COPD患者肺疾病管理能力与慢性稳定期控制效果的相关性研究

Correlation study between ability of lung disease management and control effect of chronic stable stage in patients with COPD

目的探讨COPD患者肺疾病管理能力与慢性稳定期控制效果的相关性。方法选择2017年6月至2019年1月在医院诊断治疗的COPD患者140例为研究对象,随机等分为观察组与对照组。对照组采用常规护理,观察组给予疾病管理能力健康教育。比较两组患者入组时、出院时、出院3个月的疾病管理能力,比较两组患者出院时、出院1个月、出院3个月FEV1,FVC,FEV1/FVC水平。随访3个月,比较两组患者急性发作再次入院率。计算出院3个月患者疾病管理能力得分与FEV1/FVC的相关性。结果观察组患者出院时、出院3个月疾病管理能力各维度得分以及总分均高于对照组(P <0. 05);出院1,3个月观察组FEV1、FVC、FEV1/FVC水平均高于对照组(P <0. 05);随访3个月,观察组急性发作再次入院率低于对照组(P <0. 05);患者疾病管理能力与FEV1/FVC呈显著正相关的关系(r=0. 963)。结论 COPD患者经过疾病管理能力健康教育后疾病管理能力得到显著提高,良好的疾病管理能力可控制稳定期的病情,改善肺功能,降低急性发作风险。患者疾病管理能力与稳定期控制效果有明显的正相关关系。

Objective To discuss the correlation between the ability of lung disease management and control effect of chronic stable stage in patients with COPD. Methods To select 140 cases of patients with COPD diagnosed and treated in the hospital from June 2017 to January 2019 as the study subjects. They were randomly divided into an observation group and a control group. The control group received routine nursing,and the observation group was given health education on ability of disease management. The patients of two groups were compared for ability of disease management at the time of admission,at the time of discharge,and 3 months after discharge. The levels of FEV1,FVC,FEV1/FVC at the time of discharge,1 month,and 3 months were also compared between the two groups. The follow-up period was 3 months as well as the re-admission rate of acute attacks was compared between the two groups to calculate the correlation between the score of disease management ability and FEV1/FVC at 3 months after discharge. Results Patients in the observation group had higher scores of each dimension and overall scores in terms of disease management ability than those in the control group at the time of discharge and 3 months after discharge( P < 0. 05);the levels of FEV1,FVC,FEV1/FVC in the observation group were all higher than those in the control group at 1,3 months after discharge( P < 0. 05). After follow-up for 3 months,the re-admission rate of acute attacks in the observation group was lower than that in the control group( P < 0. 05);the ability of disease management of patients was significantly positively correlated with FEV1/FVC( r= 0. 963). Conclusion The ability of disease management of patients with COPD has been significantly improved after undergoing health education of ability of disease management. Good ability of disease management could control the disease in stable stage,improve lung function,and reduce the risk of acute attacks. The management ability of patients’ disease had a significant positive correlation with the control effect of stable stage.