中医护理方案对AECOPD患者CCQ评分、6 min步行距离和生活质量的影响  

Effect of Traditional Chinese Medicine Nursing Scheme on CCQ Score,6 min Walking Distance and Quality of Life of AECOPD Patients

作　　者：林云青[1] 钱桂影 罗蓉晖 曾艳花 刘红宇[1] LIN Yunqing;QIAN Guiying;LUO Ronghui;ZENG Yanhua;LIU Hongyu(Guangzhou Hospital of Traditional Chinese Medicine,Guangzhou 510130,China;不详)

机构地区：[1]广州市中医医院,广东广州510130

出　　处：《中国医学创新》2020年第24期92-96,共5页Medical Innovation of China

基　　金：广东省中医药局科研项目(20192074)。

摘　　要：目的:探讨中医护理方案对慢性阻塞性肺疾病急性加重期(AECOPD)患者COPD临床呼吸问卷(clinical COPD questionnaire,CCQ)评分、6 min步行距离(6 minute walking distance,6MWD)和生活质量的影响。方法:选取2018年11月-2019年11月就诊于本院的AECOPD患者60例,按随机数字表法将其分为对照组与研究组,各30例。对照组给予常规护理,研究组在对照组基础上给予中医护理。比较两组护理前后症状评分、CCQ评分、6MWD和护理后生活质量评分。结果:护理后,研究组咯痰、气促与咳嗽评分均低于对照组(P<0.05)。护理后,研究组CCQ评分低于对照组,且6MWD高于对照组(P<0.05)。护理后,研究组日常生活能力、抑郁心理状况、社会活动情况及焦虑心理状况评分均高于对照组(P<0.05)。结论:中医护理方案可有效改善AECOPD患者临床症状并提高其生活质量,具有良好的护理效果。Objective:To explore the effect of traditional Chinese medicine nursing scheme on clinical COPD questionnaire(CCQ)score,6 min walking distance(6MWD)and quality of life of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Method:A total of 60 AECOPD patients admitted to our hospital from November 2018 to November 2019 were selected.They were divided into control group and study group according to the random number table method,30 patients in each group.The control group was given routine nursing,and the study group was given traditional Chinese medicine nursing scheme on the basis of the control group.The symptom score,CCQ score,6MWD and quality of life score before and after nursing were compared between two groups.Result:After nursing,the scores of expectoration,shortness of breath and cough in the study group were lower than those in the control group(P<0.05).After nursing,the CCQ score of the study group was lower than that of the control group,and 6MWD was higher than that of the control group(P<0.05).After nursing,the scores of activity of daily living,depression,social activities and anxiety in the study group were higher than those in the control group(P<0.05).Conclusion:Traditional Chinese medicine nursing scheme can effectively improve the clinical symptoms of AECOPD patients and their quality of life,with good nursing effect.

关 键 词：中医护理方案 慢性阻塞性肺疾病急性加重期 6 分钟步行距离 

分 类 号：R248[医药卫生—中医临床基础]