以家庭为中心的慢病管理对COPD患者自我管理及生活质量的影响  

Effect of family-oriented chronic disease management on the self-management and quality of life in patients with COPD

作　　者：修麓璐[1] 高玉芳[1] 王会会[1] 吴桂霞[1] 沈霞[1] 

机构地区：[1]青岛大学附属医院呼吸科,山东青岛266003

出　　处：《中国医药导报》2017年第11期151-154,共4页China Medical Herald

基　　金：青岛大学附属医院青年基金项目

摘　　要：目的探讨以家庭为中心的慢病管理对慢性阻塞性肺疾病(COPD)患者自我管理及生活质量的影响。方法选取青岛大学附属医院100例住院COPD患者,按入院先后分组,2013年11月~2015年1月收集对照组,实施以患者为中心的慢病管理;2015年2月~2016年2月收集实验组,实施患者、患者配偶及其子女共同参与的以家庭为中心的慢病管理,干预时间均为6个月。采用自我管理量表、圣乔治呼吸问卷(SGRQ)及6 min步行试验(6MWT)评价患者自我管理能力、生活质量及运动能力。结果干预后,两组症状管理、日常生活管理、情绪管理、信息管理、自我效能管理等各项得分及自我管理总分均明显高于干预前,且实验组显著高于对照组,差异有高度统计学意义(P<0.01)。干预后,两组呼吸症状、活动受限、疾病影响等各项得分及SGRQ总分均低于干预前,6MWT高于干预前,实验组变化幅度较对照组明显,差异有高度统计学意义(P<0.01)。结论以家庭为中心的慢病管理能有效提高COPD患者的自我管理能力、生活质量及运动能力。Objective To explore the effect of family-oriented chronic disease management on the self-management and quality of life in patients with chronic obstructive pulmonary disease （COPD）. Methods 100 patients with COPD re- cruited from Affiliated Hospital of Qingdao University were assigned chronologically according to the date of hospital admission. Patients recruited from November 2013 to January 2015 were assigned to control group with patient-cen- tered chronic disease management, while those recruited from February 2015 to February 2016 were assigned to experi- mental group with family-oriented chronic disease management incorporating partnership of patients, their spouse and children. The intervention time was 6 months. The self-management scale, St. George respiratory questionnaire （SGRQ） and 6 minutes walking test （6MWT） were used to evaluate self-management ability, quality of life and exercise ability. Results After intervention, symptom management, daily life management, emotional management, information manage- ment, self-efficacy management and other scores and self management total score in two groups were significantly high- er than before intervention, experimental group was significantly higher than control group, the differences were statisti- cally significant （P 〈 0.01）. After intervention, respiratory symptoms, activity limitations, disease effects and other scores and SGRQ total score in two groups were significantly lower than before intervention, 6MWT in two groups were significantly higher than before intervention, change of experimental group was significantly higher than that of control group, the differences were statistically significant （P 〈 0.01）. Conclusion Family-centered chronic disease manage- ment can improve self-management skill, quality of life and exercise ability in patients with COPD.

关 键 词：慢性阻塞性肺疾病 家庭护理 自我管理 生活质量 

分 类 号：R473.5[医药卫生—护理学]