摘要
目的观察回授式肺康复指导在老年慢性阻塞性肺疾病(慢阻肺)稳定期患者自我管理中的效果。方法选取2018年1月至2019年1月医院门诊就诊的老年慢阻肺稳定期患者,以区组随机化法将其分为常规肺康复指导组(简称常规组)和回授式肺康复组(简称回授组)。回授组实施回授式肺康复指导,常规组实施常规肺康复指导。比较两组患者干预前的一般资料、干预前后的生活质量及自我管理能力的变化情况。结果回授组与常规组干预前的慢阻肺专项自我管理量表中各维度评分比较,差异无统计学意义(P均>0.05);回授组干预后的慢阻肺专项自我管理量表中情绪管理、日常生活管理、症状管理、自我效能管理、信息管理评分分别为(45.01±5.31)、(53.10±6.60)、(25.88±3.03)、(35.01±5.31)、(24.32±4.20)分,均高于常规组的(40.23±5.19)、(48.02±6.58)、(22.88±3.01)、(31.01±4.80)、(20.30±2.88)分,差异具有统计学意义(均P<0.001)。回授组与常规组干预前的呼吸道疾病问卷修订版(AQ20-R)评分比较,差异无统计学意义(均P>0.05);回授组干预后的AQ20-R评分为(7.22±1.08)分,低于常规组的(9.01±2.01)分,差异具有统计学意义(P<0.001)。结论回授式肺康复指导应用于老年慢阻肺稳定期患者的自我管理,能提高患者的自我管理能力和生活质量。
Objective To observe the effect of feedback pulmonary rehabilitation guidance on self-management of elderly patients with stable chronic obstructive pulmonary disease(COPD).Methods Ninety-four elderly patients with stable COPD that visited the outpatient department between January 2018 and January 2019 were selected.Block randomization methods were used to divide the patients into two groups:routine lung rehabilitation instruction group(referred to as the“routine group”)and feedback lung rehabilitation group(referred to as the“feedback group”).The feedback group received the instruction of feedback pulmonary rehabilitation guidance,while the routine group received the instruction of routine pulmonary rehabilitation guidance.The quality of life and the self-management ability of the two groups before and after the intervention were compared.Results There was no statistically significant difference between the scores of the feedback and routine groups before the intervention of the COPD-specific self-management scale(P>0.05).In the feedback group,the scores of emotional management,daily life management,symptom management,self-efficacy management,and information management on the COPD-specific self-management scale after the intervention were 45.01±5.31,53.10±6.60,25.88±3.03,35.01±5.31,and 24.32±4.20,respectively,whereas those for the routine group were 40.23±5.19,48.02±6.58,22.88±3.01,31.01±4.80,and 20.30±2.88,respectively.The scores of the feedback group were higher than the routine group and the difference was significant(P<0.001).There was no significant difference between the feedback group and the routine group before the intervention of the respiratory disease questionnaire,i.e.,the airways questionnaire 20-revised(AQ20-R)score(P>0.05).The AQ20-R score of the feedback group after the intervention was 7.22±1.08,which was lower than that of the routine group(9.01±2.01);the difference was significant(P<0.001).Conclusion The application of feedback pulmonary rehabilitation guidance in the self
作者
谢玉珍
徐玫
周亚飞
马原
Xie Yuzhen;Xu Mei;Zhou Yafei;Ma Yuan(Respiratory Intensive Care Unit,Luoyang Central Hospital,Zhengzhou University,Luoyang 471000,China;Department of Respiratory Medicine,Luoyang Central Hospital,Zhengzhou University,Luoyang 471000,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2020年第3期230-234,共5页
Chinese Journal of Health Management
关键词
肺疾病
慢性阻塞性
呼吸功能试验
生活质量
回授式肺康复指导
Pulmonary disease
chronic obstructive
Respiratory function tests
Quality of Life
Feedback pulmonary rehabilitation guidance
