluated before and spitzer' s quality of life index(QL-INDEX) were used and investigated on two groups at the end of 8 weeks. Results There was no significant difference on the scores of HAMD between the two groups before therapy (P ＞ 0. 05). The scores on HAMD of the study group after the treatment notably dropped compared to the control group (P＜ 0. 01). The difference of the scores on group index of quality of life between the study group (8.57 ± 1.94) and the control group (7.30 ± 1.98) had statistical significance (P ＜0. 05). Conclusion Psychological intervention combined with hyperbaric oxygen therapy plays an important role in the treatment of patient with depression after cerebral stroke to improve their mental status, treatment effectiveness and quality of life.     

护士自我和谐程度与职业紧张状况和生活质量的关系研究

Objective To explore the relationship between self consistency and congruence degree of nurses and their occupational stress and qualities of life. Methods By randomly cluster sampling, 84 nurses (all the nurses were female) in two three class genera] hospitals of our city were investigated with self consistency and congruence scale (SCCS), occupational stress inventory revised edition (OSI -R) and quality of life inventory (GQLI) . The nurses were divided into high degree self consistency and congruence group (total score ≤74) and lower degree group (total score > 102) by the score of their SCCS. Results The average score of SCCS, self and experiential inconsistency and incongruence, score of self flexibility and serf -stereotypes of score in 84 nurses were 98.36 ± 15.24, 42. 31 ± 8. 01, 40. 35 ± 8.23 and 19. 675 ± 4. 12 respectively. 29 nurses belonged to high degree self consistency and congruence, the factors score of occupation task (OSI -R) and tension reaction di-mensionality of high degree self consistency and congruence nurses were lower;while answer to resource dimen-sionality and factor score besides entertainment was higher than the latter, the differences between them were obvi-ously (P <0. 01) . Besides matter life dimensionality, the others score of dimensionality of high degree self con-sistency and congruence nurses were higher obviously than the ones of lower degree self consistency and congruence nurses, the difference were also obviously. Correlation analysis revealed that the score of SCCS correlated positively with the score of OSI -R, occupation task and tension reaction dimensionality;while it correlated negatively with answer to resource of OSI -R, total score of GQLI, and body health, psychology health and society function di-mensionality, and had no correlation with matter life dimensionality. Conclusions High degree self consistency and congruence nurses have lower occupational tension feel and higher quality of llfe, and have more ability to treat stress.     

社会支持对外伤性截瘫患者应付方式及生活质量的影响

Objective To investigate the impact of social support on coping style and life quality of patients with traumatic paraplegia. Methods According to social support rating scale (SSRS), 60 cases were divided into two groups: low social support group (total social support score lower than 35) and high social support group (total social support score higher than 45). Scores of WOCS and WHOQCL-BREF were compared between the two groups and correlation analysis was conducted. Results Average scores of SSRS, subjective support, objective support and support utilization of the 60 cases were (38.28 ± 4.92), (23.28 ± 5.21),(11.22 ±3.16) and (8.54 ± 1.97), respectively. There were 22 cases lower than 35 points (low score group), 17 cases higher than 45 points (high score group), and 21cases between 35 and 45 points. Scores of physiological, psychological, social relations and environment dimension of the high social support group was significantly higher than those of the low social support group, and there was significant difference(P <0. 05 or P <0. 01). Conclusions The degree of social support has an important impact on coping style and life quality of traumatic paraplegia patients. Well social support helps patients take active behaviors and improve the quality of life.     

体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能预测中的应用

Objective To evaluate the extremity function of patients with intracerebral hemorrhage (ICH)using short-latency somatosensory evoked potentials (SEPs) and a modified intracerebral hemorrhage (MICH) scale.Methods On admission, SEP was applied in the examination of 61 patients with ICH. P40 latency and the amplitude of posterior tibial nerve potentials in both the healthy and affected extremities were measured. Abnormalities were classified based on the margin of lower extremity SEP latency and the main waveform changes. MICH was measured simultaneously to prepare a prognosis. The modified Rankin scale (MRS) score was assessed 3 months after the attack as well.Results Compared with the healthy side, there were significant differences in posterior tibial nerve P40 latency and amplitude on the affected side among patients with ICH. P40 latency and MRS scores on the affected side 3 months after the attack were positively correlated. On the unaffected side, P40 amplitude and the MRS score 3 months after the attack were negatively correlated. The MICH score on admission and the MRS score 3 months after the attack were positively correlated. Based on MRS scores (MRS≥4 indicating a poor prognosis), the predictive sensitivities for a poor prognosis of SEP and the MICH scale in patients with ICH were 80.77% and 84.61% respectively, while the specificities were 62.68% and 88.57% respectively, and the accordance rates were 70.5% and 86.9% respectively. Conclusions SEP and the MICH scale are closely correlated with the prognosis for extremity function in patients with ICH.The combination of SEP with the MICH scale might be helpful in predicting the prognosis of the patients with ICH.     

