简短健康教育在慢性阻塞性肺疾病患者健康教育中的作用

Effect of brief specific-disease health education among COPD patients

目的调查门诊稳定期慢性阻塞性肺疾病(COPD)患者对COPD的认知现状,并确定简短健康教育的作用。方法应用布里斯托慢性阻塞性肺疾病知识问卷对2012年5月该院呼吸与危重症医学科门诊就诊的稳定期COPD患者进行调查,而后进行简短健康教育,健康教育后再次应用BCKQ进行效果评价。结果 59名患者纳入测评,与简短干预前相比,BCKQ回答的正确率由38.6%上升到48.6%,提高幅度达10.0%,具有非常显著的差异(P<0.01)。锻炼、吸入支气管扩张剂、抗生素等涉及COPD治疗的题目,简短健康教育后正确率无明显提高。结论 COPD患者对疾病的认知度低下;简短健康教育在提高疾病认知度方面具有积极的作用;对于疾病治疗方面知识的提高是简短健康教育的难点。

Objective To investigate and analyze the awareness of chronic obstructive pulmonary disease （COPD） in patients and the effect of the brief specific-disease health education program for COPD. Methods Patients with COPD who visited respiratory clinic in May 2012 were enrolled. Awareness of COPD was evaluated using Bristol COPD Knowledge Questionnaire （BCKQ）. The brief specific-disease health education was carried out in patients. BCKQ was ad- ministered before and after education. Results A total of 59 patients completed BCKQ. Compare to the baseline, the correct rates of BCKQ in patients was increased from 38.6% to 48.6% （ P 〈0. 01 ）, rising 10.6%. The correct rate of ＂exercise＂, ＂inhaled bronchodilators＂ and ＂antibiotics＂ was no significantly increased. Conclusion The brief specific-disease health education for COPD has the effect on increasing the awareness of COPD in patients. In a way, it is a little difficult to improving knowledge of disease treatment by brief specific-disease health education.