慢性阻塞性肺疾病应用慢病管理一体化模式的效果研究

Study on the effect of integrated mode of chronic disease management in chronic obstructive pulmonary disease

目的分析慢性阻塞性肺疾病(COPD)采用慢病管理一体化模式的应用价值。方法 100例COPD患者为研究对象,按随机数字表法分为对照组和观察组,每组50例。两组患者均采用综合治疗,对照组患者采取常规护理,观察组采取慢病管理一体化模式。观察两组患者的临床疗效。结果两组患者住院次数对比差异无统计学意义(P>0.05)。观察组患者急诊就诊次数及急性加重次数均少于对照组,差异具有统计学意义(P<0.05)。两组患者呼吸困难量表(m MRC)评分及治疗前后肺功能指标对比差异无统计学意义(P>0.05)。干预前观察组慢性阻塞性肺病评估测试(CAT)总分为(12.98±4.11)分,对照组为(12.22±4.41)分,比较差异无统计学意义(P>0.05);干预后观察组CAT总分为(1.06±0.55)分,对照组为(1.80±0.62)分,干预后两组均有明显降低,且观察组降低幅度优于对照组,差异具有统计学意义(P<0.05)。结论采用慢病管理一体化模式可明显减少COPD患者急性加重次数的发生,并显著改善临床症状,值得在临床上推广使用。

Objective To analyze the application value of chronic obstructive pulmonary disease(COPD)treated with integrated mode of chronic disease management.Methods A total of100COPD patients as studysubjects were divided by random number table method into control group and observation group,with50cases ineach group.Both groups received comprehensive treatment,and the control group received conventional nursing.The observation group received integrated mode of chronic disease management.Clinical efficacy was observed intwo groups.Results Both groups had no statistically significant difference in number of hospitalizations(P>0.05).The observation group had less number of emergency visits and acute exacerbations than the control group,andtheir difference had statistical significance(P<0.05).Both groups had no statistically significant difference indyspnea scale of modified British Medical Research Council(mMRC)score and lung function indicators before andafter treatment(P>0.05).Before intervention,the observation group had COPD assessment test(CAT)total scoreas(12.98±4.11)points,which was(12.22±4.41)points in the control group.Their difference had no statisticalsignificance(P>0.05).After intervention,the observation group had CAT total score as(1.06±0.55)points,which was(1.80±0.62)points in the control group.After intervention,both groups had obviously lower scores,and the observation group was lower than the control group.Their difference had statistical significance(P<0.05).Conclusion Integrated mode of chronic disease management can obviously reduce the number of acuteexacerbatios in COPD patients and improve the clinical symptoms,and it is worth popularizing in clinical practice.