NguySn Ngoc Huyin va Dig Tap chl KHOA HOC & CONG NGHE 177(01): 171 -176
T H i r C T R A N G K I E N T H U ' C V A T H U ' C H A N H C H A M S O C 6 B E N H N H A N B E N H P H O I T A C N G H E N M A ^ N T i N H T A I T H A I N G U Y E N
Nguyen Ngoc Huyin*, Nguyin Thj Hoai Trudng Dai hqc Y Dupc - DH Thdi Nguyen TOM T A T _
Benh phoi tac nghen man tinh (COPD) dugc todn the gioi quan tam do ty le mac bSnh ng^y cang gia tang ve tan sudt va tu vong. Muc ti6u cua nghien cuu Id mo ta thyc trang kiln thdc v l b6nh COPD va thyc hanh tu cham sfic d benh nhan COPD tai Benh vien Trung uang Thdi NguySn (BVTWTN). Phuong phdp nghien ciiu mfi ta cdt ngang, sii dung chon mau thugn tien vdi 98 bSnh nhan COPD dugc phfing van tnrc tiep va quan s^t benh nhan thuc hien ky nang thyc hdnh cham soc, Ket qua cho thdy ty le nam cao hon nu (88,8% vd 11,2%), co tdi 75,5% doi tugng nghiSn cdu (DTNC) CO tien su hiit thufic Id, thufic ldo. Kien thiic ve benh COPD cfin d miic dfi trung binh va ky nang thyc hanh chdm soc ciia bSnh nhdn cfin thyc hien chua dilng d mfit s6 budc trong cac ky thugt do,
Tir khoa: COPD. kiin thdc ^i benh COPD, Tu chdm soc, Thuc hdnh Thai Nguyen DAT V A N DE
Benh phfii tdc nghen man tinh (COPD) ngdy cang gia tang vd cd ty lg vong cao, Theo To chiic Y t l t h i gidi ( W H O ) , d i n ndm 2020 sfi ngudi mac C O P D tang len 3 - 4 lan va la can bgnh gay td vong d u n g hang thu 3 tren the gidi [3], [5]. Theo W H O , tir vong do C O P D udc ti'nh tang khodng 160% vao nam 2030.
COPD Id mflt bgnh cdn gap phd bien d cdng dflng vdi ty le 2 , 2 % ddn sd tren 15 tufli va 4,2% trong nhfim tren 40 tufii, Benh cfi xu huong tang theo tufli va lien quan den hiit thuoc la vd su dung nhien lieu dot hilu co.
COPD gay anh h u d n g Idn tdi sdc khde va chat lupng cupc sflng con ngu'di, lam tang ganh ngng he thdng cham soc sdc khfie cua todn xa hgi.
Thyc hanh t y cham sdc la mpt thuat n g u md ta cac ky nang can thiet cho benh nhan tuan thii phac do d i l u tri C O P D va giup benh nhan phuc hoi chdc nang hfl hap. T u do giup lam giam trieu chiing khd thd, cai thign c h i t lupng cugc sdng, tang khd ndng gang sdc, giup fin dinh hogc cdi thien benh, giam sfl dpt bung phat phai nhgp vien d i l u tri, giam sfl ngay ndm vien, t i l t kiem chi phi dieu trj [4].., Mot trong nhii'ng bien phap phuc hdi chdc nang hd hdp la cac bai tap nhu: Tap ho cd hieu qua, tgp thd vd thyc hanh diing thufic dang xjt.,.
' Tel: 0915 589788, Email ngochuyenddlsyli@gmail a
Trong do tap ho co hieu qua nhdm muc dich giiip bgnh nhdn biet cdch loai bd dom, djch tiet phe qudn Iam cho dudng hfl hap thflng thoang Tap thd la cac ky thuat nham khac phuc tinh trang li khi trong phfli vd tang cuong cu dflng hfl hap cua long ngyc. Dong thdi cd the gidm cdc trieu chung cap bgnh COPD va giam ty le tdi nhdp vien [4], [7], Do vay muc tieu cua nghien cuu nay la md ta thyc trgng kiln thuc ve benh COPD va thyc hdnh cham sfic d bgnh nhdn COPD tai BVTWTN, DOI T U O N G VA P H U O N G P H A P N G H I E N CTJU
Doi tirpTig nghien ciru: Bgnh nhan COPD d u g c chgn theo tieu chuan sau,
Tieu chudn lua chpn: Benh nhdn dugc chan doan C O P D va dang dieu tri tgi Khoa Npi Hfi hdp B V D K T W Thdi Nguyen, Dflng y tham gia vao nghien cuu,
Tieu chudn logi trir: Mdc kem mgt^ so benh viem phdi, tran khi mang phfii, nhdi mau c a tim cap, suy tim cap,
Thfii gian nghien eiru: 0 3 / 2 0 1 7 - 1 0 / 2 0 1 7 Phirotig phap nghien ciru: Mo ta, thiet ke cat ngang.
