“5个时刻法”在慢性阻塞性肺疾病患者药物治疗管理中的应用效果  

Application effect of the "five moments method" in the pharmacotherapy management of patients with chronic obstructive pulmonary disease

作　　者：谢小敏 赵焕 张焱梅 曹静[1] 於雯雯 吴静静 杨美娟 XIE Xiao-min;ZHAO Huan;ZHANG Yan-mei;CAO Jing;YU Wen-wen;WU Jing-jing;YANG Mei-juan(Department of Respiratory Medicine,Affiliated Nantong Hospital of Shanghai University,Nantong 226000,Jiangsu,China)

机构地区：[1]上海大学附属南通医院呼吸科,江苏省南通市226000

出　　处：《广西医学》2022年第14期1578-1582,共5页Guangxi Medical Journal

基　　金：江苏省南通市市级科技计划(MSZ18084)

摘　　要：目的 探讨“5个时刻法”应用于慢性阻塞性肺疾病(COPD)患者药物治疗管理的效果。方法 将120例COPD患者随机分为观察组和对照组各60例。对照组给予COPD常规护理,观察组采用“5个时刻法”进行护理,连续干预6个月。采用8条目Morisky药物依从性量表(MMAS-8)评估两组干预前后的用药依从性。比较两组患者干预期间的复诊率和再住院率,以及干预前后COPD评估测试(CAT)量表和生活质量评估量表(QOLAS)评分。结果 干预6个月后,两组患者MMAS-8评分、QOLAS各领域评分均较干预前提高,且观察组评分高于对照组;两组患者CAT评分较干预前降低,且观察组评分低于对照组(均P<0.05)。观察组复诊率为83.33%(50/60),高于对照组的58.33%(35/60);观察组再住院率为20.00%(12/60),低于对照组的41.67%(25/60)(均P<0.05)。结论 “5个时刻法”可有效提高COPD患者的服药依从性,进而有效控制疾病进展,同时能提高COPD患者的生活质量,值得临床推广。Objective To explore the effect of the"five moments method"applied to the pharmacotherapy management of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 120 COPD patients were randomly assigned to observation group or control group,with 60 cases in each group.The control group was given COPD routine nursing,while the observation group received nursing by the"five moments method",for a continuous 6-month intervention.The 8-Item Morisky Medication Adherence Scale(MMAS-8)was employed to evaluate the pre-and post-intervention medication compliance.The re-visit rate and re-hospitalization rate during intervention,and the pre-and post-intervention scores of COPD Assessment Test(CAT)scale and Quality of Life Assessment Scale(QOLAS)were compared between the two groups.Results After 6 months of intervention,the patients in both groups obtained increased MMAS-8 score,and QOLAS scores in various fields as compared with before intervention,and the observation group exhibited higher scores in the comparison of the control group;moreover,both groups expressed a decline of CAT score compared to before intervention,and the observation group yielded a lower score as compared with the control group(all P<0.05).The re-visit rate of the observation group was 83.33%(50/60),which was higher than that of the control group(58.33%,35/60);the re-hospitalization rate of the observation group was 20.00%(12/60),which was lower than that of the control group(41.67%,25/60;all P<0.05).Conclusion The"five moments method"can effectively improve the medication compliance of COPD patients,so as to further control the progression of disease,which can simultaneously improve COPD patients′life quality,and be worthy of clinical promotion.

关 键 词：慢性阻塞性肺疾病 5个时刻法 依从性 复诊率 再住院率 生活质量 

分 类 号：R563.9[医药卫生—呼吸系统]