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社区肺康复对轻中度慢性阻塞性肺疾病患者生存质量的影响
引用本文:王彩霞,金先桥,彭德荣,沈伟珍,沈薇,徐忠敏,李萍,杨春琴. 社区肺康复对轻中度慢性阻塞性肺疾病患者生存质量的影响[J]. 中华护理杂志, 2012, 47(2): 162-164
作者姓名:王彩霞  金先桥  彭德荣  沈伟珍  沈薇  徐忠敏  李萍  杨春琴
作者单位:1. 200435,上海市闸北区彭浦新村街道社区卫生服务中心
2. 上海市第一人民医院呼吸内科
基金项目:上海市闸北区卫生局护理专项课题(编号:09ZBHL05)
摘    要:目的 探讨社区肺康复对轻、中度慢性阻塞性肺疾病(COPD)患者生存质量的影响.方法 对161例轻、中度COPD患者给予运动疗法、教育、心理社会与行为干预等肺康复干预措施,干预前后分别进行肺功能、呼吸困难、体质指数、6min步行测验、日常生活活动能力(ADL)和生活满意指数(LSIA)两个量表进行评估.结果 干预1年后患者的呼吸困难、6min步行测验、ADL和LSIA有显著改善(P<0.01);肺功能、体质指数有改善(P<0.05).结论 社区肺康复可提高轻、中度COPD患者的运动耐力,减轻呼吸困难症状,提高ADL,改善生活质量等,从而有效提高患者的生存质量.

关 键 词:社区卫生服务  肺疾病,慢性阻塞性  生存质量

Effect of community-based pulmonary rehabilitation on the quality of life in patients with mild to moderate COPD
WANG Cai-xia , JIN Xian-qiao , PENG De-rong , SHEN Wei-zhen , SHEN Wei , XU Zhong-min , LI Ping , YANG Chun-qin. Effect of community-based pulmonary rehabilitation on the quality of life in patients with mild to moderate COPD[J]. Chinese Journal of Nursing, 2012, 47(2): 162-164
Authors:WANG Cai-xia    JIN Xian-qiao    PENG De-rong    SHEN Wei-zhen    SHEN Wei    XU Zhong-min    LI Ping    YANG Chun-qin
Affiliation:WANG Cai-xia,JIN Xian-qiao,PENG De-rong,SHEN Wei-zhen,SHEN Wei,XU Zhong-min,LI Ping,YANG Chun-qin
Abstract:Objective To evaluate the effect of community-based pulmonary rehabilitation on the quality of life in patients with mild to moderate chronic obstructive pulmonary diseases(COPD).Methods Totally 161 mild to moderate COPD patients received community-based pulmonary rehabilitation for one year,including exercise therapy,health education,psychosocial intervention and behavior therapy.The patients’ pulmonary function,symptom of dyspnea,BMI,6MWD(exercise tolerance),activities of daily living(ADL) and life satisfaction index(LSIA) were measured before and after the intervention.Results One year later,the patients’ symptom of dyspnea was relieved obviously(P<0.05).The pulmonary function,6MWD(exercise tolerance),ADL,LSIA were significantly improved(P<0.05).Conclusion Community-based pulmonary rehabilitation can improve mild to moderate COPD patients’ exercise tolerance,ability of daily living and life satisfaction,relieve symptom of dyspnea,and thereby to improve patients’ quality of life.
Keywords:Hommunity Health Services  Pulmonary Disease,Chronic Obstructive  Quality of Life
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