康复训练结合健康教育对老年慢性阻塞性肺疾病患者生活质量及其心理健康状况的影响  

The effects of rehabilitation training combined with health education on quality of life and psychological state of elderly patients with chronic obstructive pulmonary disease

作　　者：应少聪[1] 周向东[1] 刘益琼[1] 李双玉[1] 殷樱[2] 栗冰剑 

机构地区：[1]重庆医科大学附属第二医院呼吸内科,重庆400010 [2]重庆医科大学附属第二医院康复科,重庆400010

出　　处：《中华物理医学与康复杂志》2014年第5期333-336,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然科学基金（31171346）;重庆市卫生局医学科研课题（2011-2-151）

摘　　要：目的观察康复训练结合健康教育对老年慢性阻塞性肺疾病（COPD）患者生活质量及心理的影响。方法选取中、重度老年COPD稳定期住院患者108例，按随机数字表法分为干预组和对照组各54例，2组患者均接受呼吸内科常规治疗，干预组在此基础上进行个体化运动锻炼指导和健康教育相结合的综合康复治疗，对照组仅通过电话随访进行健康宣教和康复锻炼指导。2组患者均于治疗前和治疗1年后（治疗后）行COPD生活质量调查问卷（SGRQ）和症状自评量表（SCL-90）评分。结果治疗后，对照组SGRQ问卷各项评分与组内治疗前比较，差异均无统计学意义（P〉0．05）；干预组SGRQ问卷症状、活动能力、生活影响评分及总分分别为（42．12±11．32）分、（45．17±10．23）分、（29．98±6．54）分和（41．02±9．92）分，分别与组内治疗前及对照组治疗后比较，差异均有统计学意义（P〈0．01）。治疗后，干预组SCL-90量表各项评分与组内治疗前和对照组治疗后比较，差异均有统计学意义（P〈0．05）。治疗期间，2组患者急性发作和急性发作导致住院人次组间比较，差异均有统计学意义（P〈0．05）。结论康复训练结合健康教育可显著改善COPD患者的生活质量和心理健康状况。Objective To observe the effects of rehabilitation training combined with health education on quality of life and psychological state of elderly patients with chronic obstructive pulmonary disease （ COPD ）. Methods A total of 108 elderly inpatients with moderate to severe COPD in stable conditions were randomly divided into an intervention group and a control group, with 54 patients in each group. The patients in both groups received general respiratory medical therapy. The patients in intervention group also received additional comprehensive rehabili- tation training consisting of individualized exercise instructions and health education, while the patients in control group only received online telephone health education and rehabilitation training instruction. Patients in both groups were assessed by using St. George＇s respiratory questionnaire （SGRQ） and symptom checklist 90 （SCL-90） before and after one year of treatment. Results After treatment, the control group＇s scores for various SGRQ items were similar to the scores within the group before treatment （P 〉 0.05 ）. The intervention group＇s SGRQ scores for symp- toms, mobility and impact on life and the total score were （42.12 ± 11.32） , （45.17 ± 10.23 ） , （29.98 ± 6.54） and （41.02 ± 9.92）, respectively, significantly different from their baseline values and those of the control group after treatment （P 〈 0.01 ）. After treatment, the intervention group＇s SCL-90 scores were significantly improved from baseline values and were also significantly different from the control group （P 〈 0.05）. Comparison between the two groups showed that throughout the treatment period, the number of patients with acute attacks and the number of pa- tients＇ hospitalization due to acute attacks were statistically significantly lower in the intervention group （P 〈 0.05）. Conclusions Rehabilitation training combined with health education can significantly improve quality of life and psy- chological health of COPD pat

关 键 词：慢性阻塞性肺疾病 康复训练 健康教育 生活质量 心理健康 

分 类 号：R473.5[医药卫生—护理学]