慢性阻塞性肺疾病患者社区管理的实践效果研究

Practical Effect Research on Community Management of Patients with Chronic Obstructive Pulmonary Disease

目的:分析慢性阻塞性肺疾病患者社区管理的实践效果。方法:选取2019年5月-2021年4月在北太平庄社区卫生服务中心收治的96例慢性阻塞性肺疾病患者为研究对象,依据管理方式不同分为两组,各48例。管理一组采用社区管理,管理二组采用常规管理,比较两组患者的肺功能指标、生活质量及临床疗效。结果:管理前,两组用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、最大呼气流量(PEF)水平比较,差异无统计学意义(P>0.05);管理后,管理一组FVC、FEV1、PEF水平均高于管理二组,差异有统计学意义(P<0.05)。管理前,两组焦虑情绪、抑郁情绪、精神状态、食欲、睡眠、生活能力评分比较,差异无统计学意义(P>0.05);管理后,管理一组焦虑情绪、抑郁情绪评分低于管理二组,精神状态、食欲、睡眠、生活能力评分高于管理二组,差异有统计学意义(P<0.05)。管理一组总有效率高于管理二组,差异有统计学意义(P<0.05)。结论:慢性阻塞性肺疾病患者社区管理的实践效果理想,值得予以推广。

Objective:To analyze the practical effect of community management of patients with chronic obstructive pulmonary disease.Methods:A total of 96 patients with chronic obstructive pulmonary disease treated in Beitaipingzhuang Community Health Service Center from May 2019 to April 2021 were selected as the study subjects.They were divided into two groups according to different management methods,with 48 cases in each group.The first management group adopted community management,and the second management group adopted routine management.The lung function indexes,quality of life and clinical efficacy in the two groups were compared.Results:Before management,there were no significant differences in the levels of forced vital capacity(FVC),forced expiratory volume in the first second(FEV1) and peak expiratory flow(PEF) between the two groups(P>0.05).After management,the levels of FVC,FEV1and PEF in first management group were higher than those in the second management group,and the differences were statistically significant(P<0.05).Before management,there were no significant differences in the scores of anxiety,depression,mental state,appetite,sleep,and living ability between the two groups(P>0.05).After management,the scores of anxiety and depression in the first management group were lower than those in the second management group,and the scores of mental state,appetite,sleep and living ability in the first management group were higher than those in the second management group,and the differences were statistically significant(P<0.05).The total effective rate in the first management group was higher than that in the second management group,and the difference was statistically significant(P<0.05).Conclusion:The practical effect of community management of patients with chronic obstructive pulmonary disease is ideal,which is worth popularizing.