系统健康教育在慢性阻塞性肺疾病理疗患者中的应用  

Application of systematic health education on the patients with chronic obstructive pulmonary disease in physiotherapy

作　　者：王艳蓉 张永春 周世甲 WANG Yanrong;ZHANG Yongchun;ZHOU Shijia(Department of Traditional Chinese Medicine of Xiaodongmen Community Health Service Center of Huangpu District,Shanghai 200010,China;Department of Arts and Sciences of Shanghai Medical College,Shanghai 201318,China)

机构地区：[1]上海市黄浦区小东门街道社区卫生服务中心中医科,上海200010 [2]上海健康医学院文理教学部,上海201318

出　　处：《上海医药》2020年第24期57-59,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市黄浦区科研项目基金(HKQ201816)。

摘　　要：目的:分析系统健康教育在慢性阻塞性肺疾病(COPD)理疗患者中的应用效果。方法:选择2018年10月1日至2019年10月1日在我院中医科行理疗的缓解期COPD患者100例,分为观察组与对照组各50例。观察组中有男性16例,女性34例;平均年龄(70.54±7.67)岁。对照组中有男性17例,女性33例;平均年龄(69.14±7.77)岁。两组均予以常规西医治疗(抗炎、平喘及化痰等)及理疗(中医定向透药治疗)。对对照组患者只在就诊时予以常规的健康教育,对观察组患者予以系统的健康教育。3个月后比较两组COPD患者的自我评估测试(CAT)问卷及改良呼吸困难指数(m MRC)评分。结果:干预前两组患者的CAT评分及mMRC评分差异无统计学意义(P>0.05)。干预后观察组患者CAT评分及mMRC评分均优于对照组(P<0.05)。结论:对COPD患者实施系统健康教育有助于患者症状的改善和生活质量的提高。Objective:To analyze the application effect of the systematic health education in patients with chronic obstructive pulmonary disease(COPD)in physiotherapy.Methods:A total of 100 patients in remission who underwent physical therapy in the Department of Traditional Chinese Medicine of Our Center from October 1,2018 to October 1,2019 were selected and divided into an observation group and a control group with 50 cases in each group.There were 16 males and 34 females in the observation group;the average age was(70.54±7.67)years.There were 17 males and 33 females in the observation group;the average age was(69.14±7.77)years.Both groups were treated with conventional Western medicine(anti-inflammatory,antiasthmatic,and phlegm,etc.)and physical therapy(Chinese medicine directional penetration therapy).The patients in the control group were only given routine health education at the time of treatment,and the patients in the observation group were given systematic health education.Three months later,the COPD assessment test(CAT)questionnaire and modified medical research council(mMRC)scores of the two groups of COPD patients were compared.Results:There was no significant difference in CAT score and mMRC score between the patients of the two groups before intervention(P>0.05).After the intervention,the CAT score and mMRC score of the observation group were better than those of the control group(P<0.05).Conclusion:Implementing systematic health education for patients with COPD can help patients improve their symptoms and quality of life.

关 键 词：慢性阻塞性肺疾病 理疗 中医定向透药治疗 系统健康教育 

分 类 号：R473[医药卫生—护理学]