Objective:To evaluate the effects of comprehensive pulmonary rehabilitation therapy on self-management,selfefficacy of patients with moderate and severe COPD.Method:Twenty-six moderate and severe COPD patients accepted treatment in our hospital were enrolled in this study.Treatment strategies included routine drug therapy and comprehensive pulmonary rehabilitation for 6 months.Self-management,self-efficacy questionnaire survey and BODE index were adopted before and after treatment to evaluate the efficacy of comprehensive pulmonary rehabilitation therapy.Result:After comprehensive pulmonary rehabilitation for 6 months,the self-management(182.82±8.49),self-efficacy(46.64±4.47) and 6MWD scores(385.31±57.22) improved than before (corresponding 122.61±11.92,31.50±4.76,343.38±54.45)significantly.The total score of BODE index(BMI:23.03±3.07,FEVl％Pred:48.54±6.40) and MMRC(1.70±0.55) score were getting lower than before(22.88±3.22,47.97±6.42).Conclusion:Comprehensive pulmonary rehabilitation can improve the level of self-management,self-efficacy and exercise tolerance of patients with COPD.%目的:本研究从慢性病自我管理、自我效能的角度,评价对中重度稳定期慢性阻塞性肺疾病(COPD)进行综合性肺康复的价值.方法:选择呼吸科进行肺康复训练的Ⅱ—Ⅳ级慢阻肺患者26例为研究对象,实施院内综合康复训练和院外康复跟踪指导,分别测量患者入院康复训练时、康复训练半年时的运动耐力(BODE指数),分别填写“自我管理量表、自我效能量表”,观察康复训练干预效果.结果:肺康复前的自我管理总分:122.61±11.92,自我效能总分:31.50±4.76;BODE指数分别为:体重指数(BMI):22.88±3.22,第1秒用力肺活量占预计值百分比(FEV1％Pred):47.97±6.42,改良的英国医学研究委员会呼吸困难量表(MMRC):2.26±0.59,6分钟步行距离(6MWD):343.38±54.45.训练半年后资料分析显示:患者自我管理总分:182.82±8.49,自我效能总分:46.64±4.47,均高于肺康复前得分,差异具有显著性意义(P＜0.05).BODE指数分另为:BMI:23.03±3.07,FEV l％ Pred:48.54±6.40,MMRC:1.70±0.55,6MWD:385.31±57.22,较前比较呼吸困难评分下降,6MWD增加,差异具有显著性意义(P＜0.05).结论:综合性肺康复可以提高患者的自我管理水平、自我效能感,有效减轻COPD患者的呼吸困难症状、增强活动耐力、延缓病情进展.
展开▼
