自我管理干预对慢性阻塞性肺疾病患者生活质量的影响

摘要

Objective:To analyze the effect of self management strategies on the quality of life in patients with chronic obstructive pulmonary disease.Method:120 patients with chronic obstructive pulmonary disease were selected from August 2015 to March 2014,they were randomly divided into the intervention group and control group,60 cases in each group.The intervention group was given self-management intervention,control group received routine intervention.Before and after 24 weeks of intervention,the situation of two groups’ patients with disease self-management were analyzed,and the quality life of patients were assessed according to the San George George's Respiratory Questionnaire.Result:After intervention,the emergency self-help, reasonable diet, adverse psychological reactions, smoking cessation control wine, correct medication, disease recurrence rate, satisfaction of education, adhere to the pulmonary rehabilitation training and on time follow-up visits of intervention group were better than control group,the differences were statistically significant(P<0.05);the symptom score,influence score and total score of intervention group were significantly decreased,and thoses were lower than the control group, the differences were statistically significant(P<0.05).Conclusion:Self management intervention should be used in patients with chronic obstructive pulmonary disease can significantly improve the patients’ self-management ability and quality of life,it is worthy of clinical application.%目的：分析自我管理策略应用于慢性阻塞性肺疾病患者后对患者生活质量的影响研究。方法：选取2014年1月-2015年6月本院收治的120例慢性阻塞性肺疾病患者，随机分为干预组与对照组，每组各60例。干预组给予自我管理干预，对照组给予常规干预，两组干预前与干预24周后对患者疾病自我管理情况进行分析，并根据圣·乔治呼吸问卷（St George’s Respiratory Questionnaire，SGRQ）对患者的生活质量进行评估。结果：干预后，干预组患者紧急自救、合理饮食、不良心理反应、戒烟控酒、正确用药、疾病复发率、教育满意度、坚持肺康复训练、按时复诊等方面均优于对照组，两组比较差异均有统计学意义（P<0.05）；干预组的症状评分、活动度评分、影响度评分及总评分均较干预前显著降低，且均低于对照组，两组比较差异均有统计学意义（P<0.05）。结论：自我管理干预应用于慢性阻塞性肺疾病患者能够显著提高患者自我管理能力及患者的生活质量，值得临床推广应用。