摘要
目的探讨不同频次的居家督导呼吸康复训练对慢性阻塞性肺病(COPD)患者预后的影响。方法将93例COPD患者按时间先后分为三组,在其出院后分别选择实施每周1次居家督导(干预1组32例)、每周2次居家督导(干预2组30例)及常规出院随访(对照组31例),均干预8周。结果三组干预前后六分钟步行距离(6-MWD)、呼吸困难量表(MRC)评定结果比较,差异有统计学意义(均P<0.05);三组疲劳评定量表(FAI)的疲劳严重性因子评分差值、6-MWD测量结果和呼吸困难评分比较,差异有统计学意义(均P<0.05)。结论 COPD患者的家庭呼吸康复训练状况不容乐观,每周2次专业人员督导能取得较好的效果。
Objective To explore the effect of different frequency of supervision in a home-based supervised respiratory rehabilitation program for patients with chronic obstructive pulmonary disease（COPD）. Methods A total of 93 COPD patients were divided into 3 groups and were assigned to join a home-based supervised respiratory rehabilitation program after discharge.Group 1（n=32） and group 2（n=30） were subjected to once-weekly and twice-weekly supervision respectively,and the control group（n=31） received routine follow-up.The program persisted for 8 weeks. Results The scores of Fatigue Assessment Instrument（FAI）,results of six minute walking distance test（6-MWDT）and the scores of Medical Research Council Scale（MRC） before and after the intervention in each group had significant differences（P0.05 for all）.The factor of severity of fatigue of FAI,results of six minute walking distance test（6-MWDT）,and results of dyspnea assessment had significant group effect among the 3 groups（P0.05 for all）. Conclusion COPD patients′ adherence to home-based pulmonary rehabilitation program is not satisfactory.Twice-weekly supervision produces better effect.
关键词
慢性阻塞性肺疾病
居家督导
呼吸康复训练
护理干预
chronic obstructive pulmonary disease
home-based supervision
respiratory rehabilitation
nursing intervention
