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目的探讨在社区医护人员指导下的呼吸功能锻炼对慢性阻塞性肺疾病(COPD)患者生存质量的影响。方法 COPD缓解期患者86例,随机分为干预组(43例)和对照组(43例),对照组予以内科常规治疗,干预组在此基础上在社区医护人员指导下进行呼吸功能锻炼6个月,然后对比两组干预前后的生活质量评分。结果两组患者在干预前生活质量评分差异无统计学意义(P>0.05),干预后干预组生活质量评分4项因子及总均值较对照组均有显著下降,两组比较差异有统计学意义(P<0.05)。结论在社区医护人员指导下的呼吸功能锻炼可以显著提高患者的生存质量,值得在社区推广应用。
Objective To explore the effect of respiratory function training on the quality of life in patients with chronic obstructive pulmonary disease (COPD) under the guidance of community health workers. Methods Eighty-six patients with COPD during remission were randomly divided into intervention group (43 cases) and control group (43 cases). The control group was given routine medical treatment. On the basis of this, the intervention group underwent respiratory function exercise under the guidance of community health workers Month, then compare the two groups before and after the intervention quality of life score. Results There was no significant difference in quality of life between the two groups before intervention (P> 0.05). After intervention, the four factors of quality of life score and total mean value of intervention group were significantly lower than those of control group, with significant difference between the two groups (P <0.05). Conclusion Respiratory functional exercise under the guidance of community health care workers can significantly improve the quality of life of patients and is worth popularizing and applying in the community.