慢性阻塞性肺病患者社区康复模式的探讨

Community rehabilitation pattern for patients with chronic obstructive pulmonary disease

目的 探讨适合慢性阻塞性肺病患者的社区康复护理模式。方法 将100例社区慢性阻塞性肺病患者随机分为干预组和对照组各50例。对照组仅实施常规康复指导，而对干预组执行一套为期8周的家庭访视关键流程，并进行跟踪随访。1年后，应用肺功能和生活质量评估量表对2组患者进行评价。结果 干预组与对照组比较，反映肺功能的FVC（L）、FEV，（L）、FV/预计值（％）、FEV，颀计值（％）指标差异均有统计学意义。在反映生活质量的日常生活、社会活动、抑郁、焦虑4个因子的对比中，2组差异也有统计学意义（P〈0．05）。结论 以“合理营养、劝导戒烟、心理支持、活动指导”为干预重点，并将健康教育贯穿其中的社区康复模式，能有效延缓COPD的病情发展，减低COPD转归为肺心病及呼吸衰竭的发病率，提高患者的生存质量。

Objective To study the proper community rehabilitation pattern for patients with chronic obstructive pulmonary disease. Methods Divided 100 patients with chronic obstructive pul- monary disease into the intervention group（50 cases） and control group （50 cases） randomly. Traditional nursing cares were used in the control group, while an eight-weeks family interview was used in the intervention group. Followed-up one year, compared condition of quality of life and pulmonary fuction between the two groups. Results The indexes which can indicate the quality of life and pulmonary fuction in the intervention group were signifiant better than those of in the control group,P〈0.05. Conclusions Sys- temic community rehabilitation pattern for patients with chronic obstructive pulmonary disease can effective improve the recovery of them, and then ameliorate the quality of life for them.