摘要
目的观察社区管理对稳定期慢性阻塞性肺疾病患者的临床治疗影响。方法将64例稳定期慢阻肺患者随机分为两组,每组各32例,均按《慢性阻塞性肺疾病诊治指南(2007年修订版)》做对症治疗,观察组由社区全科医师团队进行随访管理,对照组作家庭自我管理,为期1年。结果在遵医行为和自我管理能力方面,观察组的正确服药率达到93.75%,坚持呼吸功能锻炼率87.50%,遵从饮食控制率93.75%,均明显高于对照组;而在肺功能改善方面,观察组最后测得FEV1(1.6±0.8)L,FEV1预计值(66.3±8.5)%,6MWD(395.7±43.2)m,数据上亦大大优于对照组。结论通过对稳定期慢阻肺患者进行系统规范的社区管理,明显有助于增强患者的自我管理意识和能力,稳定甚至改善肺功能,降低复发几率,提升生活质量。
Objective To observe the clinical efficacy on community management for chronic obstructive pulmonary disease （COPD） in a stationary phase. Methods All 64 cases of COPD in a stable phase were divided into two group randomly,with 32 cases in each group. The patients received the symptomatic treatment according to ＂Guidelines for Prevention and Control of Chro- nic Obstructive Pulmonary Disease（ Revised edition in 2007 ）＂. The observation group was followed up and management by com- munity general practitioner team, while the control group by the patients themselves. The course was one year. Result In the ob- servation group,93.75% of them took the medicine correctly,87.5% of them kept the breathing training, and 93.75% of them could control their food intake, the rates were clearly higher as compared with the control group. The measured FEV1 was 1.6 ± O. 8L,predieted FEV1 value was 66.3 ± 8.5% ,and 6MWD was 395.7 ±43.2 m in the observation group ,and was greatly superi- or to those in the control group. Conclusion A systematic, disciplined community management can enhance their self-manage- ment consciousness and ability in patients with COPD in a stationary phase, and improve their lung function, reduce the risk of re- currence,improve the quality of life.
出处
《中华全科医学》
2013年第6期919-919,986,共2页
Chinese Journal of General Practice
关键词
慢性阻塞性肺疾病
稳定期
社区管理
Chronic obstructive pulmonary disease
A stable phase
Community management
