社区“三认”教育管理对稳定期慢性阻塞性肺疾病患者的影响研究

摘要

Objective To investigate the influence of the education and management of "disease awareness , recognition and identification"in communities on patients with chronic obstructive pulmonary disease in stable period .Methods We enrolled 120 patients with chronic obstructive pulmonary disease in stable period who received treatment in a community health service center in Shanghai from May 2013 to April 2014.Using random number table method , we divided the subjects into two groups: management group ( n=60 ) and control group ( n=60 ) .The management group was given a one -year education management of "disease awareness , recognition and identification", and the control group was not given intervention except for the measurement of various indicators .Before intervention and after intervention , the two groups received the measurement of pulmonary function and finished the "questionnaire on the degree of disease awareness , recognition and identification by chronic obstructive pulmonary disease patients".Results Before intervention , the two groups were not significantly different ( P >0.05) in FEV1/FVC, FEV1%, VC and MVV; after intervention, the management group was higher (P 0.05) in the degree of awareness , recognition and identification; after intervention , the management group was higher ( P<0.01 ) than the control group in the degree of disease awareness , recognition and identification.Gonclusion The community education management of "disease awareness , recognition and identification"can improve the chronic obstructive pulmonary disease patients′cognitive degree of the knowledge about diseases , change patients′behaviors unfavorable for the disease , slow down the speed of disease development , reduce complications , prolong effective life and improve quality of life .%目的：探讨社区“三认”教育管理对稳定期慢性阻塞性肺疾病（慢阻肺）患者的影响。方法选取2013年5月—2014年4月上海市某社区卫生服务中心的稳定期慢阻肺患者120例，采用随机数字表法分为管理组和对照组各60例，管理组给予为期1年的社区“三认”教育管理，对照组不做任何干预，只进行各项指标测定。两组在干预前、后分别进行肺功能测定和《慢阻肺患者对疾病认知、认可、认同程度的问卷调查》填写。结果干预前两组患者第1秒用力呼气容积占用力肺活量百分比（ FEV1／FVC）、第1秒用力呼气容积占预计值百分比（ FEV1％）、肺活量（ VC）、每分钟最大通气量（ MVV ）比较，差异均无统计学意义（ P ＞0.05）；而干预后管理组患者 FEV1／FVC、FEV1％、 MVV均高于对照组患者，差异有统计学意义（P＜0.01）。干预前两组患者认知、认可、认同程度评分比较，差异均无统计学意义（ P＞0.05）；而干预后管理组患者认知、认可、认同程度评分均高于对照组，差异有统计学意义（P＜0.01）。结论社区“三认”教育管理可提高慢阻肺患者对疾病知识的认知程度，改变患者对疾病不利的行为，减慢疾病发展速度、减少合并症，延长有效寿命，提高生活质量。