基于互联网的肺康复延续干预对稳定期COPD患者生活质量的影响  

The effects of continuous lung rehabilitation intervention based on Internet on the life quality of patients with stable chronic obstructive pulmonary disease

作　　者：闫丽 乔秋阁[1] 赵新[1] 李亚伟[1] 赵学刚 游道锋[2] YAN Li;QIAO Qiuge;ZHAO Xin(The Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院,石家庄市050000 [2]河北医科大学第一医院

出　　处：《河北医药》2023年第7期1106-1109,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:21070630)。

摘　　要：目的通过互联网对稳定期慢性阻塞性肺疾病(COPD)患者实施肺康复延续干预,研究此形式的干预对患者生活质量的影响。方法研究对象为2019年1~12月呼吸科收治的100例稳定期COPD患者;采用信封法随机的把样本患者分为对照组与观察组,每组50例。对照组样本失访2人(n=48),观察组样本失访4人(n=46),在专科医师指导下,2组样本患者住院期间同样的接受常规的药物治疗和肺康复训练;出院后,使用传统出院宣教和电话回访方式给对照组样本进行干预,使用钉钉平台网络沟通方式给观察组进行呼吸康复指导及互动随访。观察2组样本患者经干预6个月后的肺功能[第1秒用力呼气量实际值/预计值(FEV1%)、第1秒用力呼气量/用力肺活量(FEV1/FVC)],生活质量(CAT评分)、6 min步行距离(6MWD)、抑郁自评量表(SDS)、焦虑自评量表(SAS)。结果观察组FEV1%、FEV1/FVC、CAT评分、SDS和SAS评分及6MWD均优于对照组,差异有统计学意义(P<0.05)。结论基于互联网的肺康复延续干预,可以在很大程度上改善稳定期COPD患者的肺功能,缓解患者的各种焦虑情绪,提高患者的生活质量。Objective To investigate the effects of continuous lung rehabilitation intervention based on Internet on the life quality of patients with stable chronic obstructive pulmonary disease(COPD).Methods One hundred patients with stable COPD who were treated in our hospital from January 2019 to December 2019 were enrolled in the study,who were randomly divided into observation group and control group,there were 4 cases lost in observation group(n=46)and 2 cases lost in control group(n=48).The patients in both groups received routine drug treatment and lung rehabilitation training under the guidance of specialists during hospitalization.After discharge,the patients in control group were given traditional discharge education and telephone follow-up,however,the patients in observation group received respiratory rehabilitation guidance and interactive follow-up for 6 months.After 6-month intervention,the lung function indexes(FEV1%,FEV1/FVC),CAT score,6-minute walking distance(6MWD),SDS score and SAS score were observed and compared between the two groups.Results After the intervention,the lung function indexes(FEV1%,FEV1/FVC),CAT scores,6MWD,SDS scores and SAS scores in observation group were superior to those in control group(P<0.05).Conclusion The continuous lung rehabilitation intervention based on Internet can improve the lung function of patients with stable COPD,relieve the anxiety emotion and improve the life quality of patients.

关 键 词：互联网 延续护理干预 肺康复 稳定期慢阻肺 生活质量 

分 类 号：R563[医药卫生—呼吸系统]