基于项目管理的老年COPD患者医院-家庭过渡期运动管理对患者呼吸功能和运动耐力的影响

目的探讨基于项目管理的老年COPD患者医院-家庭过渡期运动管理对患者呼吸功能和运动耐力的影响。方法采用便利抽样法选取2017年1月—2018年12月于河南省新乡市中心医院呼吸科住院治疗后病情平稳的老年COPD患者89例,按入院时间顺序分为对照组42例和干预组47例。对照组给予COPD标准化治疗和常规出院指导,干预组在对照组患者干预内容的基础上,开展基于项目管理的运动管理模式。于患者出院时和干预3个月后患者在门诊复诊时收集并比较两组患者呼吸功能和运动耐力相关指标。结果干预3个月后,对照组肺活量(VC)、用力肺活量(FVC)、第1秒用力呼气量(FEV1)及最大呼气中段流速(MMEF)均高于出院时,差异均有统计学意义(t值分别为6.228、7.836、10.995、4.180;P<0.05),干预组VC、FVC、FEV1、最大呼气流速(PEF)、FEV1/FVC及MMEF均高于出院时,差异均有统计学意义(t值分别为12.189、14.583、30.723、6.352、6.166、12.420;P<0.05);干预3个月后,干预组VC、FVC、FEV1、PEF、FEV1/FVC及MMEF均高于对照组,差异均有统计学意义(t值分别为6.063、7.234、16.902、5.596、2.640、7.295;P<0.05)。干预3个月后,对照组和干预组6 min步行距离均较出院时提高,差异均有统计学意义(t值分别为5.574、10.389;P<0.01),且干预组优于对照组,差异有统计学意义(t=5.244,P<0.01)。结论基于项目管理的医院-家庭过渡期运动管理可以提高老年COPD患者的呼吸功能,改善运动耐力,有助于患者早日康复。

Effects of hospital-family transition period exercise management on respiratory function and exercise tolerance in elderly patients with COPD based on project management

Objective To discuss the effects of hospital-family transition period exercise management on respiratory function and exercise tolerance in elderly patients with chronic obstructive pulmonary disease(COPD)based on project management.Methods By convenient sampling method,a total of 89 elderly patients with COPD in stable stage were selected in Department of Respiration of Xinxiang Center Hospital from January 2017 to December 2018.According to the admission time,all subjects were divided into the intervention group(n=47)and control group(n=42).Patients in control group received standardized treatment and routine discharge guidance for COPD,while based on the intervention for control group,patients in the observation group developed exercise management model based on project management.The related indicators of respiratory function and exercise tolerance in the two groups were collected and compared on the day of discharge and 3 months after discharge at the outpatient visit.Results After intervention for 3 months,the levels of vital capacity(VC),forced vital capacity(FVC),forced expiratory volume in the first second(FEV1)and mean maximum expiratory flow(MMEF)in the control group were all higher than those on the day of discharge(t=6.228,7.836,10.995,4.180;P<0.05),and the levels of VC,FVC,FEV1,peak expiratory flow(PEF),FEV1/FVC and MMEF were higher in the intervention group than those on the day of discharge(t=12.189,14.583,30.723,6.352,6.166,12.420;P<0.05).After discharge for 3 months,the levels of VC,FVC,FEV1,PEF,FEV1/FVC and MMEF were higher in the intervention group than those in the control group(t=6.063,7.234,16.902,5.596,2.640,7.295;P<0.05).After discharge for 3 months,the 6-minute walking distance in two groups were both improved than those on the day of discharge(t=5.574,10.389;P<0.01),and the intervention group was better than control group(t=5.244,P<0.01).Conclusions Hospital-family transition period exercise management based on project management can improve the respiratory function,and improve exercise tolerance in elderly patients with COPD,which helps patients recover early.