医护一体化模式对慢性阻塞性肺疾病患者肺功能及生存质量的影响

Effects of integrated medical care model on lung function and life quality in patients with chronic obstructive pulmonary disease

目的 探讨医护一体化模式对慢性阻塞性肺疾病(COPD)患者肺功能及生存质量的干预效果。方法 选取2020年3-12月期间入住东阿县人民医院呼吸内科的COPD患者80例为研究对象,采取随机分组的方法将患者分为对照组和干预组,各40例。干预组患者采用医护一体化的管理模式干预,并且在患者出院后对其进行随访和跟踪指导,对照组患者采用常规护理模式干预,比较2组患者入院时、出院时及出院后3个月的肺功能指标、生存质量[圣·乔治呼吸问卷(SGRQ)]指标。结果 出院时、出院后3个月干预组的第1秒用力呼气容积(FEV_(1))、第1秒用力呼气容积与用力肺活量比值(FEV_(1)/FVC)、第1秒用力呼气容积占预计值的百分比(FEV_(1)%Pred)均高于对照组,差异有统计学意义(P<0.05);出院时、出院后3个月干预组患者的SGRQ症状分、影响分、活动分与总分均低于对照组,差异有统计学意义(P<0.05)。结论 COPD患者采用医护一体化管理模式干预,能有效延缓肺功能恶化,减轻呼吸困难症状,增强活动耐力,提高生存质量。

Objective To explore the intervention effect of integrated medical care model on lung function and life quality in patients with chronic obstructive pulmonary disease(COPD).MethodsA total of 80 COPD patientsadmited to the Respiratory Department of Dong'eCounty People's Hospital from March 2020 to December 2020 were randomly divided into control group and intervention group.Patients in the intervention group were treated with the integrated management model of medical care,followed up and guided after discharge.While patients in the control group received conventional nursing mode.Lung function indexes and quality of life(SCRQ)indexes of patients in the two groups were compared at admission,discharge and three months after discharge.Results The first second forced expiratory volume(FEV_(1)),the ratio of the first second forced expiratory volume to forced vital capacity(FEV_(1)/FVC)and the percentage of the first second forced expiratory volume in the predicted value(FEV_(1)%Pred)in the intervention group were higher than those in the control group(P<0.05),the differences were statistically significant.The symptom score,influence score,activity score and total score of SGRQ in the intervention group were lower than those in the control group(P<0.05),the differences were statistically significant.ConclusionThe integrated mode of medical care can effectively delay the deterioration of pulmonary function in patients with obstructive pulmonary disease,effectively relieve the symptoms of dyspnea in patientswith COPD,reduce the degree of disease influence,enhance activity endurance,and improve the quality of life of patients.