
浏览全部资源
扫码关注微信
攀枝花市中心医院呼吸与危重症医学科
纸质出版日期:2021,
扫 描 看 全 文
[1]杨燕.慢病管理对稳定期COPD价值及急性加重风险的临床研究[J].西南医科大学学报,2021,44(02):124-127.
YANG Yan. Value of chronic disease management in stable stage of chronic obstructive pulmonary disease Patients and acute exacerbation risk:A clinical study[J]. Journal of Southwest Medical University, 2021,44(2):124-127.
目的:探讨稳定期慢性阻塞性肺病(COPD)慢病管理模式
研究家庭医生签约服务对其管理价值、急性加重风险的影响。方法:将2019.9~2020.3本院收治46名慢阻肺患者随机分成两组
分别记录每个患者姓名、年龄、性别、吸烟、职业情况
完成SGRQ、mMRC评分、FEV1、FVC、FEV1/FVC。常规给予相似的止咳祛痰、解痉药物等治疗。干预组给予干预措施
通过网络信息化建立COPD患者的家庭档案
定期随访
定期在网络平台监测患者的健康数据档案结果
实验时间为6个月
之后再次记录每个患者的SGRQ、mMRC评分及FEV1、FVC、FEV1/FVC。结果:对照组和干预组在年龄、性别、吸烟情况差异均无统计学意义(P> 0.05);治疗前后的分值
与对照组相比
干预组的SGRQ及mMRC差异均无统计学意义(P> 0.05);在管理治疗期间
干预组急性加重风险发生率明显低于对照组
差异有统计学意义(P <0.05);治疗前后
与对照组相比
干预组的FEV1、FVC及FEV1/FVC值
差异均无统计学意义(P> 0.05)。结论:家庭医生签约服务模式
规范化指导稳定期COPD患者的自我管理及肺康复
给予自我管理方面的建议
鼓励他们对病情恶化的症状迅速作出反应
减少未来不良事件发生
降低预后不良的风险。
Objective:To investigate the chronic disease management mode for stable stage of chronic obstructive pulmonary disease(COPD)
and to analyze the effect of family doctor contract service on the management value of this mode and acute exacerbation risk.Methods:A total of 46 patients with COPD who were admitted to our hospital from September 2019 to March 2020 were randomly divided into intervention group and control group
name
age
sex
smoking
and occupation were recorded for each patient
and St.George’s Respiratory Questionnaire(SGRQ) score
modified Medical Research Council(mMRC) score
forced expiratory volume in 1 second(FEV1)
forced vital capacity(FVC)
and FEV1/FVC ratio were determined for each patient.Both groups were given cough-relieving
phlegm-expelling
and spasmolytic drugs
and the patients in the intervention group were given intervention measures.Network informatization was used to establish the family archives for COPD patients
and regular follow-up was performed to monitor patients’ health data archives.After 6 months of the experiment
SGRQ score
mMRC score
FEV1
FVC
and FEV1/FVC ratio were recorded for each patient again.Results:There were no significant differences in age
sex
and smoking between the control group and the intervention group(P> 0.05).There were no significant differences in SGRQ and mMRC scores between the control group and the intervention group before and after treatment(P> 0.05).During management treatment
the intervention group had a significantly lower incidence rate of acute exacerbation risk than the control group(P <0.05).There were no significant differences in FEV1
FVC
and FEV1/FVC ratio between the control group and the intervention group before and after treatment(P> 0.05).Conclusion:For patients with stable stage of COPD
family doctor contract service can provide standardized guidance for self-management and pulmonary rehabilitation
give suggestions on self-management
encourage them to respond quickly to the symptoms of disease deterioration
and reduce adverse events and the risk of poor prognosis.
慢病管理生活质量评价肺功能COPD
Chronic disease managementQuality of life evaluationPulmonary functionChronic obstructivepulmonary disease
0
浏览量
119
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621