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目的观察建立互助平台对慢性阻塞性肺疾病(COPD)患者的生理和心理的治疗价值。方法选择200例COPD患者随机分成2组,观察组100例为建立互助平台组,由呼吸科医师、心理科医师、专科护士和社区医疗工作者共同组织医疗帮助服务团体,通过通信技术和上门服务义务为COPD患者提供医疗指导、心理疏通、康复锻炼,同时患者之间也通过信息技术和交流活动形成一个团队互相联系。对照组100例为非互助平台组,由护士进行电话随访。观察期12个月,观察症状自评量表(SCL-90)的评分和急诊就诊人次数和住院人次数以及肺功能的变化。结果观察组患者较对照组患者SCL-90评分明显改善(P<0.05);急诊就诊人次数和住院人次数较对照组明显降低(P<0.05)。结论建立互助平台对COPD患者的生理和心理状态都有显著改善,使急诊就诊人次数和住院人次数显著降低,降低了医疗费用。
Objective To observe the physical and psychological therapeutic value of establishing a mutual aid platform for patients with chronic obstructive pulmonary disease (COPD). Methods A total of 200 patients with COPD were randomly divided into two groups. One hundred patients in the observation group were set up as a mutual aid platform group. The medical help service groups were organized by respiratory physicians, psychiatrists, specialist nurses and community health workers. Through communication technology and on-site service Voluntary COPD patients with medical guidance, psychological counseling, rehabilitation exercise, but also through the exchange of information between patients and the formation of a team to communicate with each other. The control group of 100 patients were non-mutual platform group, followed by telephone nurses. The observation period was 12 months. The score of SCL-90, the number of emergency attendants, the number of hospitalizations and the changes of lung function were observed. Results The score of SCL-90 in observation group was significantly higher than that in control group (P <0.05). The number of emergency visits and hospitalization were significantly lower than those in control group (P <0.05). Conclusion The establishment of a mutual aid platform has significantly improved the physiological and psychological status of patients with COPD, significantly reduced the number of emergency visits and hospitalizations, and reduced the medical expenses.