“瘥后防复”理论指导下的慢性阻塞性肺疾病患者居家自我管理策略

Home self-management strategies for patients with COPD based on the theory of preventing disease recurrence after recovery

慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Diseases,COPD)是临床的常见病和多发病,环境因素、营养不良、情绪不良、肺功能进行性下降是导致COPD急性加重、病情反复的危险因素,严重影响了患者的身体健康和生活质量,给患者家庭和社会带来了沉重的负担。"瘥后防复"是中医治未病理论的重要组成部分,其理论指导在于增强人体正气,防止病邪侵害,防止COPD患者病情反复。自我管理可以有效减少COPD急性加重次数,降低再次入院率。因此本文在"瘥后防复"理论指导下,从环境管理、饮食管理、情绪管理以及肺康复管理等方面进行阐述,以期为COPD患者居家自我管理提供指导。

COPD is a common and frequently-occurring disease in clinical practice. Environmental factors, malnutrition, poor mood, and progressive decline in lung function are risk factors for the acute exacerbation and relapse of COPD, which seriously affect the patients’ health and life quality, and bring a heavy burden to the patients’ families and society. Preventing disease recurrence after recovery is an important part of the theory of Preventive treatment of disease in TCM. Its theoretical guidance is to enhance the Zhengqi(正气) of body to prevent pathogen invasion, thereby preventing the recurrence of COPD. Self management can effectively reduce the number of acute exacerbations of COPD, and reduce readmission. In this paper, under the guide of the Preventing disease recurrence after recovery theory, home self-management strategies for COPD patients were given from the perspectives of environmental management, catering management, emotion management, and pulmonary rehabilitation management, in order to provide more guidance for patients.