互动式健康教育模式对慢性阻塞性肺疾病患者作用的研究

Study of interaction health education mode in chronic obstructive pulmonary disease patients

目的探讨互动式健康教育模式对稳定期慢性阻塞性肺疾病（COPD）患者治疗依从性、门诊随访次数、肺功能以及生活质量影响。方法选择成都市第二人民医院门诊和住院的稳定期COPD患者77例，根据患者自愿参加健康教育分为健康教育组38例和非健康教育组39例。随访6个月后，比较两组患者的治疗依从性、门诊随访率、肺功能及生活质量。结果77例完成半年随访，健康教育组的治疗依从性、门诊随访次数和生活质量评分指标较非健康教育组明显改善（P〈0．05）；健康教育组与非健康教育组的肺功能指标（FEV。％预计值和FEV1／FVC）差异无统计学意义（P〉0．05）。结论互动式健康教育模式对提高患者的治疗依从性，增加门诊随访次数以及改善生活质量有重要意义。

Objective To study effect of interactive health education mode on treatment compliance,outpatient follow-up rate, lung function and quality of life of chronic obstructive pulmonary disease （COPD） patients in stable stage. Methods 77 patients with COPD in stable stage were recruited from outpatient department and inpatient in the second people＇ s hospital of Chengdu. According to the patients voluntarily participate in the health education,they were divided into the health education group （38 examples） and the non-health education group （39 examples）. Follow-up of 6 months later,compared between the two groups of patient＇s treatment compliances,outpatient follow-up number of times, lung function and quality of life. Results 77 patients accomplish half year follow-up. Compared with non-health education group,the treatment compliance,the outpatient follow-up number of times and the quality of life were improved significantly in health education group （ P〈0.05）. About lung function targets （FEV1% predicted values and FEV1/EVC） ,there is no significant difference between the two groups. Conclusions To enhance the patient＇s treatment compliances, increase the number of outpatient follow-up times and improve the quality of life, the interactive type health education mode has the important meaning.