家庭干预对慢性阻塞性肺疾病患者的影响

Effects of family intervention on patients with chronic obstructive pulmonary disease

目的:观察家庭干预对慢性阻塞性肺疾病(COPD)患者的影响。为有效控制COPD病情进展,提高患者生活质量和治疗效果,提供合理、有效的健康教育和护理方法。方法:根据就诊时间编号,分研究组和对照组,给与不同方法的宣教及心理护理。采用SF-36生存质量表、症状自评量表、自编调查问卷,进行考评分析。结果:1年后,患者各观察项目经统计学处理,研究组各观察因子明显优于对照组,其中患者生活质量、症状自评量表各因子、药物治疗依从性等因数,除生理功能外,差异皆有统计学意义(P<0.05)。两组患者戒烟情况,研究组为96.67%,对照组为39.29%。结论:家庭干预可有效控制COPD患者病情进展,提高COPD患者治疗依从性和生活质量。

Objectives： Finding out the effects of family intervention on patients with chronic obstructive pulmonary disease （COPD）. Providing reasonable and effective health education and nursing interventions to patients with COPD to control the disease proess and improve the quality of life and treatment effects of patients. Methods： Subjects were divided into experimental group and control group according to the serial number in time sequence. Different health education and psychological nursing services were given to the two groups. Short Form 36 Health Survey Questionnaire （SF-36）, Self-assessment of Symptoms Form and Self-made Questionnaire were used to evaluate the outcomes. Results： After one-year＇s intervention, it was found that all the observed items in experimental group were significantly better than those of control group. The quality of life, the factors in SF-36 and the medication compliance, except for the physiological factors, of experimental group were significantly higher than those of control group （P 〈0.05）. The percentage of patients who quit smoking in experimental group was 93.55%, while only 37.93% of patients in control group quit smoking. Conclusion： Family intervention can control the disease process of COPD effectively, and improve the treatment compliance and quality of life of patients with COPD.