慢性阻塞性肺疾病评估测试问卷对慢性阻塞性肺疾病稳定期患者生活质量的评估价值

目的：探究慢性阻塞性肺疾病评估测试问卷（chronic obstructive pulmonary disease assessment test,CAT）对慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）稳定期患者生活质量的评估价值.方法：对40例COPD稳定期患者进行CAT评分以及圣乔治呼吸问卷（St George＇s respiratory questionnaire,SGRQ）评分,并测定体质量指数（BMI）、第1秒用力呼气容积/预计值（percentage of forced expiratory volume in 1 second in predicated value,FEV1％ pred）、改良的英国医学研究委员会呼吸困难量表（modified Medical Research Council dyspnea scale,MMRC）评分、6 min步行距离（six-minute walk distance,6MWD）、BODE（B为体质量指数,O为气道阻塞程度,D为呼吸困难分数,E为运动耐力）指数,并对结果进行相关性分析.结果：CAT评分与FEV1％pred、6MWD呈显著负相关（r分别为-0.71和-0.85,P＜0.01）,与MMRC评分、BODE指数呈显著正相关（r分别为0.78和0.83,P＜0.01）,与SGRQ总分及3个组成部分即呼吸症状、活动受限、疾病影响评分均呈显著正相关（r为0.92～0.97,P＜0.01）,与BMI无相关性.结论：CAT问卷可作为评估COPD稳定期患者生活质量的有效手段.     

圣乔治呼吸问卷与慢性阻塞性肺疾病稳定期患者客观指标的相关性研究

目的:研究圣乔治呼吸问卷(St George's respiratory questionnaire,SGRQ)与慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者客观指标的相关性。方法:对44例COPD稳定期患者进行SGRQ评分,并测定体质量指数(BMI)、一秒用力呼气容积/预计值(FEV1/pre%)、功能性呼吸困难分级(MMRC)、6分钟步行距离(6MWD)、BODE指数。结果:SGRQ总分及其3个组成部分(即呼吸症状、活动受限、疾病影响评分)均与FEV1%pre、MMRC、6MWD、BODE指数等客观指标显著相关,而与BMI无相关性。结论:SGRQ与COPD稳定期患者的FEV1%pre、MMRC、6MWD、BODE指数等客观指标显著相关。     

比索洛尔对冠心病合并慢性阻塞性肺疾病患者BODE指数的影响

目的评价比索洛尔对冠心病合并慢性阻塞性肺疾病（COPD）患者BODE指数的影响。方法42例冠心病合并稳定期轻、中度COPD患者,给予比索洛尔口服,起始剂量1．25mg／d,逐步增加至5mg／d。治疗开始前及治疗60d后,分别检测BODE指数（BODEindex）的四个相关参数,即第1秒用力呼气容积占预计值百分比（（FEVI％pred）、功能性呼吸困难量表评分（MMRC）、6min步行距离（6MWD）、体重指数（BMI）,并计算BODE指数。结果治疗前后BODE指数及其四个相关参数分别为：FEV1％pred（68．05±7．32VS．67．38±7.13）;6MWD（322．834-65．72Vs．320．43±62．34）;MMRC（2．13±0．57VS．2．18±0．65）;BMI（20．58±3．52VS．20．26±3．07）;BODEindex（3．51±1．97vs．3．54±2．01）。（均为P〉0．05）。结论比索洛尔对冠心病合并稳定期轻、中度COPD患者的BODE指数无明显影响。     

