病友会在社区稳定期慢阻肺患者管理中的应用效果

The Application Effect of Wardmate Meeting in the Management of COPD Patients in Stable Phase

目的探讨病友会活动在社区稳定期慢性阻塞性肺疾病(COPD)患者管理中的应用效果。方法随机选取本社区管辖内的92例稳定期COPD患者,随机分为病友会组(46例)和常规组(46例),两组患者均实施常规社区慢性病管理,病友会组患者在常规社区慢性病管理的基础上每月进行1次病友会活动,两组患者管理持续时间为半年。比较两组患者管理前后的肺功能综合评估结果、6-MWD值和半年内急性加重次数,并在管理结束后调查比较两组患者对管理的满意度及病友会组患者对参加病友会活动的满意度。结果管理前,两组患者的肺功能综合评估结果和6-MWD值差异不显著(P>0.05)。管理半年后,常规组患者的肺功能综合评估结果稍优于管理前,但差异无统计学意义(P>0.05);常规组患者的6-MWD稍高于管理前,但差异无统计学意义(P>0.05);病友会组患者的肺功能综合评估结果明显优于管理前及常规组,差异有统计学意义(P<0.05);病友会组患者的6-MWD明显高于管理前及常规组,差异有统计学意义(P<0.05)。常规组患者半年内平均急性加重次数明显高于病友会组次数(P<0.05)。病友会组患者对管理的满意度明显高于常规组患者(P<0.05)。结论在社区稳定期COPD患者管理中开展病友会活动能有效改善稳定期COPD患者的肺功能、缓解其临床症状并减少其急性加重次数,具有极好的效果,这一活动应当推广到各社区卫生服务中心COPD患者的管理中。

OBJECTIVE To explore the application effects of ward mate meeting activities in the management of COPD patients in stable phase. METHODS 92 patients within the jurisdiction of the community with stable COPD were randomly selected. They were randomly divided into ward mate meeting group(46 cases) and routine group(46 cases). Two groups of patients were given routine management of community chronic disease. On the basis of routine management,the patients in the ward mate meeting group hold 1 ward-mate meeting per month. The two groups of patients manage time lasted for half a year. Pulmonary function comprehensive evaluation results and 6-MWD value before and after management and the times of acute exacerbation within 6 months of two groups patients were compared. After management, the patients satisfaction of two groups were investigated and compared. RESULTS Before manage-ment, the pulmonary function comprehensive evaluation result and 6-MWD of the two groups were not significant(P>0.05).After management, the comprehensive evaluation results of pulmonary function in patients with routine group were slightly better than that of former management. The 6-MWD of patients in the routine group were slightly higher than that of former management. But the differences were not statistically significant(P>0.05).The pulmonary function comprehensive evaluation result of patients in the ward-mate meeting group was obviously better than that of former management and routine group. The 6-MWD of patients in the ward mate meeting group were significantly higher than that of former management and routine group. Within 6 months, the times of acute exacerbation in patients with routine group were significantly higher than that of patients in the ward mate meeting group. Management satisfaction of patients in the ward mate meeting group was significantly higher than that of routine group patients. The differences were statistically significant(P<0.05). CONCLUSION Ward mate meeting activities in the management of community COPD patients on stable stage could effectively improve the pulmonary function, relieve the clinical symptoms and reduce the frequency of acute exacerbation. The activity had excellent effect, which should be extended to the community health service center in the management of COPD patients.