家庭护理干预对提高稳定期慢性阻塞性肺疾病患者生活质量的研究  

Study on the effects of family nursing intervention on improving the quality of life in patients with stable chronic obstructive pulmonary disease

作　　者：孟立波[1] 张影[1] 刘哲[1] 白云[1] 许蕾[1] 马列[1] 王群[1] 张旭华[1] 王笑歌[1] 

机构地区：[1]中国医科大学附属第四医院呼吸科,辽宁沈阳110032

出　　处：《现代预防医学》2013年第20期3792-3795,共4页Modern Preventive Medicine

基　　金：国家"十一五"科技支撑项目(2007BAI24B04)

摘　　要：目的探讨家庭护理干预对稳定期慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法对36例稳定期COPD患者开展教育指导,教育并督促稳定期COPD患者坚持长期家庭氧疗、运动训练指导、戒烟、营养支持和心理干预等,确保患者及家属掌握疾病相关知识和自护技能,训练措施得以强化。结果干预2年后与干预前、干预1年后、未干预2年后相比,生活质量(身体健康、心理健康、社会适应和环境适应)差异有统计学意义(P﹤0.05或P﹤0.01)。结论家庭护理干预可有效提高稳定期慢性阻塞性肺疾病患者的生活质量。OBJECTIVE The study aimed to explore the effects of family nursing intervention on the quality of life of patients with stable chronic obstructive pulmonary disease （COPD）. METHODS 36 cases of stable COPD were educated and urged to implement long-term home oxygen therapy, exercise training, smoking cessation, nutrition support, and mental interven- tion, so to ensure that the patients and their families possess sufficient COPD-related knowledge and nursing skills and that the training measures are effectively reinforced. RESULTS Significant differences in quality of life （including physical health, mental health, social adaptation, and environmental adaptation） were observed between 2 years after the interven- tion and before the intervention, 1 year after the intervention, and 2 years without the intervention （P 〈 0.05 or P 〈 0.01 ）. CONCLUSION Family nursing intervention can effectively improve the quality of life of patients with stable chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 家庭护理干预 生活质量 

分 类 号：R473.5[医药卫生—护理学] R563[医药卫生—临床医学]