摘要
目的：探讨社区管理对老年慢性阻塞性肺疾病患者生活质量的影响。方法选取社区老年慢阻肺稳定期患者108例,随机分为实验组和对照组各54例,实验组给予全方位的社区管理措施,而对照组患者实施常规护理,观察并比较两组患者的心理状况、肺功能指标、慢阻肺急性发生情况以及生活质量等指标。结果实验组患者社区管理后心理状态及肺功能指标显著优于对照组,差异均有统计学意义（ P〈0．05）。实验组患者社区管理后躯体功能、心理功能、社会功能以及物质功能评分显著高于对照组,差异均有统计学意义（P〈0．05）。实验组患者社区管理后慢阻肺急性发生次数≤1次/年例数（39例）显著多于对照组（22例）,差异具有统计学意义（χ^2=10．887,P=0001）。结论对老年慢性阻塞性肺疾病患者进行全方面的社区管理,能有效改善患者心理状态和肺功能,并有助于慢阻肺急性发作的控制,从而进一步提高患者的生活质量。
Objective To investigate the effect of community management on the life quality of elderly patients with chronic obstructive pulmonary disease （ COPD） . Methods 108 elderly patients with COPD were selected and randomly divided into the observation group and the control group with 54 cases in each group. The observation group was given a full range of community management measures, and the control group was given routine nursing. The psychological status, lung function, COPD acute occurrence and the quality of life were recorded and compared between the two groups. Results The psychological status and lung function after community management were better in the observation group than in the control group （P〈0. 05）. The scores of physical function, psychological function, social function and material function the observation group were higher in the observation group than in the control group （P〈0. 05）. The occurrence of AECOPD ≤1 time/year had 39 cases in the observation, which was more than that in the control group （22 cases） （Х^2 =10. 887, P=0001）. Conclusion Community management measures on elderly patients with COPD can effectively improve the psychological status and lung function, help to control AECOPD occurrence and further improve the quality of life.
出处
《临床肺科杂志》
2015年第12期2259-2261,共3页
Journal of Clinical Pulmonary Medicine
关键词
社区管理
慢性阻塞性肺疾病
肺功能
生活质量
community management
chronic obstructive pulmonary disease
lung function
quality of life
