基于“互联网+”的健康管理模式对慢性阻塞性肺疾病稳定期患者肺功能、急性加重次数及生活质量的影响

Influence of"Internet plus"Health Management Mode on FEV1,Acute Exacerbation and Quality of Life in Patients with Stable Chronic Obstructive Pulmonary Disease

【目的】探讨基于“互联网+”的健康管理模式对慢性阻塞性肺疾病(COPD)稳定期患者第1秒用力肺活量(FEV1)、急性加重次数及生活质量的影响。【方法】选取2019年1月至2020年4月在本院诊治的106例COPD稳定期患者,按照随机数表法分成观察组和对照组,每组53例。对照组给予常规管理,观察组在对照组上实施基于“互联网+”的健康管理模式。比较两组自我管理能力、肺功能指标、急性加重次数及生活质量。【结果】管理6个月后,两组COPD患者自我管理量表(CSMS)各维度评分及FEV1、FEV1/用力肺活量(FVC)与管理前均增高(P<0.05),且观察组高于对照组(P<0.05);两组圣乔治呼吸问卷(SGRQ)评分低于管理前(P<0.05),且观察组低于对照组(P<0.05);观察组管理期间急性加重次数少于对照组(P<0.05)。【结论】对COPD稳定期患者实施基于“互联网+”的健康管理模式,可明显增强患者自我管理能力,显著改善肺功能及生活质量,有效减少急性加重次数,值得临床推广应用。

【Objective】To explore the influences of"Internet plus"health management mode on the forced expiratory volume in one second(FEVl),the frequency of acute exacerbation and the quality of life in patients with stable chronic obstructive pulmonary disease(COPD).【Methods】A total of 106 patients with stable COPD in our hospital from January 2019 to April 2020 were selected and randomly divided into control group and study group.The former 53 cases were given routine management,the latter 53 cases implemented the health management mode based on the Internet plus in routine management.The self-management ability,pulmonary function index,times of acute exacerbation and quality of life were compared between the two groups.【Results】After 6 months of management,the scores of COPD Self-Management Scale(CSMS)and FEV1,FEV1/forced vital capacity(FVC)of COPD patients in the two groups were higher than those before management(P,<0.05),and those in the study group were higher than those in the control group(P<0.05),the St.George's Respiratory Questionnaire(SGRQ)score of the two groups was lower than before management(P<0.05),and that in the study group was lower than that in the control group(P<0.05);the number of acute exacerbations in the study group was less than that in the control group(P〈0.05).【Conclusion】The implementation of"Internet plus"health management mode in patients with stable COPD can significantly enhance the self-management ability of patients,significantly improve lung function and quality of life,and effectively reduce the number of acute exacerbations.