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李蕾.医院-社区-自我管理模式对慢性阻塞性肺疾病患者生活质量、肺功能、急性加重风险的影响[J].中国医药科学,2021,(4):194-197        基金项目:
医院-社区-自我管理模式对慢性阻塞性肺疾病患者生活质量、肺功能、急性加重风险的影响
Impacts of hospital-community-self-management mode on quality of life, pulmonary function and acute exacerbation risk of patients with chronic obstructive pulmonary disease
  
DOI:
中文关键词:  [关键词] 医院-社区-自我管理;慢性阻塞性肺疾病;生活质量;肺功能;急性加重风险
英文关键词:[Key words] Hospital-community-self-management; Chronic obstructive pulmonary disease; Quality of life; Pulmonary function; Acute exacerbation risk
作者单位
李蕾 山东省沂水县人民医院呼吸内科,山东沂水 276400 
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中文摘要:
      [摘要] 目的 探讨医院-社区-自我管理模式对慢性阻塞性肺疾病(简称慢阻肺)患者生活质量、肺功能、急性加重风险的影响。 方法 选取2017年10月至2018年3月沂水县人民医院呼吸内科住院的106例慢阻肺患者作为研究对象,按照随机数字表法分为观察组与对照组,每组各53例。对照组给予常规管理模式,观察组采用医院-社区-自我管理模式,记录患者管理前及管理后第12个月的临床资料,采用慢阻肺评估测试评分(CAT评分) 、改良英国医学研究委员会呼吸困难评分(mMRC评分)评价患者生活质量;检测用力肺活量( FVC)、第1秒用力呼气量占预计值百分比( FEV1%预计值)来评价患者肺功能情况;从急性发作次数、急性加重住院率两方面来评价患者未来急性风险。 结果 两组患者管理后,观察组CAT评分、mMRC评分低于对照组,差异有统计学意义(P<0.05),观察组管理后CAT评分、mMRC评分低于管理前,差异有统计学意义(P<0.05);观察组FVC、FEV1%预计值高于对照组,差异有统计学意义(P<0.05),观察组管理后FVC、FEV1%预计值高于管理前,差异有统计学意义(P<0.05);观察组急性发作次数、急性加重住院率低于对照组,差异有统计学意义(P<0.05)。 结论 医院-社区-自我管理模式能提高慢阻肺患者生活质量,改善肺功能水平,减少急性加重。
英文摘要:
      [Abstract] Objective To investigate the impacts of hospital-community-self-management mode on quality of life, pulmonary function and acute exacerbation risk of patients with chronic obstructive pulmonary disease (COPD). Methods A total of 106 cases of patients with COPD admitted to the department of respiratory medicine in Yishui County People's Hospital from October 2017 to March 2018 were collected and included in this research, and they were randomly divided into the observation group (n=53) and the control group (n=53). The control group was given conventional management mode, while the observation group was given hospital-community-self-management mode. The clinical data of patients before the management and the 12th month after management were recorded. Meanwhile, the COPD assessment test (CAT score) and the modified British Medical Research Council dyspnea score (mMRC score) were adopted to evaluate the patients' quality of life. The forced vital capacity (FVC) and the percentage of forced expiratory volume in the first second (FEV% predicted value) were detected to evaluate the pulmonary function 1of patients. The future risk of acute exacerbation of COPD of patients was evaluated in terms of the acute attack frequency and hospitalization rate for acute exacerbation. Results After management, CAT score and mMRC score in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). CAT score and mMRC score in the observation group after management were lower than those before management, with statistically significant differences (P < 0.05). The predicted values of FVC and FEV % in the observation 1group were higher than those in the control group, with statistically significant differences (P<0.05). The predicted values of FVC and FEV % in the observation group after management were higher than those before management, 1with statistically significant differences (P < 0.05). The frequency of acute attacks and the hospitalization rate for acute exacerbation in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). Conclusion Hospital-community-self-management mode can improve the quality of life, 194 CHINA MEDICINE AND PHARMACY Vol.11 No.4 February 2021
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