社区干预对稳定期嗜烟慢性阻塞性肺疾病老年患者戒烟后肺功能的影响

The effect of community intervention on pulmonary function of elderly patients with COPD after quitting smoking in stability period

目的探讨社区干预对稳定期嗜烟慢性阻塞性肺疾病（COPD）老年患者戒烟后肺功能的影响，以提高戒烟率，促进疾病康复。方法选取自2008年7月-2010年12月在呼吸内科住院的稳定期嗜烟COPD老年男性患者60例，建立戒烟健康档案。观察组30例，接受全程的戒烟指导及定期随访，为期半年，每2周访视1次，每次30min；对照组30例，接受一般院内戒烟护理指导。比较两组患者6个月后的肺功能变化情况。结果观察组和对照组患者干预前后肺功能比较，两者存在显著性差异，P〈0．05。结论全程综合性社区戒烟干预措施可以有效促进稳定期嗜烟COPD老年患者的肺功能改善。

Objective To explorer the effect of community intervention on pulmonary function of elderly patients with COPD after quitting smoking in stability period, raise the rate of smoking cessation and promote the rehabilitation of this disease. Methods A total of 60 elderly male patients with COPD were selected and divided into two groups. The 30 patients in observation group received full health guid- ance of smoking cessation and follow - up visits regularly. And other patients received general the guidance of smoking cessation. The change of pulmonary function was compared between two groups after 6 months. Results There were significant differences statistically in compa- ring the change of pulmonary function between two groups. Conclusions Community intervention in the overall process can improve effec- tively pulmonary function of elderly patients with COPD after quitting smoking in stability period.