Objective To study the influence of the self-management and community education on the life quality of patients with chronic obstructive pulmonary disease (COPD). Methods According randomized controlled experimental design, 240 COPD patients were randomly divided into treatment group and control group. After the baseline research, the treatment group first received the training of self-management and community education for 6 weeks, then underwent the activities in every 2 weeks, while the control group receivd the ordinary treatment through the clinic during the 6 months time. We used Analysis of variance, chi-square test and non-pararnetric test (Mann-Whitney U ) to compare baseline and the six months project of the COPD patients' quality of life between the two groups. The improvement of the health state was used to assess the quality of life. Results The treatment group had been significantly improved in 3 health state indicators, such as health worries, lower emotion and short breath (P< 0.01 or 005). Conclusion The self-management and community education on COPD patients could have improve the quality of life.%目的 评价社区COPD健康管理教育方法实施后对老年患者生活质量的影响.方法 按照随机对照实验研究设计,将240名COPD患者随机分为干预组和对照组.在基线调查后,干预组首先接受为期6w的自我管理课程培训,之后每隔2w组织一次自我管理小组活动,干预时间历时6m,对照组门诊常规治疗.通过自我管理健康教育,提高患者自我效能,采用方差分析、卡方检验与非参数检验(Mann-Whitney U),比较在基线及健康管理实施6m之后两组患者在生活质量方面的变化,以健康状况改善指标评价患者生活质量的提高.结果 干预组在生活质量方面,健康担忧、情绪低落、气短3个指标改变均好于对照组(P值分别＜0.01和＜0.05).结论 在社区开展COPD健康管理可改善老年患者的生活质量.
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