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[目的]对COPD患者药物治疗病情稳定后进行多元化干预,评价干预对患者生存质量的影响。[方法]将128例患者随机分成对照组与干预组(各64例)。对照组采用常规对症治疗与一般护理;干预组除对症治疗与一般护理外,进行12个月的多元化干预,如指导患者戒烟、指导正确饮食、进行适当体育锻炼、呼吸训练、冬病夏养、自我按摩等。[结果]干预组与对照组比较,干预组患者6min步行距离、FEV1、FVC、FEV1/FVC等各指标均有改变,差异有统计学意义(P﹤0.05)。[结论]对COPD患者进行长期、有效、个体化的多元干预,可在稳定病情、控制发展、减轻症状、带病延年和改善肺功能等方面有一定作用。
[Objective] To carry out diversified intervention after the treatment of COPD patients in stable condition and evaluate the impact of intervention on the quality of life of patients. [Methods] 128 patients were randomly divided into control group and intervention group (64 cases each). In the control group, conventional symptomatic treatment and general nursing were used. In the intervention group, apart from symptomatic treatment and general nursing, multiple interventions were conducted for 12 months, such as guiding patients to quit smoking, directing proper diet, proper physical exercise, breathing training, winter disease , Self-massage and so on. [Results] Compared with the control group, the walking distance, FEV1, FVC, FEV1 / FVC and other parameters of the intervention group were all changed at 6min, the difference was statistically significant (P <0.05). [Conclusion] Long-term, effective and individualized multiple intervention in patients with COPD may play a certain role in stabilizing the disease, controlling the development, alleviating the symptoms, prolonging the disease and improving the pulmonary function.