摘要
目的探讨院外追踪管理联合营养健康指导在慢性阻塞性肺疾病(COPD)合并耐药肺结核患者延续性护理中的应用效果,以期为临床相关治疗提供参考。方法本研究选取汕头市第三人民医院2016年1月—2020年1月收治的56例COPD合并耐药肺结核患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组28例。对照组患者采用常规延续性护理,观察组患者在常规延续性护理基础上给予院外追踪管理联合营养健康指导的延续性护理。采用圣·乔治医院呼吸问题调查问卷(SGRQ)评估2组患者出院及出院3个月时生活质量。比较2组患者出院及出院3个月时第一秒用力呼气容积(FEV_(1))、用力肺活量(FVC)水平。使用COPD评估测试问卷(CAT)评估COPD对2组患者出院及出院3个月时生活质量的影响。结果出院时,2组患者SGRQ中临床症状、活动能力及疾病影响评分比较,差异无统计学意义(P>0.05)。出院3个月时,2组患者SGRQ中临床症状、活动能力及疾病影响评分均低于出院时,且观察组低于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者FEV_(1)、FVC水平及CAT评分比较,差异均无统计学意义(P>0.05)。出院3个月时,2组患者FEV_(1)、FVC水平均高于出院时,且观察组高于对照组,差异均有统计学意义(P<0.05)。出院3个月时,2组患者CAT评分低于出院时,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论对COPD合并耐药肺结核患者实施院外追踪管理联合营养健康指导可改善患者肺功能,提高患者生活质量,值得临床推广应用。
Objective To explore the effect of out-of-hospital tracking management combined with nutrition and health guidance in the continuous care of patients with chronic obstructive pulmonary disease(COPD)complicated with drug-resistant pulmonary tuberculosis,so as to provide a reference for clinical treatment.Methods A total of 56 COPD patients with drug-resistant pulmonary tuberculosis admitted to the Third People's Hospital of Shantou from January 2016 to January 2020 were selected as the study subjects.The patients were randomly assigned to the control group and observation group,with 28 cases in each group.The patients in the control group were given routine continuous care,and the patients in the observation group were given continuous care of out-of-hospital tracking management combined with nutritional health guidance on the basis of routine continuous care in the control group.The St.George's Respiratory Questionnaire(SGRQ)from St.George's Hospital was used to assess the quality of life at discharge and 3 months after discharge in the 2 groups.Forced expiratory volume in 1 second(FEV_(1))and forced vital capacity(FVC)levels were compared between the two groups at discharge and 3 months after discharge.The COPD assessment test(CAT)was used to assess the effect of COPD on quality of life at discharge and 3 months after discharge in the 2 groups.Results At discharge,there was no significant difference in clinical symptoms,activity ability,and disease impact score in the SGRQ between the two groups(P>0.05).At 3 months after discharge,the clinical symptoms,activity ability,and disease impact scores in the SGRQ of the patients in the 2 groups were lower than those at discharge,with the observation group lower than the control group,and the differences were statistically significant(P<0.05).At discharge,there were no significant differences in FEV_(1),FVC levels,and CAT scores between the 2 groups(P>0.05).At 3 months after discharge,FEV_(1) and FVC levels in the 2 groups were higher than those at discharge,with the ob
作者
蔡丹玲
Cai Danling(The Third People's Hospital of Shantou,Shantou Guangdong 515073,China)
出处
《保健医学研究与实践》
2022年第10期115-117,共3页
Health Medicine Research and Practice
关键词
院外追踪管理
营养健康指导
慢性阻塞性肺疾病
耐药肺结核
延续性护理
Out-of-hospital tracking management
Nutritional health guidance
Chronic obstructive pulmonary disease
Drug-resistant pulmonary tuberculosis
Continuous care
