药学服务、运动锻炼联合生物节律干预社区慢性阻塞性肺疾病的效果  

The effect of pharmacy care,exercise and biorhythm intervention in community on chronic obstructive pulmonary disease

作　　者：卞蓉民 方宗君[1] 陈虹[1] 祝娅[1] 杨容[1] BIAN Rongmin;FANG Zongjun;CHEN Hong(Changjiang Road Community Health Service Center,Zhangmiao Street,Bavshan District,Shanghai 200431,China)

机构地区：[1]上海市宝山区张庙街道长江路社区卫生服务中心,200431

出　　处：《临床合理用药杂志》2020年第31期7-9,12,共4页Chinese Journal of Clinical Rational Drug Use

基　　金：上海市宝山区科学技术发展基金项目(No:16-E-50)。

摘　　要：目的观察药学服务、运动锻炼联合生物节律干预社区慢性阻塞性肺疾病(COPD)的效果及卫生经济学效应。方法选择2017年9月1日-2018年8月30日于上海市宝山区张庙街道长江路社区卫生服务中心确诊的COPD稳定期患者140例,采用随机数字表法分为干预组和对照组各70例。对照组采用系列药学服务和运动锻炼措施,干预组在对照组的基础上联合顺应四季生物节律(BR)的日常生活行为干预。比较2组干预前后效果及费用成本。结果干预后,2组症状、体征评分、体质指数(BMI)、1 s用力呼吸容积(FEV1)占预计值百分比、6 min步行距离(6MWD)、稳定期用药种类、年就诊数、年度医药费用、COPD患者生活质量评估测试(CAT)评分及一般自我效能感量表评分均优于治疗前,且干预组优于对照组(P<0.05)。结论药学服务、运动锻炼联合BR干预社区COPD的效果较好,具有良好成本效果的卫生经济学效应。Objective To observe the effects of pharmacy,exercise and biorhythm intervention in community chronic obstructive pulmonary disease(COPD)and health economics.Methods Selected 140 patients with stable COPD who were diagnosed at Changjiang Road Community Health Service Center,Zhangmiao Street,Baoshan District,Shanghai from September 1,2017 to August 30,2018.Using random number table method,they were divided into intervention group and control group each of 70 cases.The control group adopted a series of pharmacy services and exercise measures,and the intervention group was combined on the basis of the control group with daily life behavior intervention that conformed to the four-season biological rhythm(BR).Compared the effects and costs of the two groups before and after intervention.Results After the intervention,the 2 groups of symptoms,signs scores,body mass index(BMI),FEV1 as a percentage of the expected value,6 min walking distance(6 MWD),types of medications used in the stable period,number of visits per year,annual medical expenses,COPD the CAT scores and general self-efficacy scale scores of patients were better than those before treatment,and the intervention group was better than the control group(P<0.05).Conclusion Pharmaceutical care,exercise and exercise combined with BR are effective in intervening COPD in the community,and have a good cost-effective health economics effect.

关 键 词：社区 慢性阻塞性肺疾病 卫生经济学 效应 

分 类 号：R563.9[医药卫生—呼吸系统] R969[医药卫生—内科学]