系统化健康教育对慢性阻塞性肺疾病患者出院后遵医行为及疗效的影响

[摘要] Abstract：Objective To investigate the effect of systematic health education on compliance behavior and treatment effect after discharge in patients with chronic obstructive pulmonary disease(COPD). Methods 〓Totally 86 COPD patients were assigned to the observation group(n=43)and the control group(n=43). Both two groups received routine health education before discharge, and patients in the observation group were given systematic health education during follow-up. To monitor the oxyhemoglobin saturation of patients after discharge and to record the occurrence of acute exacerbation of COPD in patients. The compliance behavior on medication, functional exercise, home oxygen therapy and outpatient reexamination were assessed. Results 〓Patients in the observation group showed a better compliance to medication, functional exercise, home oxygen therapy and outpatient reexamination compared with those in the control group(P<0.05). The level of oxyhemoglobin saturation was higher in the observation group than that of controls at 1, 3 and 6 months after discharge(P<0.05). There was less times of cute exacerbation in the observation group than that of controls during follow-up(P<0.05). Conclusion 〓Systematic health education is an effective intervention to improve the compliance behavior in CODP patients, so as to stabilize the oxyhemoglobin saturation and reduce the risk of acute exacerbation.

[学科分类] 护理学

[关键词] 健康教育;护理路径;慢性阻塞性肺疾病;遵医行为