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目的:观察全程关护模式对慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法:三级甲等医院和社区卫生服务中心协作,入组80例确诊的COPD患者,进行为期2年的每月随访、健康教育、医疗指导、康复锻炼,比较干预前和干预后患者对疾病常识的问卷测试得分、圣乔治呼吸问卷(SGRQ)得分、BODE指数评分、急性加重次数及就医模式、吸烟情况、家庭氧疗和吸入药物装置的正确使用率。结果:入组的80例COPD患者干预后SGRQ得分由62.3±13.2下降到47.8±12.4,BODE指数评分由3.2±1.7下降到2.5±1.5,均有统计学意义(P<0.05);干预后患者疾病常识测试卷得分显著升高,因急性加重就医的次数减少,吸烟减少,在有需要的患者中,全部能正确进行长期家庭氧疗和正确使用药物吸入装置。结论:COPD患者全程关护模式使患者获得持续性的健康服务,能提高患者依从性、改善患者的生活质量及预后。
Objective: To observe the effect of full-time care mode on quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods: The three first-class hospitals and community health service center collaborated to enrolling 80 patients with confirmed COPD for 2-year follow-up visits, health education, medical guidance and rehabilitation exercises. The interventions of patients before and after intervention were compared Common-sense Questionnaire Test scores, St. George’s Respiratory Questionnaire (SGRQ) scores, BODE index scores, number of exacerbations and patterns of medical care, smoking status, home oxygen therapy, and proper use of inhaled medication devices. Results: The scores of SGRQ decreased from 62.3 ± 13.2 to 47.8 ± 12.4 and the BODE index decreased from 3.2 ± 1.7 to 2.5 ± 1.5 after intervention in 80 COPD patients (all P <0.05). After intervention, The Roll of Sickness Test scores significantly increased, the number of people experiencing acute exacerbations decreased, and smoking was reduced. Long-term home oxygen therapy and the proper use of medication inhalers were all correctly prescribed in needy patients. CONCLUSIONS: The full care model for patients with COPD provides them with consistent health services that improve patient compliance and improve patient quality of life and prognosis.