C d mau: Chpn tat ca cac BN COPD d i l u trj tai Khoa Ndi Hd hdp - B V T W T N thda mdn tieu chudn chpn mdu. Trong thdi gian thu thgp sfl ligu CO 98 D T N C dugc chpn.
Nguyen Nggc Huyin vd Dig Tgp chi KHOA HQC & CONG NGHE 177(01): 171-176 C h i tieu nghiSn c i h i : Tuoi, gidi, dgc diem
benh COPD, y l u to nguy co, trieu chung lam sdng vd dgt d p C O P D , ky ndng tap thd, tap ho cd hieu qud vd su dyng binh xit djnh lieu.
Cong cu va d a n h gia
+ Bd cau hdi danh gid k i l n thuc ve benh COPD: Gdm 60 cau vdi cau tra ldi dung/sai, mdi cau trd ldi diing d u p c 1 diem, tra Idi sai dupc 0 diem, vdi diem thap nhat la 0 va diem cao nhat cd the dgt dugc la 60: M d c do kien thuc kem (0-20), k i l n thuc trung binh (21-40) va kien thuc tflt (41-60).
+ Bang k i l m thyc hdnh cham sfic: Danh gia cdc ky nang thuc hanh cham sdc lien quan d i n bai tap thd, tap ho cd hieu qud vd thyc hdnh binh xit djnh lieu. Cdch tinh diem: Mdi b u d c trong bang kiem ky thugt dugc danh gia 3 miic dp (thyc hien dting, thuc hign sai hoac khfing dupc thuc hign). Mfii budc thuc hien dung dugc tinh I d i l m vd mdi budc thyc hign sai hodc khfing thyc hign dupc ti'nh (0).
K y t h u a t t h u t h a p t h d n g tin
Bang 1. Kiin thuc ddc diem binh, yeu to nguy
Sau khi xdc dinh d u g c cac D T N C dap ung dd tieu chudn, nha nghien ctru tiep xiic voi D T N C d l phdng vdn thu thap so lieu, diln vdo p h i l u d i l u tra thfing tin c o ban va bg cau hdi danh gia k i l n thiic benh C O P D . Thdi gian tra ldi bg cau hdi nay khoang 25-30 phiit.
Sau dfi benh nhan thuc hanh tap thd, tap ho c6 hiSu qua va su dung thuoc dgng xit tiiy thugc vao tung benh nhdn dd dang sir dung logi nao thi se thuc hanh voi logi dd. Danh gia miic do thyc hanh diing ciia bgnh nhan qua bang diSm danh gia (bdng cham diem).
P h i r o n g p h a p p h a n tich so lieu: Sfi lieu dupc phan tich bang phan mem SPSS 18,0 Nghien cuu bam ddm van de dao due trong nghien cuu.
K E T Q U A
Trong 98 D T N C nhdm tuoi tren 60 chilm ty le cao nhdt la 7 5 , 5 % . Vdi su chenh lech kha ldn v l ty le nam va nii: 87 nam (88,8%) va 11 nil (11,2%). Cd toi 7 5 , 5 % D T N C da cfi tien sii hiit thuflc la, thuoc ldo.
