连续护理对慢性阻塞性肺疾病患者生活质量的干预效果研究

目的 探讨连续护理干预对提高慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者生活质量的效果.方法 采用随机对照研究方法,将130例因COPD急性加重入院患者随机分为干预组62例和对照组68例,干预组接受持续1年的电话及入户随访干预,对照组给予常规护理.在干预后1,3,6,12个月入户进行肺功能及圣乔治呼吸问卷、呼吸困难程度的测量.结果 2组患者的肺功能与生活质量的活动得分、呼吸困难程度、6 min步行距离在干预后比较干预组均显著优于对照组.结论 连续护理干预可以延缓FEV1%下降速率,降低COPD患者呼吸困难程度,提高患者的生活质量.

Study on the intervention effect of continued nursing on the quality of life of patients with chronic obstructive pulmonary disease

Objective To explore the effect of continued nursing intervention on quality of life of patients with chronic obstructive pulmonary disease. Methods The study took use of randomized controltest. All the 130 patients who were on admission because of acute exacerbation of chronic obstructive pulmonary disease were randomly divided into the intervention group (62 cases) and the control group (68 cases). The intervention group received telephone and home follow-up for one year, and the control group was provided conventional care. Lung function, SGRQ and dyspnea degree were collected on one-month,three-month, six-month, twelve-month after intervention. Results Lung function and activity scores of SGRQ, dyspnea degree and six minutes walk test between two groups had statistical significance after intervention. Conclusions Continued nursing intervention can postpone the rate of FEV1% declining, reduce dysnea degree, decrease the frequency of acute exacerbation, increase the quality of life of COPD patients.