健康教育对老年慢性阻塞性肺疾病缓解期病人的效果

①目的探讨健康教育对慢性阻塞性肺疾病（COPD）缓解期病人肺功能和生活质量的影响。②方法选取自愿参加第1秒用力呼气容积（FEVl）％〈69％的中重度老年COPD缓解期病人34例，人院即进行肺功能检查并采用生活质量评分表（QOL）评分，然后随机分为健康教育组18例和对照组16例，两组均给予常规治疗护理，健康教育组自人院至出院整个过程对病人进行有计划的健康教育，出院前两组病人均再次复查肺功能，并进行生活质量评分。③结果治疗后健康教育组肺功能、QOL总均分、社会活动分、日常生活分、抑郁分及焦虑分较治疗前均有明显改善（t=2．124～3．436，P〈0．05、0．01）；与对照组相比，差异有显著意义（t=2．101～7．149，P〈0．05、0．01）。④结论健康教育能明显改善老年COPD缓解期病人肺功能和生活质量。

EVALUATION OF HEALTH EDUCATION IN ELDERLY PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE DURING CATABASIS

Objective To study the effects of health education on pulmonary function and quality of life in elderly patients with chronic obstructive pulmonary disease (COPD) in their catabasis. Methods Thirty-four elderly patients with moderate to severe COPD with FEV1%<69% were divided into two groups: health education (HE) group and control group. Those in the HE group were given health education from on admission to discharge. Pulmonary function and quality of life (QOL) were evaluated. Results The pulmonary function, QOL, score of social activities, of daily life, of depression and anxiety in the HE group were improved significantly (t=2.124-3.436;P<0.05,0.01). The difference between the two groups was statistically significant (t= 2.101-7.149;P<0.05, 0.01). Conclusion Health education can improve the pulmonary function and quality of life of elderly patients with chronic obstructive pulmonary disease during their remission.