肺康复对慢性阻塞性肺疾病稳定期患者BODE指数和血清炎症因子的影响

目的观察肺康复治疗对中重度慢性阻塞性肺疾病（COPD）患者稳定期BODE指数和血清炎症因子的影响。 方法2016年1月至2017年12月期间在江苏省苏北人民医院诊断为中重度COPD稳定期患者65例,随机分为肺康复组（33例）和对照组（32例）,2组均给予常规药物干预,肺康复组同时进行12周的肺康复治疗。年龄、病程,BODE各项指标及BODE指数,血清超敏C-反应蛋白（hs-CRP）,白介素-6（IL-6）和肿瘤坏死因子（TNF-α）水平和成人COPD生存质量评分（COPD-QOL量表）等属于计量资料,2组治疗前、治疗12周后上述相关指标比较采用配对样本t检验,组间比较采用独立样本t检验;采用χ²检验比较性别、COPD临床严重程度分级的组间差异。 结果最终有63例患者完成研究。治疗后肺康复组BODE指标中体质量指数（BMI）、改良呼吸困难指数（MMRC分级）、6 min步行距离（6MWD）均较治疗前有改善［（21.5±1.4）kg/m² vs（18.7±1.2）kg/m²;（1.6±0.3）分 vs （2.1±0.3）分;（270.3±37.8）m vs （158.3±42.4）m］,差异均具有统计学意义（t=2.125、2.036、5.021,P=0.036、0.046、<0.001）。对照组6MWD治疗后较治疗前有改善［（188.3±40.3）m vs （160.1±39.7）m］,差异具有统计学意义（t=2.659,P=0.009)。组间比较,肺康复组治疗后BMI、MMRC和6MWD均优于对照组［（21.5±1.4）kg/m² vs（18.6±1.3）kg/m²;（1.6±0.3）分 vs （2.1±0.4）分;（270.3±37.8）m vs （188.3±40.3）m］,差异均具有统计学意义（t=2.124、2.031、4.568,P=0.038、0.016、<0.001）;BODE指数比较,肺康复组改善优于对照组［（3.9±0.9）分 vs （4.5±1.3）分］,差异具有统计学意义（t=2.131,P=0.037）。治疗后肺康复组IL-6、TNF-α较治疗前均降低［（62.1±6.4）pg/ml vs （95.9±5.9）pg/ml;（48.5±7.3）pg/ml vs （73.3±10.1）pg/ml］,差异均具有统计学意义（t=7.872、7.136,P均<0.001）;COPD-QOL总分较治疗前提高［（110.5±17.8）分 vs （96.2±20.4）分］,差异具有统计学意义（t=7.521,P<0.001）;组间比较,肺康复组治疗后IL-6、TNF-α和COPD-QOL总分优于对照组［（62.1±6.4）pg/ml vs （94.6±6.3）pg/ml;（48.5±7.3）pg/ml vs （71.7±7.5）pg/ml;（110.5±17.8）分 vs （96.3±21.3）分］,差异均具有统计学意义（t=7.981、7.328、7.526,P均<0.001）。 结论肺康复可以明显改善中重度COPD患者稳定期BODE指数和降低血清IL-6、TNF-α炎症因子水平,提高其生活质量。     

慢性阻塞性肺疾病患者运动能力与生活质量的相关性研究

目的:探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者运动能力、生活质量现状及相关性。方法:2018年9月至2019年5月对复旦大学附属中山医院154例COPD患者进行横断面调查,采用6 min行走距离(six-minute walk distance,6 MWD)评估患者运动能力,使用一般资料调查表、圣·乔治呼吸问卷(SGRQ)进行调查分析。结果:患者6 MWD为(379.65±121.05)m; SGRQ问卷得分为(42.12±17.54)分;6 MWD与SGRQ得分负相关,差异有统计学意义(r=-0.422,P0.001);患者的年龄、体质量指数(BMI)、吸烟指数、疾病严重程度和6 MWD对生活质量(SGRQ得分)有影响;6 MWD、高龄、吸烟指数和BMI是患者生活质量水平的影响因素。结论:COPD患者生活质量、运动能力处于较低水平。生活质量与运动能力、年龄、BMI等显著相关。     

