病友会对稳定期慢性阻塞性肺病患者呼吸操锻炼依从性的影响

Influence of the patient friend meeting on the compliance of the breathing exercise in the patients with COPD in the stable period

目的 :探讨病友会形式对稳定期慢性阻塞性肺病(COPD)患者呼吸操锻炼依从性。方法 :2013年11月-2014年11月选取嘉定镇街道社区卫生服务中心122例COPD患者,按随机数字表法分为对照组61例和观察组61例。观察组每月1次定期举行病友会指导患者进行呼吸操锻炼,对照组利用门诊和电话进行呼吸操指导。1年后比较两组患者对呼吸操锻炼的依从性。结果 :干预1年后,对照组有24.6%(15/61)患者每天进行呼吸操锻炼,明显低于观察组的54.1%(33/61),差异有统计学意义(P<0.05)。结论 :病友会形式的健康教育对提高稳定期COPD患者呼吸操锻炼依从性有显著作用,为COPD社区康复工作提供新的思路与方法。

Objective：To explore the form of the patient friend meeting on the compliance of the breathing exercise in the patients with the chronic obstructive pulmonary disease （COPD） in the stable period.Methods： From Nov. 2013 to Nov. 2014, 122 cases with COPD were selected in Jiading Community Health Service Center and divided into a control group with 61 cases and an observation one with 61 ones. The patients in the observation group were guided to take part in the breathing exercise once a month by the patient friend meeting regularly, and the patients in the control group by making use of the outpatient visiting and telephone. After one year, the compliance of the breathing excise of the patients in two groups was compared. Results： In the control group, 24.6% （15/61） of the patients took the breathing excise every day, which was lower than 54.1% （33/61） in the observation group, and the difference had the statistical signiifcance （P〈0.05）.Conclusion： The health education of the patient friend meeting has the signiifcant role in enhancing the compliance of the breathing excise in the patients with COPD in the stable period, which provides a new idea and method for the community rehabilitation of the COPD.