慢性阻塞性肺病的由来及防治健康教育（慢性支气管炎）课件.pptVIP

人们常说的慢性支气管炎、肺气肿就是我们医学上所指的慢性阻塞性肺病 关注慢性阻塞性肺病，人人呼吸顺畅 * Structured and monitored exercise training ? Nutrition advice ? Techniques for reducing and controlling breathing problems ? Education about maintaining and improving function ? Help to quit smoking ? Information about your disease and ways to cope ? Emotional and psychological support 肺康复是“一项为各个肺部疾病患者量身订做，旨在促进 患者生理及社会适应能力，提高其自理能力的康复计划” 。 广义的肺康复包括运动、呼吸肌训练、长程氧疗、营养治疗、胸 部体疗、放松疗法等。目前所讲的肺康复主要包括 ：运动训 练(包括极量和亚极量运动)、呼吸肌训练、健康教育、心理和行 为干预及其效果评价，其中运动训练是肺康复的核心，主要包 括上、下肢运动训练。 What is Pulmonary Rehabilitation?Pulmonary Rehabilitation is a program of education and exercise classes that teaches you about your lungs, how to exercise and do activities with less shortness of breath, and how to live better with your lung condition. How will Pulmonary Rehabilitation help me?By attending education classes, you will learn many things about your lungs. For example, the following topics will be discussed: what is wrong with your lungs, what your medicines do, when to call your health care provider, and how to keep from being hospitalized. During group meetings, you will meet others with breathing problems. This gives you time share concerns and approaches to living with breathing problems. The exercise classes will help you be more active with less shortness of breath. Usually, you will be exercising both your arms and legs. The exercise classes will help you feel better and become stronger by helping you get into better shape. 肺康复(Pulmonary Rehabilitation) 随着医学科学的发展，对疾病认识的深入，如何早期发现和康复干预防治疾病进展引起了人们的重视。肺康复的对象扩展到包括哮喘、肺间质性疾病、神经肌肉疾病、肺癌和呼吸机支持等病人。1994年国际康复会议（NIH）重新定义的肺康复概念是多学科专业人员组成的肺康复队伍，以病人保持和获得最大限度的独立生活能力和社会活动能力为目的，多方位、持续性地服务于肺疾病病人和他们的家庭。肺康复的内容已不仅仅是锻炼或教育方案，它包括病人的评估、训练、运动、心理社会干预和跟踪（follow-up）系列内容，肺康复队伍由医生、呼吸师、护士、理疗师、职业治疗师、社会工作者、心理咨询师或精神科医生等组成。一． 病人的选择和评估： 病人选择的标准：1肺功能检测异常2由于肺疾病引起健康有关的生活质量降低相对禁忌症：缺血性心脏病、充血性心力衰竭、急性冠心病、重度肺高压、肝功能严重异常评估的内容：病史、体检、检查结果、营养状况、日常活动能力（ADL）和运动能力、文化程度、社会心理、发展的目标二． 病人训练：要达到肺康复训练的目的，病人须了解自己的病情和自我管理的原则，训练的过程包括：评估病人教育的需要，选