摘要
目的探讨慢性病随访对慢性阻塞性肺疾病(COPD)患者肺康复训练依从性的影响。方法选取2017年12月-2018年3月于重庆市某医院出院的60例COPD患者为研究对象。采用随机数字表法将患者分为对照组及研究组,每组30例。对照组患者出院后自行进行肺康复训练。研究组患者在对照组基础上进行慢性病随访。比较2组患者出院时及干预后COPD评估测试量表(CAT)评分及第1秒用力呼气容积占预计值百分比(FEV1/pre%);比较2组患者肺康复依从性。结果出院时,研究组患者及对照组患者CAT评分分别为(23.65±10.00)分,(23.81±10.12)分;干预后,研究组患者及对照组患者CAT评分分别为(8.94±10.79)分,(21.92±10.18)分。2组患者CAT评分均低于出院时,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者依从良好率为80.0%,高于对照组的50.0%,差异有统计学意义(P<0.05)。结论慢性病随访可提高COPD患者出院后肺康复训练依从性,促进患者临床症状的改善,临床效果显著,值得推广应用。
Objective To investigate the effect of chronic disease follow-up on the compliance with pulmonary rehabilitation training in patients with COPD.Methods Sixty COPD patients who were discharged from a hospital in Chongqing from December 2017 to March 2018 were selected as the research subjects.The patients were divided into control group and study group by random number table,with 30 cases in each group.Patients in the control group performed pulmonary rehabilitation training on their own.Patients in the study group received chronic disease follow-up on the basis of the control group.The COPD assessment test scale(CAT)scores and the forced expiratory volume at 1 second as a percentage of the predicted value(FEV1/pre%)were compared between the two groups at discharge and after intervention.Patients′pulmonary rehabilitution compliance after intervention was compared.Results At discharge,the CAT scores of the study group and the control group were(23.65±10.00)points and(23.81±10.12)points,respectively;after intervention,the CAT scores of the study group and control group were(8.94±10.79)points and(21.92±10.18)points,respectively.The CAT scores of the two groups after intervention were lower than those at discharge,and that of the study group was significantly lower than that of the control group(P<0.05).The proportion of patients with good compliance in the study group was 80.0%,which was higher than 50.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion Chronic disease follow-up can improve the compliance with pulmonary rehabilitation training among discharged patients with COPD,promoting the improvement of clinical symptoms.Considering the significant clinical effect,it is worthy of wider application.
作者
孙川七
罗静
江宇
Sun Chuanqi;Luo Jing;Jiang Yu(University-town Hospital of Chongqing Medical University,Chongqing 401331,China)
出处
《保健医学研究与实践》
2019年第6期13-15,共3页
Health Medicine Research and Practice
基金
重庆市卫计委面上项目（2016MSXM057）
重庆市科卫联合医学科研项目（2018MSXM045）
关键词
COPD
肺康复
慢性病随访
出院
健康教育
病死率
运动方式
COPD
Pulmonary rehabilitation
Chronic disease follow-up
Discharge
Health education
Mortality
Exercise method