CO, triiu chung ldm sdng vd dai cdp COPD Kien thiiv
Dac di6m benh COPD
Yeu to nguy ca
Trieu chtrng lam sang thuimg gjp COPD
Dot cap COPD
Ngi dung COPD \k benh 1;^ "man tinh"
Thutmg n ^ g htm theo thai gian Bat thutmg cr tu6i dudi 40 Tuoi trgn 40 tuoi Hut thuoc 1^ thuoc ldo Tiip xiic v6i kh6i
Tiep xOc vai bui, h6a chit, nghi nghigp Yeu to tSm ly
Mic hen phe quan Khfing biet Kha tha, tho Ithb khi Ho Ithac dtmi kio ddi Thtrong xuyen khac dam buoi sdng Kh6ng biit
Kh6 thd tang len Dam chuyin mdu Ho kh^c dom tSng len Sot kdm theo dau hieu nhiem trimg Khong biit
T^n sd tra iiii dilng (n)
72 64 57 60 90 55 48 08 27 04 79 65 84 03 82 56 85 27 04
TJlf(%)
73,5 65,3 58,2 61,2 91,8 56,1 49,0 8,2 27,6 4,1 80,6 66,3 85,7 3,1 83,7 , 57,1 86,7 27,6 4,1 N h a n xet: + K i l n thtic v l ddc d i l m bgnh COPD: Ty lg tra ldi diing cd tdi 7 3 , 5 % D T N C lira chgn COPD la benh ly man tinh, nang ddn len 6 5 , 3 % . Cd 58,2% trd Idi dilng lua tuoi d l mdc COPD la t u 4 0 tudi trd len.172
Nguyin Nggc Huyin vo Dtg Tap chi KHOA HQC & CONG NGHE 177(01): 171 - 176 + Kiln thiic diing v l yeu to nguy c o C O P D Id
hilt thuoc la/thuoc lao (91,8%), tiep xiic vdi bui/hda chat n g h i nghiep (49,0%), t i i p xiic vdi khdi (56,1%) vd tufli tren 40 (61,2%), cdc ylu to nguy c o khac n h u hen phe quan (HPQ) ty Ie BN lya chgn t h i p hon (27,6%) + Kien thiic diing ve trieu chiing lam sang, trieu chiing dpt cap C O P D ; Da so cac D T N C diu tra ldi d u g c cac tri^u chiing thuong ggp ciia benh n h u khd thd, thd khd kh6 (80,6%i).
Ho khgc dom keo dai (66,3%), t h u o n g xuyen khac ddm vao bu6i sdng (85,7%). Trigu chiing dpt cdp C O P D thi D T N C trd ldi diing Id khd thd tang len (83,7%), ho khgc ddm tang len (86,7%), dom chuyen mdu (57,1%).
Bieu do 1. Kit qud muc do kiin thicc COPD N h a n xet: Qua nghien cuu ty Ie D T N C co kien thuc ve COPD trung binh kha cao vdi 63/98 (85,7%).
Bdng 2, Ky ndng thgc hdnh lgp thd cua doi luang nghiin cim KS> thu^t t i p Ihd
Budc 1: Ngdi diing tu the
Budc 2: Ddt tay Ifin byng vd nguc
Budc 3: Hit vdo
Budc 4: Thd ra chdm
Npi dung Thuc hiSn diing Khong hodc thuc hiSn sai Th\rc hien diing Khong hodc th\rc hi^n sai Thuc hien diing Khdng hodc thuc hien sai Th\rc hien diing Khdng hodc thuc hien sai
Tan sd (n) 81 17 65 33 32 66 35 63
Ty le (%) 82,7 17,3 66,3 33,7 32,7 67,3 35,7 64,3 Nhgn xet: Bang 2 cho thay ky thugt tap thd vdi budc 3 "Hit vao" va budc 4 "TI vdi ty le tiiyc hien diing thap la 32,7% va 35,7%. Cdn Igi ty lg thyc hien dung khd ^^^
Ngfii diing tu t h i " , budc 2 "Dgt tay Ifin bung vd nguc", tuong ung Id 82,7%, va 66,3%.
Bdng 3. Ky ndng thuc hdnh tdp ho cd hiiu qud cua doi tugng nghien cdu
'Thd ra cham" lan lugt cao vdi cac budc I "
Ky thuat tap ho cfi hi|u qud N$i dung Tan SQ (n) Ty lg (%) Budc I: Ngfii ddng tu the Thyc hifn dilng
Khfing ho|c thuc hign sai Budc 2: Hit vdo cham vd thgt sdu Thyc hign dung
Khfing hojic thuc hign sai
32,7 73,5 Budc 3: Nin thd trong vdi giay Thuc hien dung
Khong hoSc thyc hifn sai
77,6 22,4 Budc 4: Ho mgnh 2 ldn Thyc hifn ddng
Khfing hoSc thyc hien sai
29 69
29,6 70,4 Budc 5; Hit vko vA thd chiim mfii Thyc hign diing
Khfing hojic thuc hign si
83,7 16,3 Nhan xet: Bang 3 cho thay ky thugt tap ho cd higu qua cd van de chung d budc 2 "Hit vao chgm va thgt sau" va budc 4 " H o mgnh 2 lan" lan lugt voi ty lg thyc hien diing thdp la 32,7% va 29,6%.
