基于治未病理论慢病管理方案对哮喘患者生命质量影响

Effects of the Chronic Disease Management Program Based on the Theory of “Preventive Treatment of Disease” on the Quality of Life in Patients with Asthma

目的评估基于治未病理论构建的慢病管理方案对哮喘患者生命质量的影响。方法将100例支气管哮喘患者按照患者意愿分为慢病管理组、对照组,其中慢病管理组49例,对照组51例,对照组根据病情给予中西医结合基础治疗,慢病管理组在中西医结合基础治疗上实施基于治未病理论构建的慢病管理方案,定时健康教育、随访、治未病指导,观察24周内哮喘控制情况、哮喘控制测试(Asthma Control Test,ACT)评分、简易哮喘生命质量调查问卷(mini Asthma Quality of Life Questionnaire,mini AQLQ)总分、急性发作次数、住院次数。结果在第12周、24周两个时点慢病管理组哮喘控制率、ACT评分均高于对照组,差异有统计学意义(P<0.05),第12周两组mini AQLQ总分比较慢病管理组高于对照组,差异有统计学意义(P<0.05),24周时慢病管理组高于对照组,但差异无统计学意义(P>0.05)。两组患者急性发作次数、住院次数差异无统计学意义(P>0.05)。结论基于治未病理论构建的慢病管理方案能改善哮喘患者控制率及ACT评分,提高生命质量。

Objective To evaluate the effect of the chronic disease management program based on the theory of"preventive treatment of disease"to the quality of life in patients with bronchial asthma. Methods This study included 100 patients with bronchial asthma. Patients(n=51)in the control group received basic treatment integrated Chinese and Western medicine,and patients(n=49)in the chronic disease management group were implemented the chronic disease management program. The effects on asthma control,asthma control test(ACT),mini AQLQ total scores,acute episodes,number of hospitalizations were compared at 12,24 weeks. Results The outcomes(control rate of asthma and ACT)showed statistically differences between the chronic disease management group and the control group at weeks 12 and 24(P<0.05). The control rate of asthma and ACT of chronic disease management group were higher. At weeks 12,there were statistically differences between the two groups in mini AQLQ total scores(P<0.05),but there were no statistical differences at weeks 24(P>0.05). There were no statistical differences in acute episodes,number of hospitalizations in the two groups(P>0.05). Conclusion The chronic disease management program based on the theory of"preventive treatment of disease"can improve the control rate of asthma and ACT,and improve the quality of life in patients with bronchial asthma.