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目的初步探讨自我管理项目对稳定期慢性阻塞性肺疾病(COPD)患者生活质量和健康知识掌握程度的影响。方法对36例稳定期COPD患者给予药物治疗的同时采取自我管理项目干预,自身对照比较干预前后患者圣乔治呼吸疾病问卷(SGRQ)和健康知识问卷掌握程度的变化。结果 SGRQ的总评分及活动能力、社交心理影响部分分值较干预前明显降低(P<0.05),COPD健康知识掌握程度较干预前明显提高(P<0.05)。结论自我管理项目干预可使COPD患者正确认识疾病,提高疾病自我管理能力,从而有效改善生活质量。
Objective To investigate the effect of self-management on the quality of life and health knowledge in patients with stable chronic obstructive pulmonary disease (COPD). Methods Thirty-six patients with stable COPD were treated with self-management intervention while taking medication. The level of mastery of SGRQ and health knowledge questionnaire before and after intervention was compared with that of self-management intervention. Results The score of SGRQ and the scores of social activities and psychosocial factors were significantly lower than those before intervention (P <0.05). The mastery degree of health knowledge of patients with COPD was significantly higher than that before intervention (P <0.05). Conclusion Self-management project intervention can make patients with COPD correctly understand the disease and improve disease self-management ability, thus effectively improving the quality of life.