COPD患者居家督導(dǎo)呼吸康復(fù)訓(xùn)練頻次的研究

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1、JournalofNursingScienceDec．2011Vo1．26No．23(GeneralMedicine)·68·-康復(fù)護(hù)理·COPD患者居家督導(dǎo)呼吸康復(fù)訓(xùn)練頻次的研究朱秀麗，修麓璐，孫秀杰。，徐毅君，劉新榮摘要：目的探討不同頻次的居家督導(dǎo)呼吸康復(fù)訓(xùn)練對慢性阻塞性肺病(COPD)患者預(yù)后的影響。方法將93例COPD患者按時間先后分為三組，在其出院后分別選擇實施每周1次居家督導(dǎo)(干預(yù)1組32例)、每周2次居家督導(dǎo)(干預(yù)2組3O例)及常規(guī)出院隨訪(對照組31例)，均干預(yù)8周。結(jié)果三組干預(yù)前后六分鐘步行距離(6-MWD)、呼吸困難量表(MRC)評定結(jié)果比較，差異有統(tǒng)計學(xué)意義(

2、均P

3、patientswithchronicobstructivepulmonarydisease／／ZhuXiuli，XiuLulu，SunXiujie，xuYijun，LiuXinrong／／(Teaching0fftceofAdultCare，NursingSchoolofQingdaoMedicalUniversity，Qingdao266012，China)Abstract：OhiectiveToexploretheeffectofdifferentfrequencyofsupervisioninahome—basedsupervisedrespiratoryrehabilit

4、ationprogramforpatientswithchronicobstructivepulmonarydisease(COPD)．MethodsAtotalof93COPDpatientsweredividedinto3groupsandwereassignedtojoinahome-basedsupervisedrespiratoryrehabilitationprogramafterdischarge．Group1(一32)andgroup2(=30)weresubjectedtoonce-weeklyandtwice-weeklysupervisionrespectiv

5、ely，andthecontrolgroup(n一31)receivedroutinefollow—up．Theprogrampersistedfor8weeks．ResultsThescoresofFatigueAssessmentInstrument(FAI)，resultsofsixminutewalkingdistancetest(6-MWDT)andthescoresofMedicalResearchCouncilScale(MRC)beforeandaftertheinterventionineachgrouphadsignificantdifferences(P~O．

6、05foral1)．ThefactorofseverityoffatigueofFAI．resultsofsixminutewalkingdistancetest(6一MWDT)，andresultsofdyspneaassessmenthadsignificantgroupeffectamongthe3groups(P

7、cesbettereffect．Keywords：chronicobstructivepulmonarydisease；home-basedsupervision；respiratoryrehabilitation；nursingintervention慢性阻塞性肺病全球倡議(GOLD)指出，所有慢康復(fù)訓(xùn)練者(接受常規(guī)指導(dǎo)和教育)；伴有肺源性心臟性阻塞性肺病(ChronicCIbstructivePulmonaryDi—病和呼吸衰竭等嚴(yán)重并發(fā)癥及并存其他心、肺、肝、s