基于慢性病轨迹模式的干预对院外慢性阻塞性肺疾病患者的效果评价

Effect of intervention based on chronic disease trajectory model in COPD patients out-of-hospital

目的探讨基于慢性病轨迹模式的干预对院外慢性阻塞性肺疾病(COPD)患者的应用效果。方法选择2020年6月至2021年6月在东南大学附属中大医院江北院区出院的COPD患者102例为研究对象,采用随机数字表法分为两组,各51例。对照组行常规干预,观察组行基于慢性病轨迹模式的干预。对比两组干预前、干预3个月后肺功能、自我管理能力、健康促进生活方式、生活质量变化。结果干预3个月后,观察组肺功能指标(FEV1和FVC)、自我管理能力总评分、健康促进生活方式总评分均高于对照组,生活质量总评分均低于对照组(均P<0.05)。结论基于慢性病轨迹模式的干预应用于院外COPD患者可改善肺功能及健康促进生活方式,提升自我管理能力及生活质量。

Objective To explore the intervention effect of chronic obstructive pulmonary disease(COPD) patients out of hospital based on chronic disease track model. Methods From June 2020 to June 2021, 102 COPD patients who were discharged from Zhongda Hospital Affiliated to Southeast University(Jiangbei) were selected and divided into two groups by random number table method, with 51 cases in each group. The control group received routine intervention, while the observation group received intervention based on the chronic disease trajectory pattern. The changes in lung function, self-management ability, health-promoting lifestyle and quality of life in the two groups were compared before and after the intervention for three months. Results After three months’ intervention, the total score of pulmonary function indexes(FEV1 and FVC), self-management ability, health promotion and lifestyle in the observation group were higher than those in the control group, and the total score of quality of life was lower than that in the control group(all P<0.05). Conclusions The intervention based on chronic disease trajectory model can improve lung function, promote health lifestyle, enhance self-management ability and quality of life in patients with COPD out of hospital.