肺康复理念引导自我管理对慢性阻塞性肺疾病患者干预效果的评价

Evaluation of the Intervention Effect of Self-management Led by Pulmonary Rehabilitation Concept on Patients with Chronic Obstructive Pulmonary Diseases

评价肺康复理念引导自我管理对慢性阻塞性肺疾病患者的干预效果。研究对象为住院治疗后疾病稳定并出院的慢性阻塞性肺疾病患者,将患者随机分为自我管理组和对照组。对照组患者接受常规干预,自我管理组患者在接受常规干预的基础上,以肺康复理念引导进行自我管理。自我管理组和对照组患者干预时间均为6个月。干预前后2组患者进行自我管理能力、生活质量和6分钟步行距离测评,并记录干预期内的再住院率。结果显示,干预前2组患者基线资料比较无显著差异,干预后自我管理组患者较对照组患者自我管理能力和生活质量显著提高,但2组6分钟步行距离无显著差异;干预期间对照组有3例患者再住院,自我管理组有4例患者再住院,2组再住院率无显著差异。研究表明肺康复理念引导自我管理能显著提高慢性阻塞性肺疾病患者自我管理能力和生活质量。

This papas is to evaluate the intervention effect of self-management led by pulmonary rehabilitation concept on patients with chronic obstructive pulmonary diseases.This study was designed to include patients with chronic obstructive pulmonary diseases who were stable after hospitalization and then discharged from the hospital,and they were randomly divided into self-management group and control group.The patients in the control group received the conventional intervention,and the patients in the self-management group were guided by the pulmonary rehabilitation concept on the basis of the conventional intervention.The intervention lasted for 6 months.The self-management ability,quality of life and walking distance in 6 minutes of both groups of patients were assessed before and after the intervention,and readmission rates were recorded during the period of intervention.The results show that there was no significant difference in baseline data of the first two groups of patients before the intervention,and the self-management group had self-management ability and quality of life much higher than the contrast group but walking distance in 6 minutes similar to the contrast group after the invention,and there were 3 patients in the contrast group and 4 patients in the self-management group being readmitted to hospital during the intervention,which showed no significant difference in readmission rates between the two groups.The results confirm that the self-management led by pulmonary rehabilitation concept can significantly improve self-management ability and quality of life of patients with chronic obstructive pulmonary diseases.