以家庭为中心的慢病管理对COPD患者自我管理的影响分析  

Influence of Family Centered Chronic Disease Management on Selfmanagement of COPD Patients

作　　者：吴纯刚[1] WU Chungang(Department of Respiratory and Critical Care,The First People's Hospital of Changde City,Changde Hu’nan 415003,China)

机构地区：[1]湖南省常德市第一人民医院呼吸与危重症科,湖南常德415003

出　　处：《中国卫生标准管理》2020年第15期29-31,共3页China Health Standard Management

摘　　要：目的探讨以家庭为中心的慢病管理对COPD患者自我管理的影响分析。方法将2017年7月—2019年7月在我院呼吸内科治疗的55例COPD患者随机分为两组,对照组使用常规慢病管理,观察组使用以家庭为中心的慢病管理,对比两组的自我管理能力变化、SGRQ评分变化、生活质量及运动能力变化。结果观察组管理后情绪管理、症状管理、信息管理、日常生活管理、自我效能管理、自我管理能力总分均高于对照组(P <0.05);观察组管理后疾病影响、活动受限、呼吸症状、SGRQ总分均低于对照组(P <0.05);观察组管理后日常生活能力、社会生活、焦虑、抑郁等COPD-QOL评分低于对照组,而6MWT长于对照组(P <0.05)。结论以家庭为中心的慢病管理对COPD患者自我管理有积极的影响,能有效提升自我管理能力,提高生活质量,改善心理状态,增强运动耐受能力,具有积极的临床意义。Objective To explore the influence of family-centered chronic disease management on self-management of COPD patients.Methods 55 patients with COPD who were treated in the department of respiratory medicine of our hospital from July 2017 to July 2019 were randomly divided into two groups.The control group was treated with conventional chronic disease management,and the observation group was treated with family-centered chronic disease management.Changes in selfmanagement ability,SGRQ score,quality of life and motor ability of the two groups were compared.Results After management,the total scores of emotion management,symptom management,information management,daily life management,self-efficacy management and self-management ability in the observation group were significantly higher than those in the control group(P<0.05).After management,the disease effect,activity limitation,respiratory symptoms and SGRQ score of the observation group were significantly lower than that of the control group(P<0.05).After management,the daily life ability,social life,anxiety,depression and other COPD-QOL scores in the observation group were significantly lower than those in the control group,while 6MWT scores were significantly higher than those in the control grou p(P<0.05).Conclusion The family-centered chronic disease management has a positive impact on the self-management of COPD patients,can effectively improve the self-management ability,improve the quality of life,improve the psychological state,enhance the ability to exercise tolerance,has a positive clinical significance.

关 键 词：COPD 以家庭为中心 慢病管理 自我管理能力 生活质量 运动能力 

分 类 号：R563[医药卫生—呼吸系统]