系统化健康教育对慢性阻塞性肺疾病患者出院后遵医行为及疗效的影响

Effects of systematic health education on compliance behavior and treatment effect after discharge in patients with chronic obstructive pulmonary disease

目的探讨系统化健康教育对慢性阻塞性肺疾病(COPD)患者出院后遵从医嘱行为及疗效的影响。方法选取2015年9月—2016年4月肺病科住院的86例COPD患者为研究对象,随机分为观察组和对照组,各43例。对照组给予肺病科常规出院健康指导,观察组在对照组基础上给予系统化健康教育,随访6个月。观察2组坚持药物治疗、坚持呼吸功能锻炼、坚持家庭氧疗、门诊复诊的依从率,血氧饱和度及急性加重次数。结果观察组坚持药物治疗、坚持呼吸功能锻炼、坚持家庭氧疗、门诊复诊的依从率均高于对照组(P<0.05)。观察组出院1、3、6个月血氧饱和度均高于对照组(P<0.05)。观察组患者出院后6个月内急性加重发生次数少于对照组(P<0.05)。结论对COPD住院患者在出院前进行系统化健康教育,可改善患者出院后遵医行为,稳定患者血氧饱和度并减少急性加重的发作次数。

Objective To investigate the effect of systematic health education on compliance behavior and treatment effect after discharge in patients with chronic obstructive pulmonary disease （COPD）. Methods Totally 86 COPD patients were assigned to the observation group （2 =43）and the control group （2 = 4 3 ）. Both two groups received routine health education before dis-charge , and patients in the observation group were given systematic health education during follow-up. To monitor the oxyhemoglobin saturation of patients after discharge and to record the occurence of acute exacerbation of COPD in patients. The compliance behavior on medication,functional ex-ercise , home oxygen therapy and outpatient reexamination were assessed. Results Patients in observation group showed a better compliance to medication,functional exercise,home oxygen therapy and outpatient reexamination compared witli those in the control group （P 〈0. 05）. Thelevel of oxyhemoglobin saturation was higher in the observation group than that of coand 6 months after discharge （P〈0.05）. There was less times of cute exacerbation in the observa-tion group than that of controls during follow-up（P 〈0.05）. Conclusion Systematic health edu-cation is an effective intervention to improve the compliance behavior in CODP pastabilize the oxyhemoglobin saturation and reduce the risk of acute exacerbation.