摘要
目的:探讨基于老年综合评估(CGA)的照护模式的构建对老年慢性阻塞性肺疾病(COPD)的疗效。方法:将重庆市人民医院收治的124例稳定期COPD患者随机分为观察组与对照组,每组62例。两组患者均行CGA评估后,对照组患者依据诊疗标准给予常规治疗,观察组患者在对照组基础上,基于CGA的结果给予针对性地干预措施。观察并对比两组患者干预前后的白蛋白、血红蛋白、MNA-SF评分;肺功能指标FEV、FEV/FVC、FEV%改善情况;呼吸困难程度及生活质量评价。结果:两组患者干预前各项指标比较,差异均无统计学意义(P>0.05),干预后两组患者均有所改善,但对照组改善效果并不明显;观察组在干预后各项指标显著高于干预前及对照组(P<0.05);两组患者FEV、FEV/FVC及FEV%均有所改善,但对照组改善效果并不明显,除FEV与干预前比较,差异有统计学意义外(P<0.05),其余指标差异均无统计学意义(P>0.05);两组患者的mMRC评分及CAT评分在干预后均有所改善,但对照组CAT评分改善效果并不明显,观察组在干预后mMRC评分及CAT评分均显著低于干预前及对照组(P<0.05)。结论:基于CGA的COPD病患照护模式的构建,通过数字化平台的归纳总结并给予针对性的干预治疗,可有效改善患者的营养状况和心理问题,提高患者的睡眠质量和肺部功能,改善患者的生活质量。
Objective:To study the efficacy of a care model based on comprehensive geriatric assessment(CGA)on chronic obstructive pulmonary disease(COPD)in the elderly.Methods:One hundred and twenty-four patients with stable COPD admitted to Chongqing People’s Hospital were randomly divided into an observation group and a control group,62 patients each.After CGA assessment,patients in the control group were given conventional treatment according to the treatment standards,while patients in the observation group were given targeted interventions based on the CGA results in addition.The patients’albumin,hemoglobin and short-form mini nutritional assessment(MNA-SF)scores,improvement of pulmonary function indexes forced expiratory volume in the first second(FEV),forced expiratory volume in the first second/forced vital capacity(FEV/FVC)and FEV%,degree of dyspnea and quality of life evaluation were observed and compared before and after the intervention.Results:The differences were not statistically significant between the two groups before intervention(P>0.05),and the patients in both groups improved after intervention,but the improvement in the control group was not significant.The indicators in the observation group were significantly higher than those in both pre-intervention groups and in the control group after intervention(P<0.05).FEV,FEV/FVC and FEV%improved in both groups,but the improvement in the control group was not obvious:except for FEV,the improvement in which was statistically significant compared with that before the intervention(P<0.05),the differences in the other indexes were not statistically significant(P>0.05).The mMRC scores and CAT scores in both groups improved after the intervention,but the improvement of CAT scores in the control group was not significant.The mMRC scores and CAT scores in the observation group were significantly lower than those in both pre-intervention groups and in the control group after intervention(P<0.05).Conclusion:The construction of a CGA-based COPD care model can effect
作者
李媛
尹长春
刘智慧
Li Yuan;Yin Changchun;Liu Zhihui(Department of Respiratory and Critical Care Medicine,Chongqing General Hospital,Chongqing 401147,China)
出处
《广西医科大学学报》
CAS
2022年第9期1509-1514,共6页
Journal of Guangxi Medical University
基金
重庆市科卫联合医学科研项目(No.2020FYYX246)。