Nguyen Nggc Huyen vd Dig Tgp chl KHOA HQC & CONG NGHE 177(01): 171-176 Bang 4. AjT ndng Ihuc hdnh binh xit dinh lieu cua ddi tugng nghien c
Tan sfi (n) T y l e ( % ) ~ Thyc hdnh binh xjt djnh lieu Nfii dung
Budc I: Lie diu binh thuoc Thyc hifn diing Khong hoac thyc hifn sai Bufic 2: Md ndp binh thulc
Budc 3: Thd ra that hit vA nin thd d l Lt dau budc tiep theo
Thyc hifn diing Khong hodc thyc hifn sai Thyc hifn diing Khfing ho5c thyc hifn sai
67 31 Budc 4; Ngam kin mifng binh thuoc vd Thyc hifn diing
Khfing hoac thyc hifn sai 38 60
Budc 5: Nin thd Thyc hifn diing
Khfing ho^c thyc hifn sai 35 63
35,7 64.3
Buox: 6: Thd ra Thyc hifn diing
Khong hoac thyc hien sai 89
9
NhSn xet: Ky ndng thyc hanh binh xit djnh lieu cd van de chung d b u d c 4 "Ngam kin mieng binh thuflc va xit" va budc 5 "Nin thfi^' lan lugt vdi ty le thyc hign dung thap la 38,8% vd 35,7%, BAN LUAN
Ket qua cho thay da so DTNC Id nam gidi, cd the la do ty Ie hiit thuoc cao hon (75,5%i), phu hgp vdi ket qud nghien cdu trong va ngoai nude [ I ] , [2], [8]. D T N C d i u tren 40 tudi, phan bfi theo tudi do tudi tren 60 chiem ty lg cao nhat (76,5%). Theo Lewis va cgng sy (2014), [6] khi ngudi gia di mat ddn su co Igi ddn hdi ciia phoi. Phfii trd nfin trdn vd nho hon. Long nguc t r d nen ciing va x u o n g suon it di dgng. Sy thay ddi tinh dan hfii cua phdi lam gidm d y phdng thfing khi, va kha nang Iam sach tiet ra gidm theo dp tudi.
+ Kiln thiic dgc d i l m C O P D : La bgnh ly mgn tinh, tien trien ciia nang dan theo thdi gian.
Lira tudi de mdc C O P D la tii 40 tufii trd len.
+ Kiln thiic v l y l u tfi nguy c o cua C O P D : Ket qua nghien ciiu nay phii h c ^ vdi k i t qua nghien cdu d cac nude nhu hut thuoc la la yeu to nguy c a quan trgng nhdt doi vdi C O P D . Gan 80-90% cac trudng hgp mdc C O P D la do hiit thuoc va cac trudng hgp cdn lgi la do 6 nhiem cflng nghiep.
+ Kiln thuc ve trigu chiing ldm sang: Trieu chiing phfl b i i n nhat la khd thd man tinh, h o khgc ddm keo ddi. Bat cu ngudi nao tuoi 40 trd Ien vdi cac trieu chiing ho khgc dom, hogc khd thd vd/hoac cd tien sii phai n h i l m vdi cdc y l u td nguy co, dgc biet la htit thuflc la thi d i u nen nghi ngd C O P D . Trong dd trieu chiing 174
khd thd Id mgt trieu chiing quan trgng d benh nhan C O P D . Miirc do khfi t h d va miic dfl tdng Ien khi bgnh tien trien dnh h u d n g tieu cue tdi chat lupng cupc song ciia ngudi benh.
+ Kien thiic ve C O P D m u c dp trung binh kha cao. D i l u nay giai thich C O P D dnh hucmg den tat cd cac khia cgnh ciia cupc song, va mang Igi cho bgnh nhan sy thay doi ldn trong loi sfing. Benh nhan C O P D vao vign nhilu lan vd hp da nhgn dupc t u vdn ve kien thiic benh.
Cflng tac truyen thong, phfl bien kien thiic ve COPD d u g c tuyen truyin rpng rai den cgng dflng la mdt viec lam het siic quan trgng. S i ^ cung la hogt dpng het siic y nghia nhdm nang cao h i l u b i l t cho benh nhan. T u dd, gdp phdn tang c u d n g kien thiic, phdng tranh nguy co C O P D va duy tri sure khde cho ngudi bfnh.
