全科团队管理模式对郊区老年慢阻肺稳定期患者干预效果评价

目的评价对慢性阻塞性肺疾病(慢阻肺)稳定期患者实施全科团队管理模式进行综合干预的效果。方法选择郊区老年慢阻肺稳定期患者100例,随机分为观察组和对照组各50例,对照组予常规药物治疗,观察组在此基础上给予健康宣教、饮食指导、呼吸锻炼、长期氧疗、心理干预等全科团队管理。结果干预2年后观察组的慢阻肺知识知晓率、治疗依从率、戒烟率、AECOPD例数、肺功能、6分钟步行试验(6MWT)和CAT为84%、94%、94%、7、(52.51±4.12)、(260.34±56.15)和(18.18±5.74),对照组分别为40%、74%、32%、18、(50.49±3.84)、(200.21±54.42)和(24.26±4.04),两组相比有显著差异(均P0.05)。结论全科团队管理模式可以提高郊区老年慢阻肺稳定期患者的疾病知晓率和治疗依从性,提高戒烟率,减少慢阻肺急性加重频率,改善慢阻肺患者的肺功能,从而提高其生活质量。

Evaluation of general team management mode suburb intervention in elderly patients with chronic obstruc-tive pulmonary disease at stable phase

Objective To evaluate the effect of general team management mode suburb intervention in elder-ly patients with chronic obstructive pulmonary disease at stable phase. Methods 100 patients with stable COPD were randomly divided into two groups. The control group received conventional drug treatment,and the observation group was given health education on this basis,including dietary guidance,breathing exercises,long-term oxygen therapy,and psychology general intervention team management. Results 2 years after intervention,their knowledge level,treatment compliance rate,smoke abatement,AECOPD cases,lung function,6-minute walk test(6MWT) and CAT was 84% ,94% ,94% ,7,(52. 51 ± 4. 12),(260. 34 ± 56. 15)and(18. 18 ± 5. 74)respectively in the observation group,and 40% ,74% ,32% ,18,(50. 49 ± 3. 84),(200. 21 ± 54. 42)and(24. 26 ± 4. 04) in the control group(all P < 0. 05). Conclusion General team management model can improve the suburbs elderly COPD patients with stable disease awareness and treatment compliance,improve smoke abatement,reduce the fre-quency of COPD exacerbations and improve lung function in patients with COPD,thereby improving their quality of life.