老年慢性阻塞性肺疾病患者缓解期的社区康复治疗

Community Rehabilitation Therapy for Senile Patients with COPD at Remission Stage

目的:探讨社区康复治疗对慢性阻塞性肺疾病(COPD)患者减少急性发作、改善活动耐量、延缓肺功能下降的影响。方法:以问卷调查的方法对65例老年COPD患者对疾病的认知程度、自我保健措施、药物及非药物治疗方案进行评估,指导个体化康复治疗方案,观察所有患者管理前后症状、体质量、肺通气功能、日常活动量。结果:管理后患者对疾病的认识及自我保健意识增强,对治疗的依从性提高,症状有所改善。结论:有效的社区康复治疗可减少患者的住院次数,减缓疾病进展速度。

Objective： To explore the influence of community rehabilitation therapy on reducing acute onset, im- proving exercise tolerance and postponing the decrease of lung function in patients with chronic obstructive pulmonary disease （COPD）. Method： The cognition to disease, measures of self-health, drugs and non-drugs therapy of sixty-five patients with COPD were evaluated with questionnaire to guide individual rehabilitation therapy. Symptoms before and after managing, weight, pulmonary ventilation function and daily activity of all patients were observed. Result： Af- ter managing the patients＇ cognition to disease and the sense of self-health enhanced, dependence on treatment and symptoms improved. Conclusion： Effective community rehabilitation therapy can reduce the hospitalized times and de- lay the progress of disease.