【摘要】 目的探讨健康教育对慢性阻塞性肺疾病(COPD)稳定期患者肺功能和生活质量的影响。方法117例稳定期COPD患者随机分为4组,其中Ⅰ组31例、Ⅱ组26例、Ⅲ组20例、Ⅳ组40 例。Ⅰ组患者不接受健康教育,Ⅱ、Ⅲ、Ⅳ组依次接受1、2、3次或3次以上系统的COPD健康教育。对比观察4组患者干预前及6个月后FEV1、FEV1%预计值、FEV1/FVC和生活质量评分(SGRQ评分)。结果健康教育对延缓稳定期COPD患者FEV1、FEV1%预计值以及FEV1/FVC下降有明显作用,Ⅱ、Ⅲ、Ⅳ组优于Ⅰ组(P<0.05),Ⅲ、Ⅳ组优于Ⅰ、Ⅱ组(P<0.05)。同时对稳定期COPD患者生活质量指数(SGRQ分值)升高有明显作用,Ⅱ、Ⅲ、Ⅳ组优于Ⅰ组(P<0.05),Ⅲ、Ⅳ组优于Ⅰ、Ⅱ组(P<0.05)。结论健康教育能明显延缓稳定期COPD患者肺功能和生活质量下降。更多还原

【Abstract】 Objective To evaluate the effect of health education on lung function and quality of life in stabilized patients with chronic pulmonary disease ( COPD). Methods 117 stabilized COPD patients were randomly devided into 4 groups with numbers as 31,26,20 and 40 identified as Groups 1 to 4. Patients in Group 1 did not receive health education, but Groups 2,3 and 4 received one, two, three or more times health education in file. FEV1 ,FEV1 % ,FEV1/FVC and SGRQ score were compared pre and 6-month post the health education program. Results Health education seemed successful in delaying the decline of FEV1 ,FEV% ,FEV1/FVC and groups 2-4 were superior to group 1(P<0.05) while groups 3 and 4 were superior to groups 1 or2(P<0.05). Health education was effective in raising the SGRQ score among the stabilized COPD patients with groups 2-4 superior to group 1 ( P < 0.05) while groups 3 and 4 superior to groups 1 or 2(P<0.05). Conclusion Health education could effectively delay the decline of both lung function and quality of life in stabilized patients with COPD.更多还原