PDCA自我管理教育模式在慢性阻塞性肺病患者肺功能康复中的应用  

Application of PDCA self-management education mode in lung function rehabilitation of COPD patients

作　　者：孙艳林[1] 戴世英[1] 王天轶[1] 

机构地区：[1]白求恩国际和平医院,河北石家庄050082

出　　处：《临床心身疾病杂志》2016年第1期142-144,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨PDCA自我管理教育模式对稳定期慢性阻塞性肺病患者肺功能康复的影响。方法将204例稳定期慢性阻塞性肺病患者采用随机数字表法分为两组，各102例，研究组采用PDCA自我管理教育模式宣教，对照组采用常规健康教育模式宣教，观察6个月。分别于干预前及干预6个月末采用6min行走试验、Borg呼吸困难评分、圣乔治呼吸问卷及第1s用力呼气容积占预计值百分比评定患者的肺功能康复效果。结果干预后研究组疾病复发率显著低于对照组（P〈0．01），健康教育情况显著优于对照组（P〈O．01）；研究组肺功能康复效果各项评分与干预前比较差异均有显著性（P〈0．05或0．01），两组各项评分比较差异均有显著性（P〈0．01）。结论采用PDCA自我管理教育模式对患者进行健康教育，可显著改善患者肺功能康复效果，提高生活质量。Objective To explore the influence of PDCA self-management education mode on lung function rehabilitation of patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 204 stable COPD patients were assigned to two groups of 102 ones each according to random number table, re- search group received PDCA self-management education, and control group did routine health education for 6 months. Before intervention and at the end of 6 month intervention lung function rehabilitation out- comes were assessed using Six-minute Walking Test （6MWT）, Borg Dyspnea Score （BDS）, St George＇s Respiratory Questionnaire （SGRQ） and forced expiratory volume in 1 second （FEV1）. Results After in- tervention relapse rate was significantly lower （P〈0.01） and health education better （P 〈0.01） in re- search than in control group; there were significant differences in all scores of lung function rehabilitation results compared with pre-intervention in research （P 〈0. 05 or 0.01） and between two groups （P 〈0.01）. Conclusion Health education of PDCA self-management education mode could notably improve lung function rehabilitation results of COPD patients and boost their quality of life.

关 键 词：慢性阻塞性肺疾病 PDCA自我管理教育模式 肺功能康复锻炼 6 min行走试验 Borg呼吸困难评分 圣乔治呼吸问卷 第1 s用力呼气容积占预计值百分比 

分 类 号：R322.35[医药卫生—人体解剖和组织胚胎学]