程序式居家护理对老年慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响

Effect of systemic home nursing services on the lung function and quality of life in elderly patients with stable chronic obstructive pulmonary disease

目的 探讨程序式居家护理对慢性阻塞性肺疾病（COPD）稳定期患者肺功能及生活质量的影响.方法 将112例COPD稳定期患者随机分为实验组和对照组各56例.对照组进行常规出院宣教和门诊复查,实验组出院后给予程序式居家护理,12个月后,用圣乔治呼吸问卷和SGRQ对两组患者的静息肺功能、生活质量进行调查,并比较两组患者静息功能、生活质量、诊疗费用及再入院率.结果 两组患者的肺功能、生活质量及诊疗费用比较差异有统计学意义（P＜0.01或P＜0.05）.再入院率比较差异无统计学意义（P＞0.05）.结论 程序式居家护理可提高COPD患者的肺功能和生活质量,同时对延缓病程进展,预防并发症,减轻经济负担,节约服务资源起到促进作用.

Objective To evaluate the effect of systemic home nursing services on the lung function and quality of life in elderly patients with chronic obstructive pulmonary disease （COPD） at stable stage.Methods 112 cases of COPD were randomly divided into experimental group （ 56 cases ） and control group （ 56 cases）. The routine discharge education and further consultation were provided in the control group. Systemic home nursing services were provided in experimental group. Twelve months after the intervention, the resting pulmonary function, quality of life （SGRQ inventory ）, clinic cost and rate of re admission were compared between two groups. Results Twelve months after the intervention, the patients＇ quality of life , lung function and clinic cost were significantly different between the two groups （P 〈 0. 01 or P 〈 0. 05 ）, while there was no significant difference in the rate of readmission （ P 〉 0. 05 ）. Conclusions Systemic home nursing services can enhance lung function and quality of life for patients with COPD, as well as can postpone the process of disease,prevent complications, lighten economic burden and save medical resources.