摘要
目的对社区COPD患者实施自我管理项目,探讨自我管理对其生活质量的影响。方法于2013年3月—2014年4月采用随机整群抽样法抽取海口市2个社区,采用随机数字表法选取1个社区的30例COPD患者作为试验组,选取另1个社区的30例COPD患者作为对照组。对照组未实施自我管理项目,试验组依据自我管理手册实施自我管理培训项目,计划并实施自我管理行动。在自我管理项目干预前及干预后6周、3个月、12个月时均采用圣-乔治呼吸问卷(SGRQ)和COPD患者生活质量问卷(COPD-QOL)对两组患者进行测评。结果 SGRQ评分组间比较显示:干预前,两组症状、活动能力及疾病影响评分比较,差异均无统计学意义(P>0.05);干预后6周、3个月及12个月时,试验组症状、活动能力及疾病影响评分均低于对照组(P<0.05)。SGRQ评分组内比较显示:对照组症状、活动能力及疾病影响评分在干预后6周、3个月及12个月时与干预前比较,差异均无统计学意义(P>0.05);试验组症状、活动能力及疾病影响评分在干预后6周、3个月及12个月时均低于干预前(P<0.05)。COPD-QOL评分组间比较显示:干预前,两组日常生活能力、社会生活状况、抑郁心理症状和焦虑心理症状评分比较,差异均无统计学意义(P>0.05);干预后6周、3个月及12个月时试验组日常生活能力、社会生活状况、抑郁心理症状和焦虑心理症状评分均低于对照组(P<0.05)。COPD-QOL评分组内比较显示:对照组干预后6周、3个月及12个月时日常生活能力、社会生活状况、抑郁心理症状和焦虑心理症状评分与干预前比较,差异均无统计学意义(P>0.05);试验组干预后6周、3个月及12个月时日常生活能力、社会生活状况、抑郁心理症状和焦虑心理症状评分均低于干预前(P<0.05)。结论自我管理项目能改善COPD患者症状、活动能力、疾病影响、日常生活能力、社会活动状况、抑郁及焦虑心理症状,提高其生活质量。
Objective To explore the effects of COPD patients’ self- management on their quality of life（ QOL）.Methods From March 2013 to April 2014,in Haikou,30 COPD patients from a community were enrolled in study group,30 from another community enrolled in control group. The study group was given a training program and underwent self- management,but the control group did not have it. St. George’ Respiratory Questionnaire（ SGRQ） and COPD- QOL were used to assess 2 groups before intervention and in weeks 6,months 3,12 after. Results There was no significant difference in scores of symptom,activity capacity,disease influence between 2 groups before intervention（ P 〉 0. 05）,and were lower in study group than in control group in weeks 6,months 3,12 after intervention（ P 〈 0. 05）. In control group,there was no difference in scores of symptom,activity capacity,disease influence between before intervention and in weeks 6,months 3,12 after intervention（ P 〉 0. 05）,but lower in weeks 6,months 3,12 after intervention than before in study group（ P 〈 0. 05）. There was no difference in scores of activity of daily living,social life condition,depression psychological symptom,anxious psychological symptom between 2 groups before intervention（ P 〉 0. 05）,but lower in study group than in control group in weeks 6,months3,12 after intervention（ P 〈 0. 05）. In control group,there was no difference in scores of activity of daily living,social life condition,depression psychological symptom, anxious psychological symptom between before intervention and in weeks 6,months 3,12 after intervention（ P 〉 0. 05）,but lower in weeks 6,months 3,12 after intervention than before in study group（ P 〈0. 05）. Conclusion Self- management can improve the symptoms,activity capacity,disease influence,activity of daily living,social life condition,psychological symptoms of depression and anxiety and QOL of COPD patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第26期3090-3093,3096,共5页
Chinese General Practice
基金
海南省教育厅课题(Hjsk2013-38)--居家COPD患者自我管理项目的实施与效果评价
关键词
肺疾病
慢性阻塞性
生活质量
自我管理
Pulmonary disease,chronic obstructive
Quality of life
Self-management
