摘要
目的探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)慢病管理(chronic disease management,CDM)在潮州地区的应用。方法将2020年04月—2021年04月收治的120例住院COPD患者按照随机数字表法分为2组,每组60例,对照组予以常规管理,观察组予以慢病管理。比较2组干预前后自我管理能力、对疾病认知程度、运动耐力、治疗依从性以及生活质量。结果观察组管理3个月、6个月、12个月后自我管理量表评分高于对照组(P<0.05);观察组管理3个月、6个月、12个月后慢性阻塞性肺疾病知识问卷(COPD—Q)评分高于对照组(P<0.05);观察组管理后3个月、6个月、12个月后6 min步行距离(6MWD)大于对照组(P<0.05);慢病管理12个月后观察组治疗依从性较对照组高(P<0.05);观察组管理后3个月、6个月、12个月后COPD生存质量评分低于对照组(P<0.05)。结论慢病管理可以帮助COPD患者提高院外自我管理能力与治疗依从性,提升疾病认知程度以及运动耐力,改善患者生活质量。
Objective To explore the application of chronic disease management(CDM)for chronic obstructive pulmonary disease(COPD)in Chaozhou area.Methods A total of 120 hospitalized COPD patients from April 2020 to April 2021 were divided into 2 groups according to the random number table method,with 60 cases in each group.The control group was given routine management,and the observation group was given chronic disease management.The self-management ability,disease cognition,exercise endurance,treatment compliance and quality of life of the two groups were compared before and after intervention.Results The score of self-management scale in the observation group was higher than that in the control group at 3 months,6 months and 12 months after management(P<0.05).The score of Chronic Obstructive Pulmonary Disease Knowledge Questionnaire(COPD-Q)in the observation group at 3 months,6 months and 12 months after management was higher compared with that in the control group(P<0.05).At 3 months,6 months and 12 months after management,the 6-minute walk distance(6MWD)of the observation group was longer compared with that of the control group(P<0.05).After 12 months of chronic disease management,the treatment compliance of the observation group was higher than that of the control group(P<0.05).The COPD quality of life score in the observation group was lower at 3 months,6 months and 12 months after management compared to the control group(P<0.05).Conclusion Chronic disease management can help patients with COPD to enhance the out-ot-hospital self-management ability and treatment compliance,promote the disease cognition degree and exercise tolerance,and improve the quality of life.
作者
杜璐玲
陈建永
郑淑梅
蔡广平
陈楚芬
DU Luling;CHEN Jianyong;ZHENG Shumei;CAI Guangping;CHEN Chufen(Chaozhou Central Hospital,Chaozhou 521000,China)
出处
《现代医院》
2023年第3期460-463,共4页
Modern Hospitals
基金
潮州市卫健局科研项目(潮卫科研2021089号)。
关键词
慢性阻塞性肺疾病
慢病管理
自我管理能力
疾病认知程度
运动耐力
Chronic obstructive pulmonary disease
Chronic disease management
Self-management ability
Disease cognition degree
Exercise tolerance
作者简介
通信作者:陈建永,cjy2944@163.com。
