COPD患者居家督导呼吸康复训练频次的研究

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1、JournalofNursingScienceDec．2011Vo1．26No．23(GeneralMedicine)·68·-康复护理·COPD患者居家督导呼吸康复训练频次的研究朱秀丽，修麓璐，孙秀杰。，徐毅君，刘新荣摘要：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3O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(

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议(GOLD)指出，所有慢康复训练者(接受常规指导和教育)；伴有肺源性心脏性阻塞性肺病(ChronicCIbstructivePulmonaryDi—病和呼吸衰竭等严重并发症及并存其他心、肺、肝、s