自我管理干预对慢性阻塞性肺疾病患者生活质量的影响

Effect of self-management intervention on the quality of life in patients with chronic obstructive pulmonary disease

目的探讨自我管理干预对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者生活质量的影响。方法对北京协和医院和北京医院病情稳定出院或门诊就诊的84例COPD患者,按照时间顺序进行分组,每组42例。干预组患者接受自我管理干预,对照组患者接受常规护理。干预3个月和6个月时,采用圣乔治呼吸问卷对患者的生活质量进行测评。结果干预3个月时,干预组患者生活质量影响维度得分较对照组明显降低,差异有统计学意义(t=-2.167,P<0.05);干预6个月时,干预组患者的生活质量症状维度、影响维度及总分较对照组明显降低,差异有统计学意义(t=-3.482^-2.530,P<0.05)。结论自我管理干预能够提高COPD患者的生活质量,为今后患者的管理提供一种有效的方法。

Objective To evaluate the effect of self-management intervention on the quality of life in patients with chronic obstructive pulmonary disease（COPD）. Methods Eighty-four COPD patients at stable stage or discharged from two hospitals in Beijing were recruited in this study. They were assigned to self-management intervention group and routine care group,42 cases in each group. The St George＇s Respiratory Questionnaire（SGRQ） was used to measure the patients＇ quality of life at 3 months and 6 months after intervention. Results There was significant difference in the activity domain score between the two groups （t=-2.167,P〈0.05） at 3 month after intervention. The total score,symptom domain score and activity domain score showed significant differences between the two groups（P〈0.05） at 6 month after intervention. Conclusion Self-management intervention can improve the quality of life in patient with COPD.