健康相关行为与家庭行为干预对COPD患者生活质量的影响

The Influence of Health Behavior Intervention and Family Behavior Intervention for the Quality of COPD Patients Life

目的探讨健康相关行为干预与家庭行为干预对慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法选取2011年5月～12月我科住院的COPD患者85例,随机分为干预组43例和对照组42例。对照组给予常规治疗和护理。干预组在此基础上增加干预不良心理反应,矫正不良行为习惯和生活方式,指导患者进行呼吸康复训练,实施遵医行为,进行家庭行为干预。分别在治疗前和治疗6个月后对患者进行生活质量评估问卷(CAT)调查,抑郁自评量表(SDS),焦虑自评量表(SAS)测评及肺功能测定。结果干预后两组CAT、SDS、SAS及肺功能测定值比较,有显著性差异(P<0.05)。结论运用行为指导和行为矫正的方法,配合家庭行为干预,可以提高COPD患者的生活质量。

Objective To explore the influence of health related behavior intervention and family behavior intervention for the quality of chronic obstructive pulmonary disease （COPD） patients life. Methods 85 COPD patients in our respiratory department from 2011 5 to 12 month, were chosen and randomly divided into intervention group of 43 cases and control group of 42 cases. The patients were given conventional treatment in nursing control group while on the basis of increasing intervention, the patients in intervention group were given adverse psychological reaction, correct bad habits and lifestyles, respiratory rehabilitation training, the implementation of medical behavior, family intervention, respectively, before treatment and 6 months after the treatment was conducted on patients quality of life assessment questionnaire survey （CAT）, self-rating depression scale （SDS）, Self--rating Anxiety Scale （SAS） assessment and lung function determination. Results In the intervention group, the CAT, SDS, SAS and the lung function test value of patients are obviously improved comparing with the control group. The difference was statistically significant （P〈0. 05）. Conclusion Using the behavior guidance and behavior modification method, combined with family behavioral intervention can improve the life quality of chronic obstructive pulmonary disease patients.