集束化干预对慢性阻塞性肺病患者稳定期生活质量的影响

摘要

Objective To explore the effect of intensive intervention on quality of life in patients with chronic obstructive pulmonary disease (COPD)in stable period.Methods 80 pa-tients with COPD in stable period were divided into intervention group (n =40)and control group (n =40).The patients in the intervention group were given health education and administration measures in physical exercise,respiratory muscle exercise,oxygen therapy,education,psychologi-cal and behavioral intervention while the patients in the control group were treated with drugs. And quality of life of two groups before and after the treatment was evaluated by St George′s respi-ratory questionnaire (SGRQ).Results The difference was not statistically significant in respirato-ry symptoms,disease impact and the SGRQ indicators of the two groups (P >0.05).After the in-tervention,the difference was not statistically significant in the intervention group in respiratory symptoms ,disease impact and the SGRQ indicators compared with the treatment before (P <0.05).The difference was not statistically significant in the indicators in the control group (P >0.05).The difference was statistically significant in indicators after the intervention in the inter-vention group and control group.Conclusion Intensive intervention can improve the quality of life in patients with COPD in stable period.%目的：探讨集束化干预对慢性阻塞性肺病（COPD）稳定期患者生活质量的影响。方法将80例 COPD 稳定期患者分为干预组与对照组各40例，干预组给予体能锻炼、呼吸肌锻炼、氧疗、宣教、心理与行为干预等综合健康教育与管理措施，对照组仅在门诊取药治疗。利用生活质量量表（SGRQ）评分标准分别在治疗前后对2组患者生活质量予以评估。结果入组前2组患者 SGRQ 呼吸症状、疾病影响及 SGRQ 各项指标比较无显著性差异（P ＞0.05），干预组患者治疗后 SGRQ 呼吸症状、疾病影响及 SGRQ 各项指标与治疗前比较有显著性差异（P ＜0.05）；对照组治疗后各项指标与治疗前相比较无显著性差异（P ＞0.05），干预组与对照组干预后各项指标比较有显著性差异（P ＜0.05）。结论集束化干预能够有效提高 COPD 稳定期患者生活质量。