家庭体感游戏干预在COPD患者出院后康复中的应用研究

Application of family somatosensory game intervention in rehabilitation of COPD patients after discharge from hospital

目的探究家庭体感游戏干预在COPD患者出院后康复中的应用效果。方法选取2018年3月—2019年6月出院的62例COPD患者为研究对象,采用随机数字表法,分为干预组30例和对照组32例。对照组给予常规院后康复干预,干预组在对照组的基础上给予家庭体感游戏干预。比较2组患者干预前后生活质量、6分钟步行试验(6MWT)及焦虑抑郁的变化,比较2组干预后依从性。结果干预后,干预组圣乔治呼吸问题调查问卷(SGRQ)总分及各维度评分均较干预前降低,且低于对照组,差异有统计学意义(P<0.05)。干预后,2组6MWT均有改善,且干预组改善优于对照组,差异有统计学意义(P<0.05)。干预后,干预组焦虑抑郁量表(HADS)评分较干预前降低,且干预组评分低于对照组,差异有统计学意义(P<0.05)。干预组依从性优于对照组,差异有统计学意义(P<0.05)。结论家庭体感游戏干预能显著提高患者生活质量、活动能力及治疗依从性,改善患者生活质量,对医护人员制定COPD患者院后康复计划具有一定借鉴意义。

Objective To explore the role of family somatosensory game intervention in post hospital rehabilitation of patients with chronic obstructive pulmonary disease(COPD)after dis⁃charge from hospital.Methods Totally 62 COPD patients discharged from hospital from March 2018 to June 2019 were selected as the research objects.The subjects were randomly divided into the intervention group and the control group.The control group was given routine rehabilitation in⁃tervention,and the intervention group was given family somatosensory game intervention on the basis of the control group.The quality of life,intervention compliance,6-minute walk test(6MWT),anxiety and depression level of the two groups were compared before and after the in⁃tervention.Results After the intervention,the total score and sub item score of St.George's Re⁃spiratory Questionnaire(SGRQ)in the intervention group were significantly higher than those in the control group(P<0.05).The level of anxiety and depression in the intervention group was significantly improved compared with the control group(P<0.05).Patients in the intervention group walked longer distance in 6MWT compared with patients in the control group after interven⁃tion(P<0.05).The score of Hospital Anxiety and Depression Scale(HADS)in the intervention group was lower than that of the control group after intervention(P<0.05).The proportion of pa⁃tients with good treatment compliance in the intervention group was higher than that in the control group(P<0.05).Conclusion Family somatosensory game intervention can significantly im⁃prove the quality of life,activity ability and treatment compliance of patients,and improve their quality of life after discharge form hospital.It has certain reference significance for medical staff to formulate the rehabilitation plan for COPD patients.