噻托溴铵奥达特罗吸入喷雾剂治疗慢性阻塞性肺疾病的临床效果

目的 探讨噻托溴铵奥达特罗吸入喷雾剂治疗慢性阻塞性肺疾病（COPD）的临床效果。方法 选取2019年10月至2020年9月本院58例COPD患者作为研究对象,根据随机数字表法将其分为对照组和观察组,各29例。在常规治疗的基础上,对照组给予噻托溴铵治疗,观察组给予噻托溴铵奥达特罗吸入喷雾剂治疗。比较两组的血清炎症因子水平、BODE指数、肺功能指标、临床疗效、不良反应发生情况和生活质量。结果 治疗后,观察组的hs-CRP、IL-6、TNF-α水平低于对照组（P<0.05）。治疗后,观察组的BMI、FEV1%、mMRC、6MWD、BODE指数评分优于对照组（P<0.05）。治疗后,观察组的FEV1、FVC、PEF高于对照组（P<0.05）。观察组的治疗总有效率高于对照组（P<0.05）。两组的不良反应总发生率无显著差异（P>0.05）。治疗后,观察组的SGRQ评分低于对照组（P<0.05）。结论 噻托溴铵奥达特罗吸入喷雾剂治疗COPD患者的效果显著,可降低血清炎症因子水平,改善BODE指数、肺功能,提高生活质量。     

噻托溴铵联合缓释茶碱治疗中度稳定期慢性阻塞性肺疾病的疗效观察

目的 评价噻托溴铵联合缓释茶碱治疗中度稳定期慢性阻塞性肺疾病(COPD)的临床疗效及其安全性.方法 将我院2008年3月至2009年12月收治的符合入选标准的80例中度稳定期COPD患者随机分为噻托溴铵组(40例)和噻托溴铵联合缓释茶碱组(40例),分别给予噻托溴铵及噻托溴铵联合缓释茶碱治疗共12周.结果 共70例患者完成试验(噻托溴铵组36例,噻托溴铵联合缓释茶碱组34例),结束时2组患者之间1秒钟用力呼气容积(FEV1)、1秒钟用力呼气容积占预计值百分比(FEV1%)、用力肺活量(FVC)、1秒钟用力呼出气容积占用力肺活量比值(FEV1/FVC)及圣乔治呼吸问卷(SGRQ)活动评分、影响评分等指标差异均无统计学意义(P均>0.05),而噻托溴铵联合缓释茶碱组SGRQ症状评分及总评分较噻托溴铵组明显降低[SGRQ症状评分分别为(53.08±12.25)、(59.39±9.74)分,总评分分别为(23.91±2.57)、(25.27±2.14)分],差异均具有统计学意义(t值分别为2.39,2.40,P均<0.05).40例噻托溴铵组患者发生的与药物相关的不良事件6例:口干4例,心悸1例,便秘1例.40例噻托溴铵联合茶碱组患者发生的与药物相关的不良事件11例:口干3例,胃部不适或恶心3例,腹泻2例,心悸2例,便秘1例,2组患者不良反应差异无统计学意义(P>0.05).结论 噻托溴铵联合缓释茶碱治疗中度稳定期COPD较单用噻托溴铵改善患者症状及生活质量明显,而相关的副作用并无明显增加.

Abstract：

Objective To evaluate the effect and safety of tiotropium plus sustained-release theophylline in treating stable moderate chronic obstructive pulmonary diseases (COPD) . Methods A randomized clinical trail was conducted in 80 patients with stable moderate COPD, who were admitted to our hospital from March 2008 to December 2009. All patients were divided into two groups randomly and accepted tiotropium (groupⅠ ,n =40) or tiotropium plus sustained-release theophylline (group Ⅱ ,n =40) treatment for 12 weeks. Results Seventy patients completed the study,in which 36 cases had tiotropium alone and 34 cases had combination therapy. At the end of treatment, no statistically significant difference was found between the two groups in the comparisons of FEV1, FEV1%, FVC, FEV1/FVC, activity score and impacts score of the St George's Respiratory Questionnaire (SGRQ) (Ps > 0. 05). While the symptoms score (53.08 ± 12.25 vs.59.39±9.74,t=2.39,P<0.05) and total score (23. 91 ±2. 57 vs. 25. 27 ±2.14, t =2.40, P <0.05) of SGRQ were significantly lower in group Ⅱ compared to group Ⅰ. Six adverse events,including dry mouth (n =4), palpitation (re = 1) , constipation (n = 1), were observed in tiotropium alone group during the treatment period. Eleven adverse events were observed in combination treatment group, including dry mouth (re = 3) ,stomach discomfort or nausea (n = 3), diarrhea (re = 2) , palpitation (n = 2), constipation (n = 1) . The incidences of adverse reactions of two groups had no significant difference (P > 0. 05). Conclusion Compared with the single application of tiotropium, tiotropium plus sustained-release theophylline therapy can alleviate symptoms and improve life quality in patients with stable moderate COPD,without significantly increasing adverse reactions.     

