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目的探讨社区管理对中老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者生活质量的影响。方法选取社区中老年慢性阻塞性肺疾病稳定期患者108例,随机分为实验组和对照组各54例,实验组给予全方位的社区管理措施,而对照组患者实施常规护理,观察并比较两组患者的心理状况、肺功能指标、COPD急性发作情况以及生活质量等指标。结果实验组患者社区管理后心理状态及肺功能指标显著优于对照组,差异均有统计学意义(P<0.05)。实验组患者社区管理后躯体功能、心理功能、社会功能以及物质功能评分显著高于对照组,差异均有统计学意义(P<0.05)。实验组患者社区管理后COPD急性发作次数≤1次/年例数(39例)显著多于对照组(22例),差异具有统计学意义(χ2=10.887,P=0001)。结论对中老年慢性阻塞性肺疾病患者进行全方面的社区管理,能有效改善患者心理状态和肺功能,并有助于COPD急性发作的控制,从而进一步提高患者的生活质量。
Objective To explore the impact of community management on the quality of life of patients with chronic obstructive pulmonary disease (COPD). Methods A total of 108 patients with stable chronic obstructive pulmonary disease in community were enrolled in the study. They were randomly divided into experimental group and control group with 54 cases each. The experimental group was given comprehensive community management measures while the control group patients were given routine nursing. Group of patients with psychological status, lung function indicators, acute exacerbation of COPD and quality of life and other indicators. Results The psychological status and pulmonary function of community-managed patients in the experimental group were significantly better than those in the control group, with significant differences (P <0.05). The physical, psychological, social and physical function scores of community management in experimental group were significantly higher than those in control group (P <0.05). The number of acute exacerbations of COPD in the experimental group was significantly less than 1 case / year (39 cases) and the difference was statistically significant (χ2 = 10.887, P = 0001). Conclusion The comprehensive community management of patients with chronic obstructive pulmonary disease in middle-aged and elderly patients can effectively improve their psychological status and lung function, and help control the acute exacerbation of COPD, thus further improving their quality of life.