Ky n a n g thirc h a n h t a p t h d
Tinh trgng tac nghen cac d u d n g dan khi do viem nhiem man tinh va li khi trong long nguc do cac phe nang bi h u hdng, mat tinh co gidn. Hau qua la khong khi thudng bj li Ui trong phdi kem luu thdng va dan den thieu oxy cho nhu cau c a the. P h u a n g phdp thong khi la cac ky thuat tap thd nhdm khac phuc tinh trgng li khi trong phfli vd tdng cuong cir dgng hd hdp cua long ngyc. Trong thdi gian ndm vien bgnh nhdn d u g c h u d n g ddn tgp thi vd lap di ldp lgi. kiem soat cac ky thugt, va danh gia cac hieu qud la cdn thiit. Tren thvc
Nguyen Nggc Huyin va Dtg Tgp chl KHOA HQC & CONG NGHE 177(01): 171 - 176 te bgnh nhan COPD thyc hdnh ky nang dd
van chua diing vd ket qua nghien cuu da chi ra dugc budc 3 "Hit vao" va budc 4 "Thd ra chgm" benh nhan thyc hanh sai hogc khong thyc hien.
Ky nang thuc hanh t | p ho co hieu qua Ky nang ho cd hifu qua Id mgt thanh phan quan trpng ciia lieu phap lam sgch phi quan.
Ho la mpt phan quan trpng trg giiip viec loai bo cdc chat bai tiet tir duong hfl hap. Do vgy ky ndng tgp ho cd hieu qua cOng khd quan trgng doi vdi bgnh nhan COPD. Tuy nhien trong ky ndng nay bfnh nhan lai tgp khfing diing each va budc 2 "Hit vdo chgm va thgt sdu" va budc 4 "Ho mgnh 2 lan" bgnh nhdn thuc hanh sai hoac khdng thyc hign. Trifu chiing ho thudng lam bgnh nhdn mgt, khd thd tdng len, gdy Io Idng va ddi khi lam cho bfnh nhdn khdng cfl gang thyc hifn. Ma hai budc ndy la quan trpng dl ky nang thyc hdnh tgp ho CO higu qua giup bgnh nhdn cd mpt ludng khi du mgnh ti'ch luy phia sau cho li dpng ddm dl day dom di chuyen ra ngodi. Nhu vgy neu thyc hien khflng diing hai budc nay se ddn den tgp ho khdng dgt dupc hieu qua mong muon.
Ky nang thuc hanh binh xit djnh lieu Ky ndng thuc hanh binh xjt djnh lieu Id 1 trong nhung ky ndng bfnh nhdn COPD can phai cd dl giup benh nhan tuan thii che dfl dilu tri sau khi benh nhdn ra vign. Nhilu thuflc gidn phe quan dang xjt dupc phat trien va moi logi diu cd hudng dan cy thi dam bao cung cap lieu thuoc phii hpp cho dudng thd.
Ket qua nghien cuu cho thay hai budrc quan frgng trong ky ndng ndy la budc 4 "Ngam kin mieng binh thuoc va xit" va budc 5 "Nin thd"
thi bgnh nhan thuc hign sai hogc khdng Iam.
Ket qua nay ciing phii hpp vdi ket qua da so bfnh nhan (80%) khflng thi su dyng fing thuflc hit diing each. Dilu nay gdp phdn lam kilm soat trieu chiing kem vd tang so dpt kjch phat COPD. Quan ly COPD thanh cong se dat dugc bdng each cai thign ky ndng thyc hanh binh xit dinh lieu dua trfin nhu cau dieu tri ciia
tiing ca nhan ciing vdi viec gido due va dao tgo ky nang nay cho ngudi benh.
KET LUAN
Kien thirc ve benb COPD
+ Kien thiic diing ve dgc diem benh COPD:
73,5% DTNC lya chgn COPD Id bgnh Iy mgn tinh, nang dan len 65,3%, va 58,2%) fra loi dugc lua tufii de mdc COPD la tu 40 tuoi trd Ien.
+ Kien thiic diing ve yeu tfi nguy ca ciia COPD: Hiit thuflc Id/thuflc ldo (91,8%), tiip xuc vdi byi/hoa ehdt nghe nghiep (49,0%i), tiep xiic vdi khdi (56,1%) va tudi tren 40 (61,2%), cac yeu to nguy co ve HPQ ty Ie DTNC lya chgn thdp han (27,6%) + Kien thiic diing ve trieu chung COPD nhu khfi thd, thd khd khe (80,6%), ho khac ddm keo ddi (66,3%i), thuong xuyen khac ddm vao bufii sang (85,7%), Trigu chiing dpt cap la khd thd tang len (83,7%)), ho khgc dom tang len (86,7%), dom chuyen mdu (57,1%).
