健康教育对稳定期慢性阻塞性肺疾病患者肺功能和生活质量的影响

The effect of health education on lung function and quality of life among stabilized patients with chronic pulmonary disease

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。

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 derided 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 or 2（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.