摘要
目的研究医院家庭联动管理模式在煤工尘肺合并慢性阻塞性肺疾病(COPD)稳定期的应用效果。方法选取2018年1月—2019年6月北京市东城区第一人民医院收治的病情好转出院的120例煤工尘肺合并COPD稳定期患者,随机分为对照组和研究组各60例。对照组采用常规管理模式,研究组采用基于网络平台的医院家庭联动管理模式,比较2组治疗效果。结果出院6个月后,研究组肺功能指标[第1 s用力呼气容积量(FEV1)、第1 s用力呼气容积占用力肺活量百分比(FEV1/FVC)、每分钟静息通气量(VE)]和6min步行试验(6MWD)分别为(1.64±0.08)L、(67.39±5.83)%、(12.75±1.42)L/min、(516.35±35.62)m,对照组分别为(1.60±0.11)L、(63.27±5.75)%、(12.21±1.31)L/min、(481.26±37.51)m。研究组自我管理能力各项评分分别为33.64±4.28、40.39±4.83、36.16±5.52、45.72±5.81、38.72±5.43,圣乔治呼吸问卷(SGRQ)各项评分分别为45.76±4.36、38.78±5.29、42.89±5.53;对照组自我管理能力各项评分分别为27.60±4.11、34.27±4.75、31.39±5.61、40.26±5.93、33.26±5.57,SGRQ各项评分分别为58.38±5.57、49.53±6.51、51.35±6.32,差异均有统计学意义(均P<0.05)。研究组急性加重次数、住院次数及急诊就诊次数分别为(0.71±0.43)、(0.58±0.26)、(0.27±0.13)次,对照组分别为(1.16±0.51)、(0.94±0.39)、(0.65±0.32)次,差异均有统计学意义(均P<0.05)。结论基于网络平台的医院家庭联动管理模式用于煤工尘肺合并COPD稳定期治疗能够有效提高患者自我管理能力,改善肺功能和运动能力,缓解临床症状,减少急性加重发生率,提高生活质量。
Objective To study the application effect of hospital family linkage management mode in stable period of coal worker’s pneumoconiosis complicated with chronic obstructive pulmonary disease(COPD).Methods Totally 120 patients of coal worker’s pneumoconiosis complicated with COPD in stable period,who were discharged from Beijing Dongcheng First people’s Hospital from January 2018 to June 2019,were selected and randomly divided into the control group and the study group,60 cases in each group. The control group adopted the conventional management mode,and the study group adopted the hospital family linkage management mode based on network platform. The difference in application effect between the two groups was compared. Results Six months after discharge,the lung function indexes of forced expiratory volume in the first second(FEV1),the ration of FEV1 to forced vital capacity(FEV1/FVC),minute ventilation at rest(VE) and 6-minute walk test(6 MWD) in the study group were(1.64±0.08)L,(67.39±5.83)%,(12.75±1.42)L/min and(516.35±35.62)m,while those in the control group were(1.60±0.11)L,(63.27±5.75)%,(12.21 ±1.31)L/min and(481.26 ±37.51)m. The scores of self-management ability in the study group were 33.64 ±4.28,40.39±4.83,36.16±5.52,45.72±5.81 and 38.72±5.43,and the scores of St George’s respiratory questionnaire(SGRQ) were45.76±4.36,38.78±5.29 and 42.89±5.53,while the scores of self-management ability in the control group were 27.60±4.11,34.27±4.75,31.39 ±5.61,40.26 ±5.93 and 33.26 ±5.57,and the scores of SGRQ were 58.38 ±5.57,49.53 ±6.51 and 51.35 ±6.32,and the differences were all statistically significant(all P<0.05). The number of acute exacerbations,hospitalization and emergency visits in the study group was respectively(0.71±0.43),(0.58±0.26) and(0.27±0.13) times,while those in the control group was respectively(1.16±0.51),(0.94±0.39) and(0.65±0.32) times,and the differences were all statistically significant(all P<0.05). Conclusion The hospital family linkage management mode based on network platform using in stable period of coal worker’s pneumoconiosis complicated with COPD can effectively improve patients’ self-management ability,improve lung function and exercise ability,alleviate clinical symptoms,reduce the incidence of acute exacerbation,and improve the quality of life.
作者
李春雨
田园
李国勤
LI Chun-yu;TIAN Yuan;LI Guo-qin(Respiratory Department,First people’s Hospital of Dongcheng District,Beijing,100015,China;Respiratory Department,Guang'anmen Hospital.Chinese Academy of Traditional Chinese Medicine,Beijing,100015,China)
出处
《职业与健康》
CAS
2021年第10期1306-1310,共5页
Occupation and Health
基金
北京市东城区第一人民医院青蓝基金项目(东一研[2018]-14)。
关键词
煤工尘肺
慢性阻塞性肺疾病
稳定期
管理模式
生活质量
Coal worker’s pneumoconiosis
Chronic obstructive pulmonary disease
Stable period
Management mode
Quality of life
