COPD俱乐部健康教育模式对慢性阻塞性肺疾病患者自我管理能力及生活质量的影响  

Effect of COPD club health education model on self-management ability and quality of life in the patients with chronic obstructive pulmonary disease

作　　者：陈冲[1] 徐倩[1] 施春娜[1] 马红映[1] CHEN Chong;XU Qian;SHI Chunna;MA Hongying(Department of Respiratory Medicine,the Affiliated Hospital of Medical School of Ningbo University,Ningbo 325020,China)

机构地区：[1]宁波大学医学院附属医院呼吸内科

出　　处：《中国现代医生》2019年第33期160-164,共5页China Modern Doctor

基　　金：浙江省自然科学基金项目(LSY19H010001)

摘　　要：目的探讨COPD俱乐部健康教育模式对慢性阻塞性肺疾病患者自我管理能力及生活质量的影响。方法选取2017年5月~2018年5月在我院呼吸内科住院且符合出院标准处于COPD临床稳定期的患者100例为研究对象,按出院顺序分为实验组和对照组,每组50例。对照组给予出院前常规护理健康宣教、出院后门诊复诊健康宣教和定期电话随访。实验组在对照组的基础上给予为期12个月COPD俱乐部健康教育。比较两组干预前及干预1年后COPD知识量表评分、CAT量表评分及1年内急性发作次数。结果两组干预1年后COPD知识量表评分均高于干预前,实验组较对照组评分更高(P<0.05);两组干预1年后CAT评分均优于干预前,且实验组优于对照组,差异有统计学意义(P<0.05);实验组1年内急性发作次数少于对照组(P<0.05)。结论 COPD俱乐部健康教育模式能有效提高患者知识水平和自我管理能力,减少急性发作次数,从而减轻临床症状,提高生活质量。Objective To explore the effect of COPD club health education model on self-management ability and quality of life of the patients with chronic obstructive pulmonary disease.Methods A total of 100 patients with clinically stable COPD hospitalized in the department of respiratory medicine in our hospital and in compliance with the discharge standard from May 2017 to May 2018 were selected as study subjects.They were divided into experimental group and control group according to the order of discharge,with 30 patients in each group.The control group was given routine nursing health education before discharge,health education in outpatient clinics after discharge and regular telephone follow-up visit.The experimental group was given COPD club health education model on the basis of the control group for 12-month.The scores of COPD knowledge scale,cat scale and the times of acute attack in one year were compared between the two groups before and after the intervention.Results The score of COPD knowledge scale in the two groups after one year intervention was higher than that before intervention,and the score in the experimental group was higher than that in the control group(P<0.05).After one year of intervention,the CAT scores of the two groups were better than before,and the score in experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).The number of acute attacks in the experimental group was less than that in the control group within one year(P<0.05).Conclusion COPD club health education model can effectively improve the patient’s knowledge level and self-management ability,reduce the number of acute attacks,thereby reducing clinical symptoms and improving the quality of life.

关 键 词：慢性阻塞性肺疾病(COPD) 健康教育 自我管理 生活质量 

分 类 号：R473.5[医药卫生—护理学]