Objective:To investigate the effect of nurse-led group intervention of smoking on short term respiratory clinical symptoms in patients with chronic obstructive pulmonary disease (COPD) .Methods :Thirty-three smoking patients with stable COPD who intended to give up smoking after a brief verbal advice were recruited into the study .Weekly group intervention was performed for every participants till one month after cessation .The contents of intervention included teaching knowledge deliv-ered by the nursing staff ,counseling cessation skills ,encouraging and supervising ,companion encouragement ,and guide on in-haled medications .Smoking status ,cough ,sputum and dyspnea were recorded ,and symptoms and quality of life were evalua-ted by COPD assessment test (CAT) and the modified Medical Research Council (mMRC) scale during the study period . Results:Twenty-five subjects (75% ) reported chronic cough ,18(54 .5% ) had chronic sputum ,and 21 (63 .6% ) had dyspnea , 28 (84 .8% ) successfully maintained smoking cessation .One month after cessation ,the CAT score and mMRC score were both significantly lower than before cessation (P<0 .01) .Conclusions :Nurse-led smoking cessation group intervention in patients with COPD can achieve a high cessation rate .Respiratory symptoms and quality of life can be improved even after a short peri-od of cessation .%目的：探讨以护士为主导的戒烟群组干预对慢性阻塞性肺疾病（chronic obstructive pulmonary disease ，COPD）患者近期呼吸道症状的影响。方法：选择经过简单口头建议后产生戒烟意愿的稳定期COPD吸烟患者33例，对其进行每周1次的群组干预，直至戒断后1个月。干预内容包括由护理人员普及疾病知识、宣教戒烟技巧、辅导督促、同伴激励、吸入药物应用指导等活动，同时由护士记录患者的吸烟情况、咳嗽、咳痰和呼吸困难情况，并以COPD评估测试（COPD assessment test ，CAT ）量表和改良的英国医学研究委员会呼吸困难量表（modified British Medical Research Council ，mMRC）评价患者戒烟前后的呼吸道症状和生活质量。结果：33例患者中，慢性咳嗽者25例（75％）、慢性咳痰者18例（54．5％）、呼吸困难者21例（63．6％）、维持戒烟者28例（84．8％）。戒烟后1个月CAT评分和mMRC均显著低于戒烟前（P＜0．01）。研究期间未观察到不良反应的发生。结论：以护士为主导的戒烟群组干预在COPD患者中能够达到较高的戒断率，戒烟后短期内即可改善患者的呼吸道状况及生活质量。
展开▼
