健康教育对稳定期慢性阻塞性肺疾病运动耐力的影响

目的:探讨健康教育对稳定期慢性阻塞性肺疾病(COPD)患者运动耐力的影响。方法:将60例稳定期COPD患者随机分为实验组和对照组,每组各30例。对照组采用常规护理、治疗措施;实验组在此基础上进行健康教育6个月。采用组内及组间对照的方法,对患者呼吸困难评分、6分钟行走距离(6MWD)、FEV1/FVC、FEV1占预计值的比值(FEV1%)、深吸气量(inspiratory capacity,IC)进行比较。结果:2组6个月后的呼吸困难评分、6MWD、IC有显著改善(P<0.05),但实验组改善较对照组改善明显(P<0.05);2组6个月后FEV1/FVC、FEV1%有改善(P<0.05),但2组比较无显著性差异(P>0.05)。结论:健康教育能改善稳定期COPD患者的运动耐力。

Influence of Health Education on Exercise Endurance in Patients with Stable Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of health education on exercise endurance in patients with stable chronic obstructive pulmonary disease.Methods:60 patients with stable COPD were randomly divided into health education group and control group each of 30 cases.The control group received routine nursing and therapy.The health education group received health education for 6 months on same basis.With the group and group control method,had comparison on score of dyspnea,6 minutes walking distance(6MWD),FEV1/FVC,FEV1 accounted for the expected values of the ratio(FEV1%),inspiratory capacity(IC).Results:After 6 months of intervention,dyspnea score,6 minutes walking distance and IC of both the control group and the health education group improved significantly(P<0.05),but the health education group were more than the control group(P<0.05).FEV1/FVC,FEV1% of both the control group and the health education group improved(P<0.05),but there was not statistically significant between the two groups(P>0.05).Conclusion:Health education can improve exercise tolerance in patients with stable COPD.