自我管理干预对慢性阻塞性肺疾病稳定期患者肺康复行为和生活质量的影响

目的探讨自我管理干预对慢性阻塞性肺疾病稳定期患者肺康复行为和生活质量的影响。方法将103例病情稳定的慢性阻塞性肺疾病患者采用随机数字表法分观察组(51例)和对照组(52例)。对照组采取慢性阻塞性肺疾病常规健康教育,观察组在此基础上采取自我管理干预,首先对患者进行肺康复技能和自我管理培训,患者出院后通过电话和家庭随访相结合的方式实行自我管理干预。干预前后对两组患者进行肺康复依从性比较,并用呼吸道疾病问卷修订版比较两组患者干预前后生活质量得分。结果自我管理干预后,观察组患者肺康复依从性和生活质量较对照组高,差异具有统计学意义(P﹤0.01)。结论自我管理干预可提高慢性阻塞性肺疾病稳定期患者肺康复的行为,改善肺功能,提高患者生活质量。

Effect of self - management on pulmonary rehabilitation behavior and quality of life in patients with stable chronic obstructive pulmonary disease

Objective To explore the effects of self - management on pulmonary rehabilitation compliance and quality of life in patients with stable chronic obstructive pulmonary disease （COPD）. Methods A total of 103 stable COPD patients were randomly divided into control group （52 cases） and experimental group （51 cases）. The control group was received routine care, while the experimental group was received self- management intervention. The experimental including pulmonary rehabilitation and self - management training and follow - up services by telephone combined with home visit after discharge. Patients＇pulmo- nary rehabilitation compliance and quality of life rated by the Airways Questionnaire 20 （ AQ20 - R） before intervention and after intervention were compared between the two goups. Results After self - management interention, the pulmonary rehabilitation compliance and quality of life in experimental group were higher than those of control group （ P 〈 0.01 ）. Conclusion Self - management intervention can improve pulmonary rehabilitation compliance,lung function and quality of life of stable COPD patients.