社区肺康复对轻中度慢性阻塞性肺疾病患者生存质量的影响

Effect of community-based pulmonary rehabilitation on the quality of life in patients with mild to moderate COPD

目的探讨社区肺康复对轻、中度慢性阻塞性肺疾病(COPD)患者生存质量的影响。方法对161例轻、中度COPD患者给予运动疗法、教育、心理社会与行为干预等肺康复干预措施,干预前后分别进行肺功能、呼吸困难、体质指数、6min步行测验、日常生活活动能力(ADL)和生活满意指数(LSIA)两个量表进行评估。结果干预1年后患者的呼吸困难、6min步行测验、ADL和LSIA有显著改善(P<0.01);肺功能、体质指数有改善(P<0.05)。结论社区肺康复可提高轻、中度COPD患者的运动耐力,减轻呼吸困难症状,提高ADL,改善生活质量等,从而有效提高患者的生存质量。

Objective To evaluate the effect of community-based pulmonary rehabilitation on the quality of life in patients with mild to moderate chronic obstructive pulmonary diseases（COPD）.Methods Totally 161 mild to moderate COPD patients received community-based pulmonary rehabilitation for one year,including exercise therapy,health education,psychosocial intervention and behavior therapy.The patients＇ pulmonary function,symptom of dyspnea,BMI,6MWD（exercise tolerance）,activities of daily living（ADL） and life satisfaction index（LSIA） were measured before and after the intervention.Results One year later,the patients＇ symptom of dyspnea was relieved obviously（P0.05）.The pulmonary function,6MWD（exercise tolerance）,ADL,LSIA were significantly improved（P0.05）.Conclusion Community-based pulmonary rehabilitation can improve mild to moderate COPD patients＇ exercise tolerance,ability of daily living and life satisfaction,relieve symptom of dyspnea,and thereby to improve patients＇ quality of life.