社区护士健康教育干预对老年慢性阻塞性肺疾病患者肺功能及生活质量的影响
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摘要
目的探讨社区就诊老年慢性阻塞性肺疾病病例采用社区护士健康教育干预对其生活质量及肺功能的影响。方法选取2017年8月—2018年10月朝阳区三里屯、高碑店和团结湖社区卫生服务中心就诊的82例老年COPD患者,采用随机数字表法分为一般随访的对照组和强化健康教育干预的观察组,每组41例。评价两组肺功能结果及生活质量评分。结果观察组患者生活质量评价表的社会功能、心理功能、生理功能、躯体功能的评分及肺功能第1秒用力呼气量(FEV1)、FEV1占用力肺活量比值(FEV1/FVC)的改善情况均高于对照组(P<0.05)。结论社区护士针对老年COPD患者开展健康教育干预,使患者的肺功能及生活质量均得以较大程度的优化和提升。
Objective To explore the effect of health education intervention of community nurses on quality of life and pulmonary function of elderly patients with chronic obstructive pulmonary disease(COPD) in community. Methods From August 2017 to October 2018, 82 elderly patients with COPD were selected from Sanlitun, Gaobeidian and Tuanjiehu Community Health Service Center in Chaoyang District. They were randomly divided into control group with general follow-up and observation group with intensified health education intervention, 41 cases in each group. Pulmonary function and quality of life in two groups were evaluated. Results The scores of social function, psychological function, physiological function, physical function, forced expiratory volume in 1 second(FEV1) and FEV1 occupied by forced vital capacity(FEV1/FVC) in the observation group were higher than those in the control group(all P<0.05). Conclusions Health education intervention of community nurses could improve the pulmonary funciton and quality of life in elderly patients with COPD.
Objective To explore the effect of health education intervention of community nurses on quality of life and pulmonary function of elderly patients with chronic obstructive pulmonary disease(COPD) in community. Methods From August 2017 to October 2018, 82 elderly patients with COPD were selected from Sanlitun, Gaobeidian and Tuanjiehu Community Health Service Center in Chaoyang District. They were randomly divided into control group with general follow-up and observation group with intensified health education intervention, 41 cases in each group. Pulmonary function and quality of life in two groups were evaluated. Results The scores of social function, psychological function, physiological function, physical function, forced expiratory volume in 1 second(FEV1) and FEV1 occupied by forced vital capacity(FEV1/FVC) in the observation group were higher than those in the control group(all P<0.05). Conclusions Health education intervention of community nurses could improve the pulmonary funciton and quality of life in elderly patients with COPD.
引文
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[2]王淑敏.社区护理提高COPD治疗依从性和满意度的研究[J].中国医药指南,2016,14(34):279-280.
[3] GOLD Executive Committee. Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease(revised 2014)[EB/OL].[2017-08-10].http://www.goldcopd.org.
[4]吴佼蔚.慢性阻塞性肺气肿的护理体会和健康教育[J].中国冶金工业医学杂志,2015,32(4):408.
[5]武亮,董继革,郭琪,等.中国社区心肺康复治疗技术专家共识[J].中国老年保健医学,2018,16(3):41-51.
[6]徐瑞琼.社区老年COPD的健康指导[J].医学信息,2017,30(5):212-213.
[7]芦翠玲.对COPD患者健康教育干预的体会[J].中国社区医师(医学专业),2013,15(4):379.
[8]孙敏.人性化护理对老年慢性阻塞性肺炎合并糖尿病患者生活质量的影响分析[J].基层医学论坛,2018,22(24):3376-3377.