健康教育对慢性阻塞性肺病患者长期家庭氧疗疗效的观察

Effect of Health Education on Chronic Obstructive Pulmonary Disease Patients with Long-term Home Oxygen Therapy

目的探讨健康教育对慢性阻塞性肺病患者长期家庭氧疗疗效的影响。方法对55例COPD患者出院3月后的家庭氧疗疗效进行追踪随访,分健康教育组和对照组。其中对照组:仅给予常规氧疗指导;健康教育组在此基础上,(1)告知患者及家属自身疾病的诊断与治疗和目前病情程度;(2)告知患者及家属LTOT的重要性和意义;(3)患者和家属共同进行培训,家属每日在家中进行督导。结果健康教育组氧疗3月后与氧疗前(基础值)比较,PaO2、SaO2、FVC、FEV1明显提高(P<0.01),对照组氧疗前后FEV1、PaO2差异无统计学意义(P>0.05)。结论健康教育能增强COPD患者LTOT依从性,促使LTOT疗效提高,值得在全国推广。

Objective To explore the effect of health education on chronic obstructive pulmonary disease （COPD） patients with long-term home oxygen therapy （LTOT）.Methods The effect of long-term home oxygen therapy in 55 patients with COPD discharged from hospital for 3 month was followed up.The patients were divided into health education group and control group.The patients in control group were received routine oxygen therapy guidance only.The patients and their family members in health education group were received routine oxygen therapy guidance and also informed the diagnosis,treatment and the current conditions of the disease,the importance and significance of LTOT.The patients and their families in health education group were trained together,and their families supervised them every day.Results After 3-month of LTOT,PaO2,SaO2,FVC,and FEV1 of health education group were significantly increased as compared with pre-LTOT （P0.01）.No statistically significant difference was found in FEV1 and PaO2 of control group between before and after LTOT（P0.05）.Conclusions Health education can improve the compliance of COPD-patients in LTOT and increase the therapeutic effect of LTOT.It is worth popularizing nationally.