康复训练对稳定期慢阻肺患者生活质量和运动功能的影响

目的:研究康复训练结合家庭运动疗法对稳定期慢性阻塞性肺疾病(COPD)患者的生活质量和运动功能的影响。方法:80例COPD患者随机分为2组各40例。对照组患者采用药物治疗和健康宣教,观察组在此基础上加用综合康复训练。对2组患者分别用改良英国MRC呼吸困难指数(mMRC),FEV/正常预计值(%)(FEV1%)评估,6分钟步行距离(6MWD),BODE指数(BODE)进行运动功能的评估;采用日常生活能力评估量表(Borg)以及汉密尔顿焦虑量表(HAMA)和抑郁量表(HAMD)对患者的生活质量进行评估。结果:治疗6个月后,观察组FEV1%较治疗前及对照组有明显增加(P0.05),而对照组治疗前后比较差异无统计学意义;观察组mMRC较治疗前及对照组有明显降低(P0.05),而对照组治疗前后比较差异无统计学意义;2组患者6MWD较治疗前均有增加(P0.05),但观察组较对照组增加更为明显(P0.05);2组BODE和Borg评分较治疗前均有下降(P0.05),但观察组较对照组下降更为明显(P0.05)。治疗后,观察组HAMA及HAMD评分均较治疗前及对照组明显降低(P0.05),对照组治疗前后比较差异无统计学意义。结论:康复训练结合家庭运动疗法可以明显改善稳定期COPD患者的生活质量和运动功能。     

“病房-门诊-家庭”三位一体全程护理模式在慢性阻塞性肺疾病患者综合护理中的应用

目的：建立有效的慢性阻塞性肺疾病( COPD)患者“病房-门诊-家庭”三位一体全程护理模式并评价其效果。方法选取180例慢性阻塞性肺疾病患者作为研究对象,随机均分为实验组(90例)与对照组(90例),对照组采用常规护理,实验组在常规护理的基础上实施“病房-门诊-家庭三位一体”全程护理模式,比较两组护理前、后24周肺功能指标变化、BODE指数、护理满意度、生存质量、急性加重次数、住院费用以及不良反应发生率等差异。结果“病房-门诊-家庭”三位一体全程护理模式组患者肺功能指标变化、生存质量评分、护理满意度、自我护理能力方面明显优于对照组,差异有统计学意义,BODE指数、急性加重次数以及住院费用、不良反应发生率等明显低于对照组,差异有统计学意义。结论“三位一体全程护理模式”能有效地提高COPD患者的生存质量及护理满意度,改善患者的生存质量,在临床综合护理中值得进一步的推广。     

慢性阻塞性肺疾病患者生活质量与自我效能相关性研究

目的:探讨慢性阻塞性肺疾病(COPD)患者生活质量与自我效能的相关性。方法:于2011年4-11月采用便利抽样的方法,选取广州市某医院病情稳定、准许出院的患者和门诊患者进行调查,分别使用圣乔治呼吸问卷和COPD自我效能量表对患者的生活质量和自我效能进行测评。结果:COPD患者生活质量的症状评分与自我效能的负面影响、极端的情绪激动、体力活动、天气/环境维度评分均具有相关性(r=0.28～0.33,P<0.05)。COPD患者生活质量的活动评分、影响评分及总分评分与患者自我效能的各维度评分均具有相关性(r=0.38～0.58,P<0.01)。结论:COPD患者的生活质量与自我效能存在关联,患者的自我效能水平越高,其生活质量也越高,提示可以从提高患者的自我效能水平着手,改善COPD患者的生活质量。