症状管理计划对患有慢性阻塞性肺病的泰国成年人症状体验和身体功能的影响:单盲随机对照试验研究
Apinya Kochamat1, Teeranut Harnirattisai1, Evanne Juratovac2,3,4
1Faculty of Nursing, Thammasat University, Pathum Thani, Thailand.
Belitung nursing journal
|August 30, 2024
概括
一个症状管理计划显著改善了慢性阻塞性肺部疾病 (COPD) 的成年人的症状体验和身体功能. 这种干预通过减少症状负担和保持身体能力来提高生活质量.
科学领域:
- 肺部医学 肺部医学
- 临床护理 临床护理
- 健康 结果 研究 研究 结果
背景情况:
- 患有慢性阻塞性肺病 (COPD) 的成年人面临着诸如疲劳,呼吸不全和情绪障碍等相互关联的症状.
- 管理这些同时出现的症状具有挑战性,但对患者的福祉有显著的好处.
- 开发有效的症状管理策略对于改善COPD患者的生活质量至关重要.
研究的目的:
- 评估结构化症状管理计划对症状体验的影响.
- 评估该计划对被诊断患有COPD的泰国成年人身体功能的影响.
- 为了确定一个8周的症状管理干预的有效性.
主要方法:
- 进行了一项随机对照试验 (RCT),采用重复测量设计,对102名COPD参与者进行了测试.
- 参与者被分配到一个为期8周的症状管理计划,再加上通常的护理 (实验组) 或单独的通常护理 (对照组).
- 关于症状体验 (mMRC,MAF,HADS,CAT) 和身体功能 (6-MWD) 的数据在基线,第4周和第8周收集.
主要成果:
- 症状管理计划在4周和8周对症状体验和身体功能产生了显著的积极影响.
- 在修改后的医学研究委员会 (mMRC) 评分,多维疲劳评估 (MAF),6分钟步行距离 (6-MWD) 和COPD评估测试 (CAT) 评分中观察到有统计学意义的改善.
- 在研究期间,在匹兹堡睡眠质量指数 (PSQI) 或医院焦虑和抑郁量表 (HADS) 的得分中没有发现显著差异.
结论:
- 一个症状管理计划是有效的帮助COPD患者有效地管理他们的症状.
- 将该计划整合到常规护理护理中可以提高COPD患者的生活质量.
- 该干预措施有助于保持身体功能,减少患者对家庭和社会支持的依赖.
关键词:
泰国 泰国 泰国 泰国焦虑是一种焦虑.慢性阻塞性肺病 慢性阻塞性肺病抑郁 抑郁症 抑郁症 抑郁症 是一种疲劳 疲劳 疲劳 疲劳 疲劳 疲劳身体功能 身体功能 身体功能人们的生活质量.睡眠质量 睡眠质量经历症状体验症状体验症状管理计划 症状管理计划更多相关视频
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