个体化延续护理对慢性阻塞性肺疾病患者生活质量的影响

The influence of individualized extended care on quality of life of patients with Chronic Obstructive Pulmonary Disease

目的:探讨个体化延续护理对稳定期慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法:收集2010年1月至2013年1月在我院呼吸内科住院的COPD患者60例作为研究对象,采用随机数字表法分为对照组和干预组各30例,对照组出院后按要求定期回院复诊,干预组出院后实施延续护理,在干预前1周、干预期间第3周、第16周、第24周及干预后第24周采用圣乔治呼吸问卷(SGRQ)对两组患者进行评定及比较分析。结果:干预组在干预期间第16周、第24周及干预后第24周的SGRQ总分及呼吸症状、活动能力、疾病影响得分与对照组相比,差异均有统计学意义(P<0.05);干预组在干预期间SGRQ各因子及总分随干预时间的推移逐步递减,且第16周与第3周、第24周与第16周比较差异有统计学意义(P<0.05)。结论:个体化延续护理能够提高稳定期慢性阻塞性肺疾病患者生活质量。

Objective： To explore the effects of individualized extended care on the quality of life of patients with chronic obstructive pulmonary disease （COPD）. Methods： Totally 60 hospitalized patients from January 2010 to January 2013 were recruited in the study, and were randomly divided into the control group and the intervention group by random number table. The patients in the control group were usually followed after discharge. The intervention group received post-discharge extended nursing. All patients were assessed by St. George＇s Respiratory Questionnaire （SGRQ） at the time of 1 week before the intervention, the 3rd week, the 16th week, and the 24th week during the intervention and the 24th weeks after the intervention. Results： Compared with the control group, the total score and the scores of respiratory symptoms, the activity, the disease effects in intervention group were significantly lower at the time of the 16th week, the 24th week during the intervention and the 24th week after the intervention （P〈0.05）. As time gone by, all SGRQ factors scores and the total score gradually decreased, differences between the 16th week and the 3rd week, and between the 24th week and the 16th week were significant （P〈0.05）. Conclusions： The individualized extended care is able to improve the quality of life of patients with COPD in stable stage.