系统化健康管理对社区老年哮喘患者的影响

Effect of Systematic Health Management on Elderly Asthma Patients in Community

目的研究系统化健康管理对社区老年哮喘患者的影响。方法研究对象为本院2015年2月—2017年2月住院的老年性哮喘患者120例,随机分为两组,各60例,观察组患者噻托溴铵粉雾剂联合系统化健康管理治疗,对照组仅噻托溴铵粉雾剂治疗,治疗12个月。观察两组患者治疗效果、临床症状改善情况、肺功能、自护能力以及生活满意度之间的差异。结果 12个月后,观察组患者的总有效率(90.00%)高于对照组(75.00%),观察组患者的临床症状改善时间低于对照组,观察组患者的肺功能、自护能力以及生活满意度均优于对照组(P <0.05)。结论噻托溴铵粉雾剂治疗联合系统化健康管理,通过改善临床症状和肺功能,显著提高患者生存质量。

Objective To analyze the effects of systematic health management on elderly asthma patients in community.Methods 120 elderly patients with asthma hospitalized in our hospital from February 2015 to February 2017 were randomly divided into two groups,60 cases in each group.The observation group was treated with tiotropium bromide powder aerosol combined with systematic health management,while the control group was treated with tiotropium bromide powder aerosol only for 12 months.The difference of treatment effect,clinical symptoms improvement,pulmonary function,negative emotions,treatment dependence,self-care ability and life satisfaction between the two groups were observed.Results After 12 months,the total effective rate (90.00%) in the observation group was significantly higher than that in the control group (75.00%).The improvement time of clinical symptoms in the observation group were significantly lower than those in the control group.The pulmonary function,self-care ability and life satisfaction in the observation group were significantly better than those in the control group (P < 0.05).Conclusion Tiotropium aerosol combined with systematic health management can significantly improve the quality of life of patients by improving clinical symptoms and lung function.