摘要
目的探讨健康教育对慢性阻塞性肺疾病(COPD)稳定期患者的认知状况和治疗依从性的作用。方法117例COPD患者随机分为4组,其中Ⅰ组32例、Ⅱ组26例、Ⅲ组20例、Ⅳ组39例。Ⅰ组患者不接受健康教育,Ⅱ、Ⅲ、Ⅳ组依次接受健康教育2周、4周、6周(包括6周以上)COPD健康教育。以问卷调查、随访的方法观察4组患者干预前及6个月后对COPD了解程度、规则用药情况以及呼吸康复训练情况。结果健康教育能明显提高患者COPD的认识程度(Ⅰ、Ⅱ、Ⅲ、Ⅳ组不了解率分别为:81.3%,23.1%,0,0),组间比较差异有显著性(P<0.01)。同时健康教育能明显提高患者规则用药和呼吸康复训练的比例,效果与健康教育次数呈正相关。但Ⅲ、Ⅳ组间效果差异无显著性(P>0.05)。结论健康教育能显著提高稳定期COPD患者对COPD的认识程度,以及规则用药和呼吸康复训练比例,对延缓COPD患者肺功能下降和提高生活质量有积极的作用。
Objective To evaluate the effect of health education on awareness degree and treatment compliance in stable chronic pulmonary disease （COPD） patients. Methods 117 stable COPD patients were randomly derided into 4 groups,32 patients in Ⅰ group,26 patients in Ⅱ group ,20 patients in Ⅲgroup ,39 patients in Ⅳ group. Ⅰgroup patients did not accepted health education,and Ⅱ , Ⅲ,Ⅳ group patients accepted two,four and six weeks health education in file. The awareness, respiration rehabilitation training and inerratic treatment rate compared were before and 6 months after health education by questionnaire and follow-up survey. Results Health education remarkably increased awareness degree in stable COPD patients, there were distinct difference result among 4 groups（ P 〈 0.01 ）. At the same time, health education remarkably increased inerratie treatment and respiration rehabilitation training rate, the effect was connected with the health education number of times, but there was no difference between Ⅲ and Ⅳ group （ P 〉 0.05 ）. Conclusion Health education can remarkably increase awareness,inerratic treatment and respiration rehabilitation training rate,and have positive effect to stay lung function decline and to promote quality of live in stable COPD patients.
出处
《中国行为医学科学》
CSCD
2006年第4期311-312,共2页
Chinese Journal of Behavioral Medical Science
基金
广东省科学技术研究基金资助项目(A2002007)
关键词
健康教育
慢性阻塞性肺疾病
认知
治疗依从性
Health education
Chronic pulmonary disease
Awareness
Treatment compliance