+ Kien thiic chung ciia bgnh nhdn ve COPD d miic trung binh chiem ty le kha cao Id 63/98 (85,7%).
Ky nang thuc hanh cham sdc
+ Ky nang thyc hanh tap thd: Budc 3 "Hit vdo" vd budc 4 "Thd ra cham" Ian lupt vdi ty lg thyc hien diing thap la 32,7%> va 35,7%).
+ Ky nang thyc hdnh tgp ho cd hieu qua:
Budc 2 "Hit vao cham va that sau" vd budc 4
"Ho manh 2 Ian" lan lupt vdi ty Ig thyc hien diing thdp la 32,7% va 29,6%.
+ Ky nang thyc hanh binh xjt dinh lieu: Budc 4 "Ngam kin mieng binh thuoc vd xit" va budc 5 "Nin thfi^' lan lupt vdi ty le thyc hien dung thdp Id 38,8% va 35,7%.
KHUYEN NGHI
Xay dyng npi dung giao due sue khde cho bfnh nhan COPD dya vao ket qua nghien ciiu ve kien thiic benh COPD. Can hudng dan cu the cac ky nang thyc hanh chdm sdc va cd giam sat chgt che bgnh nhan thuc hien cdc ky nang dd.
175
Nguyin Ngoc Huyen vd Dig Tap chi KHOA HQC & CONG NGHE 177(01): 171-176 TAI LIEU T H A M K H A O
1. Ngfi Quy Chdu vd cs (2005), "Nghifin cdu djch te hgc benh phoi tdc nghSn man tinh d thdnh phfl Ha Ngi", Tgp chi Y hoc thgc hdnh, 513, fr. 69-74.
2. Trdn Thj HSng vd cs (2011), "Nghien cuu ddc diem ldm sdng, can lam sdng va kit qua diSu trj dgt biing phdt bfnh phoi tdc ngh6n mgn tinh tgi Bfnh vien Da Khoa Bdc Kgn", Tgp chi Khoa hoc dt Cong nghi - E>ai hoc Thdi Nguyen, 89(01/2), Vc. 95 - 9 9 . 3, Phan Thu Phuang (2006), "Nghien ciiu dich t l hgc benh phfii tac ngh6n mgn tinh trong dan cu huyen Lang Giang, Bac Giang", Tgp chi Y hgc thgc hdnh-BdYli, 694, tr. 12-16.
4, Effing T., Monninkhof E. M., van der Valk P, D., van der Palen J., van Herwaarden C. L., Partidge M. R. et al. (2007), Self-management
education for patients with chronic obstructive pulmonary disease, Cochrane Database Syst. Rev, 5. GOLD (2009), "Global sUategy for diagnosis, management and prevention of chronic obstructive pulmonary disease", MCR Vision Inc, pp. I - 88.
6. Lewis S., Dirksen S., Heitkemper M. et a), (2014), Medical surgical nursing: Assessment and management of clinical problems. United State of America: Elsevier Mosby, pp. 610-630.
7. Shakur H. (2003), "A COPD self-management programme reduced hospital use and unproved health status", Evid Based Nurs., 6(4), pp.111-116.
8. Zamzam M., Azab N., Ragab A., et al. (2012)
"Quality of life in copd patients", Egyptian Journal of Chest Disease and Tuberculosis, 61(4), pp. 281-289
S U M M A R Y
K N O W L E D G E A N D P R A C T I C E A M O N G P A T I E N T S W I T H C O P D I N T H A I N G U Y E N
Nguyen Ngoc Huyen', Nguyen Thi Hoai TNU- University of Medicine and Pharmacy Chronic obstructive pulmonary disease (COPD) is worldwide concem due to the incidence is increasing in incidence of morbidity and mortality. The objective ofthe smdy was to describe the current state of knowledge about COPD and practice self-care in patients with COPD m Thai Nguyen. A cross-sectional descriptive study, using convenient sampling, included 98 with COPD are direct interview and observed patients performing care practice skills. The results showed that a higher percentage of men and women 88.8%, 11.2%, up to 75.5% had to have a history of smoking, tobacco. Knowledge of COPD was in moderate and practical skills of patient care was not properly implemented in several steps in such techniques.
Key words: COPD, kno-wledge of COPD, Self-care, Practice. ThalNguyen.
Ngdy nftdn bdi: 20/12/2017; Ngdyplidn biin: 25/12/2017; Ngdy duyftddng: 30/01/2018 Tel-0915 589788, Email
176
