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目的观察实施解决问题技能干预对慢性阻塞性肺疾病(COPD)患者生活质量的影响作用。方法研究对象120例,入院后完善各项常规处理的基础上采用COPD生活质量评定问卷(SGRQ)进行入组前测评。然后分为明确问题、生成可选择的解决问题的方案、决策、实施计划并评估结果 4个步骤,实施解决问题技能干预。干预6个月后,采用上述评定问卷重复测试,数据进行统计学处理(t检验)。结果实施解决问题技能干预后,患者SGRQ测评其呼吸症状、活动受限、疾病影响3个维度得分以及总分均较干预前明显降低,具有非常显著性差异(t=14.201,12.179,11.842,13.539;P均<0.01)。结论实施解决问题技能干预,可促使COPD患者有效地掌握应对疾病的知识和技能,以控制疾病的发展,提高其生活质量。
Objective To observe the effects of implementing skills-based interventions on quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 120 subjects were enrolled in the study. After admission, all the routine treatments were improved and the COPD quality of life assessment questionnaire (SGRQ) was used to assess the pre-enrollment. Then divided into clear questions, generate alternative solutions to the problem of the program, decision-making, implementation plan and assessment results of the four steps, the implementation of skills intervention to solve the problem. Six months after the intervention, the above-mentioned questionnaire was used to repeat the test, and the data were statistically processed (t-test). Results After the intervention of skills-solving, SGRQ score of patients with respiratory symptoms, limited mobility, disease-affected three dimensions and total score were significantly lower than before intervention, with very significant differences (t = 14.201,12.179,11.842,13.539 ; P <0.01). Conclusions The implementation of skills interventions to solve problems can prompt COPD patients to effectively master the knowledge and skills of coping with diseases so as to control the development of the disease and improve their quality of life.