卢耀能

[摘要] 目的 探讨晚期慢性阻塞性肺疾病临终关怀规范化治疗，旨在为今后临床治疗消除患者负面情绪，使患者达到相对舒适的生存状态提供参考依据。 方法 选择我院2015年6月～2016年12月期间收治的90例晚期COPD患者为研究对象，并随机分为常规组和治疗组，常规组给予常规治疗，治疗组在此基础上加用临终关怀治疗，每组各45例；观察两组患者生活质量。 结果 经治疗后，两组患者各项生活质量评分均明显低于治疗前（P<0.05），治疗组日常生活、社会活动、抑郁症状、焦虑症状等各项评分均明显低于常规组（P<0.05）。 结论 晚期COPD临终关怀有助于提高患者生存质量，减少负面情绪。

[关键词] 晚期COPD；临终关怀；生存质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）09-182-03

Discussion on standardized treatment plan of hospice care in patients with advanced chronic obstructive pulmonary disease

LU Yaoneng

Department of Geriatric Psychiatry，Jiangmen Third People's Hospital，Jiangmen 529000，China

[Abstract] Objective To explore the standardized treatment of hospice care in patients with advanced chronic obstructive pulmonary disease，to eliminate the negative emotions of patients in clinical treatment，and to provide a reference for patients to achieve a relatively comfortable living conditions. Methods 90 patients with advanced COPD cured in our hospital from June 2015 to December 2016 were selected as the study object.They were randomly divided into routine group and treatment group with 45 cases in each.Patients in routine group were treated with routine treatment，and patients in treatment group were treated with hospice care on the basis of routine treatment.Quality of life of the two groups was compared. Results After treatment，the quality of life scores of the two groups were significantly lower than those before treatment（P<0.05）.The scores of daily life， social activities，depression and anxiety symptoms in the treatment group were significantly lower than those in the normal group（P<0.05）. Conclusion Advanced COPD hospice care can help to improve the quality of life，and reduce negative emotions.

[Key words] Advanced COPD；Hospice care；Quality of life

慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD），簡称慢阻肺，是一组常见的以持续气流受限为特征慢性进行性的肺疾病[1]。主要表现为咳痰、咳嗽、喘息及呼吸困难等，焦虑、抑郁等负面心理情绪是COPD的主要并发症。COPD是呼吸系统疾病中的常见病和多发病，病情会随着时间推移而不断恶化，患者生理上的不健康会导致心理问题及生活质量的下降据研究显示大多数晚期COPD患者不愿接受有创性治疗（机械通气），而是选择舒适、轻松的治疗方案[2-3]。而针对晚期患者的治疗和临终关怀限制于癌症患者，对晚期COPD患者的临终关怀并未得到高度重视。故本研究旨在探讨晚期慢性阻塞性肺疾病临终关怀的规范化治疗方案，使临床治疗尽可能地消除患者的负面心理情

绪，达到相对舒适的生存状态，现将结果报道如下。

1 资料与方法

1.1 一般资料

前瞻性选择我院呼吸内科2015年6月～2016年12月期间收治的90例晚期慢性阻塞性肺疾病患者为研究对象，纳入标准：（1）所有患者入院后诊断均符合《慢性阻塞性肺疾病诊治指南》[4]中相关标准，（2）明确诊断为COPD，年龄60～85岁；……