摘要
目的探讨“链式+个案管理优势模式”在老年慢性阻塞性肺疾病康复中的应用效果。方法便利抽样选取2021年1月至7月湖北省宜昌市第一人民医院呼吸与危重症医学科老年慢性阻塞性肺疾病患者85例,按患者入住先后顺序分为对照组(42例)、试验组(43例)。对照组给予常规管理,试验组在对照组基础上实施“链式+个案管理优势模式”管理。通过肺功能、自我评估测试量表(CAT)、广泛性焦虑量表-7(GAD-7)比较两组干预前和干预后1、2个月肺功能、生活质量、焦虑状况及肺康复依从性。结果整体分析发现:肺功能、CAT、CAD-7评分组间比较、时间点比较及交互作用比较,差异均有统计学意义(P<0.05)。进一步两两比较发现:两组组内各时间点肺功能、CAT、GAD-7评分比较,差异均有统计学意义(P<0.05),且干预后2个月,试验组第1秒用力呼气容积、第1秒用力呼气容积/用力肺活量高于对照组,CAT、GAD-7评分低于对照组(P<0.05)。试验组肺康复依从性优于对照组(P<0.05)。结论应用“链式+个案管理优势模式”实施肺康复管理,可改善老年慢性阻塞性肺疾病患者肺功能指标、生活质量及焦虑,提高肺康复依从性。
Objective To explore application effect of“chain+strengths mode of case management”in rehabilitation of elderly patients with chronic obstructive pulmonary disease.Methods A total of 85 elderly patients with chronic obstructive pulmonary disease were selected from the Department of Respiratory and Critical Care Medicine of the First People’s Hospital of Yichang,Hubei Province from January to July 2021.Patients were divided into control group(42 cases)and experimental group(43 cases)according to the order of arrival of patients.The control group was given routine management,and the experimental group was administered“chain+strengths mode of case management”on the basis of the control group.Pulmonary function,quality of life,anxiety status were compared between the two groups before intervention,and 1 and 2 months after intervention by pulmonary function index,self-assessment test(CAT)questionnaire and 7-items generalized anxiety disorder scale(GAD-7)and pulmonary rehabilitation compliance.Results There were statistically significant differences pulmonary function,CAT,GAD-7 scores between groups,time points comparison and interaction(P<0.05).Further pair-wise comparison showed that there were statistically significant differences in lung function,CAT,and GAD-7 scores between the two groups at each time points(P<0.05),and after two months intervention,forced expiratory volume in one second,forced expiratory volume in one second/forced vital capacity of the experimental group were higher than thlse of the control group,and the CAT and GAD-7 scores were lower than those of the control group(P<0.05).The compliance of pulmonary rehabilitation in experimental group was better than that in control group(P<0.05).Conclusion The application of“chain+strengths mode of case management”in pulmonary rehabilitation management can improve pulmonary function indicators, quality of life and anxiety in elderly patients with chronic obstructive pulmonary disease, and improve the patients’ pulmonary rehabilitation compliance.
作者
包延乔
李晓娟
王非凡
BAO Yanqiao;LI Xiaojuan;WANG Feifan(Department of Respiratory and Critical Care Medicine,the First People’s Hospital of Yichang,Hubei Province,Yichang443000,China;Department of Nursing,the First People’s Hospital of Yichang,Hubei Province,Yichang443000,China)
出处
《中国医药导报》
CAS
2023年第27期166-170,共5页
China Medical Herald
基金
湖北省教育厅哲学社会科学研究项目(20Y025)。
关键词
链式管理
个案管理优势模式
慢性阻塞性肺疾病
康复
Chain management
Strengths mode of case management
Chronic obstructive pulmonary disease
Rehabilitation
