系统性居家照顾对老年慢性阻塞性肺疾病稳定期患者的影响

Effect of systemic home care services on patients with stable chronic obstructive pul-monarY disease

目的探讨系统性居家照顾对慢性阻塞性肺疾病（COPD）稳定期患者肺功能及生活质量的影响。方法将112例COPD稳定期患者随机分为实验组和对照组各56例。对照组进行常规出院宣教和门诊复查，实验组出院后给予系统性居家照顾，12个月后，对两组患者的静息肺功能、生活质量（圣乔治呼吸问卷，SGRQ）、诊疗费用及再人院率进行比较。结果两组患者的肺功能、生活质量及诊疗费用比较差异有统计学意义（P〈0．01，P〈0．05）。再入院率比较差异无统计学意义（P〉0．05）。结论系统性居家照顾可提高COPD患者的肺功能和生活质量，同时对延缓病程进展，预防并发症，减轻经济负担，节约服务资源起到促进作用。

Objective To evaluate the effects of systemic hom~ care services on the lung function and quality of life of patients with stable chronic obstructive pulmonary disease （COPD） . Methods 112 cases of COPD were ran- domly divided into experimental group （56 cases） and control group （56 cases） . The routine discharge education and further consultation were provided in the control group. Systemic home care services were provided in experimental group through scheduled telephone and home visit intervention for twelve months. At twelve months after the intervention, the resting pulmonary function, quality of life （ SGRQ inventory） , clinic cost and rate of readmission were compared be- tween two groups. Results At twelve months after the intervention, the patients ＇ quality of life, lung function and clin- ic cost were significantly different between the two groups （ P〈0.01, P〈0. 05 ）, while there was no significant differ- ence in the rate of readmission （P〉0. 05） . Conclusions Systemic home care services can enhance lung function and quality of life for patients with COPD, as well as can postpone the process of disease, prevent complications, conomic burden and save medical resources. lighten