摘要
目的探讨远程肺康复管理在COPD患者中的应用效果。方法采用便利抽样法,选择2017年5月-2019年5月在郑州大学第一附属医院呼吸科门诊就诊的COPD患者114例,随机分为对照组和观察组各57例,分别采用常规肺康复管理和远程肺康复管理,管理期1年。比较两组COPD自我管理能力、BODE指数、年平均入院率的差异。结果干预后观察组患者自我管理得分及总分高于对照组,差异有统计学意义(P<0.01);观察组干预后自我管理各维度得分及总分高于干预前,差异有统计学意义(P<0.05)。干预后观察组第1秒用力肺活量占预计值百分比和6 min步行距离高于对照组,呼吸困难评分和BODE指数低于对照组,差异有统计学意义(P<0.05);观察组干预前后第1秒用力肺活量占预计值百分比、6 min步行距离、呼吸困难评分及BODE指数差异均有统计学意义(P<0.05)。观察组和对照组年平均入院率分别为5.41%和9.06%,观察组年平均入院率低于对照组,差异有统计学意义(χ^(2)=6.806,P=0.009)。结论远程肺康复管理可以提高COPD患者的自我管理能力,改善肺功能及减少患者入院率,值得临床推广。
Objective To explore the effect of remote pulmonary rehabilitation management in chronic obstructive pulmonary disease(COPD)patients.Methods From May 2017 to May 2019,convenience sampling was used to select 114 COPD outpatients in the Respiratory Department of the First Affiliated Hospital of Zhengzhou University.All patients were randomly divided into control group(n=57)using conventional pulmonary rehabilitation management and observation group(n=57)using remote pulmonary rehabilitation management,respectively,and the management period was one year.We compared the differences in COPD self-management ability,body mass index,airflow obstruction,dyspnea,exercise capacity(BODE)index,and average annual hospital admission rate between the two groups.Results After intervention,the scores and the total score of self-management of observation group were higher than those of control group,and the differences were statistically significant(P<0.01).The dimension scores and the total score of self-management of observation group after the intervention were higher than those before intervention,and the differences were statistically significant(P<0.05).After intervention,the observation group's percentage of forced vital capacity in the first second to predicted value and the 6 minutes walking distance were higher than those of control group,and the dyspnea score and BODE index were lower than those of control group,and the differences were statistically significant(P<0.05).The average annual admission rate of the observation group and the control group were 5.41%and 9.06%,respectively.The average annual hospital admission rate of observation group was lower than that of control group,and the difference was statistically significant(χ2=6.806,P=0.009).Conclusions Remote pulmonary rehabilitation management can improve the self-management ability of COPD patients,improve pulmonary function and reduce the admission rate of patients,which is worthy of clinical promotion.
作者
王洋
底瑞青
周纪妹
张延藏
刘卫萍
党晶芸
Wang Yang;Di Ruiqing;Zhou Jimei;Zhang Yancang;Liu Weiping;Dang Jingyun(Department of Intervention,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Nursing Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Comprehensive Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华现代护理杂志》
2021年第15期2073-2078,共6页
Chinese Journal of Modern Nursing
关键词
肺疾病
慢性阻塞性
远程医疗
肺康复
自我管理能力
肺功能
Pulmonary disease,chronic obstructive
Telemedicine
Pulmonary rehabilitation
Self-management ability
Pulmonary function
