健康教育对预防稳定期慢性阻塞性肺疾病患者急性加重的临床观察

目的 评价健康教育对预防稳定期慢性阻塞性肺疾病(COPD)急性加重的影响.方法 将148例稳定期COPD患者随机分为治疗组和对照组,治疗组(n=76)接受为期1年的健康教育,对照组(n=72)不接受健康教育.观察一年后对两组患者家庭氧疗率、吸烟率、吸入药物、肺功能及急性加重进行比较.结果 治疗组吸烟比例为22.4%(1...

Clinical observation on effect of health education on the exacerbation of patients with stable chronic obstructive pulmonary disease

Objective To evaluate the effect of health education on the acute exacerbation of patients with stable chronic obstructive pulmonary disease （COPD）. Methods 148 patients were signed into 2 groups randomly： The treatment group （n = 76 ） accepted health education for 1 year and the control group （ n = 72） did not before and after the 1 year. We observed the number of smokers, the number of lung term domiciliary oxygen therapy（LTDOT） , inhale treatment, times of acute episode and lung function. Results 1 year later, the ratio of smokers in the treatment group was 22.4% （17/76） , much lower than that in the control group39.4% （28/71, X^2 = 6. 776 , P=0. 009） ; the ratio of LTDOT in the treatment group was 68.4% （52/76）, much higher than that in the control group 43.7（31/71 , X^2 = 15. 200, P = 0.000） , the ratios of accepted inhale treatment in the treatment group and the control group were 83% （63/76） and 22.5% （ 16/71, X^2 = 58. 222, P = 0. 000 ） respectively, and the accuracy raters were 87.3 （ 55/63 ） and 43.75 % （ 7/16, P = 0. 001 ）respectively, the times of acute episode in the treatment group（ 1.57 ± 1.43 ）, much lower than that in the control group （4.23 ± 5.10, F = 63. 222, P = 0. 000）, the indexes of lung function before and after 1 year between the two groups had no significant difference （ P 〉 0. 05 ）.Conclusion 1 year health education can increase the LTDOT and inhale treatment, and decrease the ratio of smoking and acute episode significantly.