[目的]探讨自我管理计划的制定对稳定期慢性阻塞性肺疾病(COPD)病人症状管理依从性的影响.[方法]对34例稳定期COPD病人实施自我管理干预的同时制定书面的自我管理计划,并比较干预前、干预后2个月病人症状管理行为及呼吸症状变化情况.[结果]干预后2个月,病人在呼吸功能锻炼、运动锻炼、药物吸入及家庭氧疗方面的依从性较干预前显著提高(P<0.05或P<0.01),每天平均家庭氧疗时间明显延长(P<0.01);呼吸困难严重程度较干预前显著改善(P<0.05).[结论]对COPD病人实施自我管理干预的同时制定自我管理计划,有利于提高病人的症状管理依从性,进而改善病人的呼吸症状.%Objective: To probe into the influence of self - management plan on the compliance of symptom management in patients with stable chronic obstructive pulmonary disease (COPD). Methods: The self - management intervention was carried out and meanwhile written self - management plan was made for a total of 34 patients with stable COPD, and the symptom management behavior and respiratory symptom were compared between before intervention and 2 months after intervention. Results: Compared with before intervention, the compliance of patients was improved significantly in respiratory function exercise, exercise, medication inhalation and home oxygen therapy in two months after the intervention (P<0. 01 or P< 0. 05) ,and the average time for home oxygen therapy was significantly prolonged (P<0. 01) ;the serious dyspnea was significantly improved after the intervention (P<0. 05). Conclusion: Carrying out the self - management intervention at the same time making self - management plan for COPD patients is benefit for enhancing the compliance of COPD patients to symptom management,and then to improve the patients respiratory symptoms
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