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目的探讨一体化管理模式对慢性阻塞性肺疾病急性加重期(AECOPD)的影响。方法医院呼吸内科2015年9月-2016年5月间实施一般管理模式,随机选取此阶段科室接收AECOPD患者150例作为普通组,于2016年6月-2017年2月科室实施一体化管理模式,随机选取150例AECOPD患者作为干预组,评价2组临床疗效,患者对管理服务的满意度,评价患者生活质量。结果干预组总有效率为86.00%高于普通组的54.00%,差异有统计学意义(χ~2=24.381,P<0.01)。干预组患者对管理服务的满意度为89.33%高于普通组的66.00%,差异有统计学意义(χ~2=15.689,P<0.01)。干预组患者经管理干预后生活质量指标评分均高于普通组,差异有统计学意义(P<0.01)。结论临床为AECOPD患者实施一体化管理模式,可有效提高患者生活质量,大部分患者主诉对临床管理服务感到满意,且干预后病情恢复较好。
Objective To explore the effect of integrated management on acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods A total of 150 cases of AECOPD were randomly selected as the common group in the Department of Respiratory Medicine from September 2015 to May 2016 in the department of respiratory medicine in the hospital. From June 2016 to February 2017, the department implemented the integrated management mode, 150 AECOPD patients were randomly selected as the intervention group to evaluate the clinical efficacy of the two groups, the satisfaction of the patients with management services and the quality of life of the patients. Results The total effective rate in the intervention group was 86.00%, which was higher than that in the general group (54.00%), the difference was statistically significant (χ ~ 2 = 24.381, P <0.01). The satisfaction rate of the management service in the intervention group was 89.33% higher than that in the general group (66.00%), the difference was statistically significant (χ ~ 2 = 15.689, P <0.01). The scores of quality of life index of intervention group were higher than that of general group after management intervention, the difference was statistically significant (P <0.01). Conclusion The clinical management of AECOPD in patients with integrated management mode, which can effectively improve the quality of life of patients, most patients complained of clinical management services are satisfied, and better recovery after intervention.