论文部分内容阅读
目的探讨健康管理对慢性阻塞性肺疾病(COPD)患者脆弱性改变的效果。方法对325例COPD患者定期进行健康管理,内容包括:COPD疾病的病因、诱发因素、病程特点的教育,康复锻炼、氧疗、营养、药物治疗、戒烟方法的指导与教授,时间为1年;评估健康管理前后患者脆弱性的改变。结果健康管理前患者对自我生存质量评价得分为(2.89±0.57)分,而健康管理后患者对自我生存质量评价得分为(2.13±0.60)分,差异有统计学意义(P<0.05);健康管理后COPD患者后对COPD疾病的认知程度明显高于干预前(P<0.05);吸烟人数由干预前155例减少为干预后的77例,行炊人数由干预前135例减少为干预后的54例,规律使用氨茶碱人数由干预前0例增加为干预后的215例,使用流感疫苗人数由干预前57例增加为干预后的281例,使用免疫球蛋白人数由干预前19例增加为干预后的171例,感冒次数由干预前的(6.17±1.25)次减少为干预后的(1.78±0.65)次,急性发作次数由干预前的(2.49±1.36)次减少为干预后的(0.69±0.28)次。结论对COPD患者实施健康管理可提高患者应对COPD的能力,也是改善患者生存质量的有效措施。
Objective To investigate the effect of health management on the changes of vulnerability in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 325 patients with chronic obstructive pulmonary disease (COPD) underwent health management on a regular basis, including: etiology, predisposing factors, education of disease course, rehabilitation exercise, oxygen therapy, nutrition, drug therapy and smoking cessation methods. Assess changes in patient vulnerability before and after health management. Results The score of self-quality of life before health management was (2.89 ± 0.57), while the score of health self-management was (2.13 ± 0.60) points, the difference was statistically significant (P <0.05) The COPD patients after the management of COPD disease awareness was significantly higher than before intervention (P <0.05); number of smokers decreased from 155 before intervention to intervention after 77 cases, the number of cooking from 135 before intervention reduced to intervention Of the 54 cases, the regular use of aminophylline increased from 0 before intervention to 215 after intervention, the number of flu vaccines increased from 57 before intervention to 281 after intervention, the number of immunoglobulin from 19 before intervention 171 cases were increased, the number of cold was reduced from 6.17 ± 1.25 before intervention to 1.78 ± 0.65 after intervention, and the number of acute attacks was decreased from 2.49 ± 1.36 before intervention to (0.69 ± 0.28) times. Conclusion The management of COPD patients with health management can improve the ability of patients coping with COPD, but also improve the quality of life of patients with effective measures.