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目的探讨健康教育对慢性阻塞性肺疾病(COPD)患者的医嘱遵从性和疗效的影响。方法对78例COPD患者随机分为实验组和对照组,实验组制定详细健康教育计划和出院指导,对照组给予常规指导,随访90 d比较2组的复发率和医嘱遵从性。结果实验组对医嘱的遵从率明显大于对照组(P<0.01);复发率小于对照组(P<0.05);病死率无差别。结论健康教育能提高患者的遵医行为,预防症状的复发,提高患者的生活质量。
Objective To investigate the effects of health education on compliance and efficacy of prescriptions in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 78 patients with COPD were randomly divided into experimental group and control group. The experimental group developed detailed health education plan and discharge guidance. The control group was given routine instruction. The follow-up 90 days was compared between the two groups in the recurrence rate and compliance. Results The compliance rate of test group was significantly higher than that of control group (P <0.01). The recurrence rate was less than that of control group (P <0.05). There was no difference in case fatality rate. Conclusion Health education can improve the patient compliance, prevent the recurrence of symptoms and improve the quality of life of patients.