社区干预对慢性阻塞性肺疾病合并支气管扩张患者症状和生活质量的影响  

Effect of community intervention on symptoms and quality of life in patients with chronic obstructive pulmonary disease and bronchiectasis

作　　者：鞠贞会[1] 李军鹏[1] 张秀婵[1] 张荣杰[1] 王姝红[1] 

机构地区：[1]山东省荣成市人民医院呼吸科,264300

出　　处：《中华现代护理杂志》2013年第20期2406-2410,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨社区干预对稳定期的中、重度慢性阻塞性肺疾病合并支气管扩张患者症状和生活质量的影响.方法 选择辖区内63例稳定期的中、重度慢性阻塞性肺疾病合并支气管扩张的患者为观察对象,随机分为观察组32例和对照组31例,观察组给予定时家庭访视和电话随访服务,干预时间为6个月；对照组只接受出院期间的健康教育指导,比较两组患者的呼吸症状和生活质量情况.结果 干预前两组比较,差异无统计学意义（P＞0.05）,干预后观察组呼吸症状评分为咳嗽（0.67±0.44）、痰量（0.69±0.32）、呼吸困难（1.04±0.53）及年住院次数（0.85±0.64）；对照组在呼吸症状方面的结果是咳嗽（1.04±0.31）、痰量（0.94±0.53）、呼吸困难（1.52±1.04）及年住院次数（1.61 ±0.82）,两组比较,差异有统计学意义（t分别为3.85,2.28,2.32,4.11；P＜0.05）.观察组生活质量得分是呼吸症状（39.84±11.42）、活动受限（40.68±11.23）、疾病影响（32.19±9.50）、总评分（34.09±11.26）；对照组生活质量得分是呼吸症状（55.64±17.37）、活动受限（49.07±10.35）、疾病影响（39.45±12.51）、总评分（45.98±12.77）,两组比较,差异有统计学意义（t分别为4.26,3.05,2.60,3.92；P＜0.05）.结论 社区干预对慢性阻塞性肺疾病合并支气管扩张患者有显著效果,可明显改善患者的呼吸系统症状,增加患者的舒适度,提高患者的生活质量,降低再次住院率.Objective To investigate the effect of community intervention on symptoms and quality of life in patients with moderate or severe chronic obstructive pulmonary disease and bronchiectasis.Methods Sixty-three cases of stable patients with moderate or severe chronic obstructive pulmonary disease and bronchiectasis were chosen and randomly divided into the observation group （n =32） and the control group （n =31）.The observation group was given periodical home visits and telephone follow-up for 6 months,while the control group only received health education on discharge.Patients＇ symptoms and quality of life were compared between two groups.Results Intervention in the first two groups,there was no statistically significant different （P 〉 0.05） ; The scores of cough,sputum volume and dyspnea were （0.67 ± 0.44）,（0.69 ± 0.32） and （1.04 ± 0.53） in the observation group,and its annual number of hospitalization was （0.85 ± 0.64）.The scores of cough,sputum volume and dyspnea were （1.04 ± 0.31）,（0.94 ± 0.53） and （1.52 ± 1.04） in the control group,and its annual number of hospitalization was （1.61 ± 0.82）.The differences were statistically significant （t =3.85,2.28,2.32,4.11,respectively ; P 〈 0.05）.The score of life quality was （39.84 ± 11.42） for respiratory symptoms,（40.68 ± 11.23） for activity limitation,（32.19 ± 9.50） for disease impact and （34.09 ± 11.26） in total in the observation group.And the score of life quality was （55.64 ± 17.37） for respiratory symptoms,（49.07 ± 10.35） for activity limitation,（39.45 ± 12.51） for disease impact and （45.98 ± 12.77） in total in the control group.The differences were statistically significant （t =4.26,3.05,2.60,3.92,respectively; P 〈 0.05）.Conclusions Community intervention has significant effect on patients with chronic obstructive pulmonary disease and bronchiectasis,which can improve patients＇ respiratory symptoms,comfort level and quality of life as well as reduce re-hosp

关 键 词：肺疾病 慢性阻塞性 支气管扩张症 生活质量 社区干预 

分 类 号：R563[医药卫生—呼吸系统]