综合随访模式在慢性阻塞性肺疾病患者中的应用效果观察  

Effect of comprehensive follow-up mode in patients with chronic obstructive pulmonary disease

作　　者：唐丽安[1] 王自秀[1] 刘剑梅[1] 覃玲玉 覃洁 Tang Li'an;Wang Zixiu;Liu Jianmei;Qin Lingyu;Qin Jie(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院呼吸与危重症医学科,南宁530021

出　　处：《中华现代护理杂志》2022年第29期4093-4097,共5页Chinese Journal of Modern Nursing

基　　金：广西壮族自治区卫生健康委员会科研课题(Z20190952)。

摘　　要：目的:探讨综合随访模式对慢性阻塞性肺疾病(COPD)患者康复效果的影响。方法:采用便利抽样法,选择广西医科大学第一附属医院呼吸与危重症医学科2019年2—6月出院的COPD患者80例,将其随机分为两组,各40例。出院前均进行居家康复方案指导及健康教育,其中综合随访组采用电话联合互联网综合模式随访,对照组采用电话模式随访,随访时间为1年。观察两组患者的肺功能、运动功能、症状评分、生活质量以及依从性和复发情况。结果:出院后1年,综合随访组的用力肺活量占预计值的百分比(FVC%)、第1秒用力呼气容积占预计值的百分比(FEV1%)、6分钟步行距离、生活质量总分(SF-36)和康复依从率均高于对照组,症状评分、急性发作患者例数和复发率均低于对照组,差异均有统计学意义(P<0.05)。结论:综合随访模式能有效降低COPD出院患者1年复发率,促进患者呼吸及运动功能康复,提高依从性和生活质量,效果较好。Objective To explore the effect of comprehensive follow-up mode in patients with chronic obstructive pulmonary disease(COPD).Methods From February to June 2019,a total of 80 COPD patients in The First Affiliated Hospital of Guangxi Medical University were enrolled and divided into the control group and the comprehensive follow-up group(40 cases in each group).All patients were given home rehabilitation program guidance and health education.The control group was followed up using telephone,while the comprehensive follow-up group were followed up by telephone combined with Internet which lasted for one year.The differences of pulmonary function,motor function,compliance and recurrence between the two groups were compared.Results One year after discharge,percentage of forced vital capacity to the predicted value(FVC%),percentage of forced expiratory volume in one second to the predicted value(FEV1%),6 minutes walking distance,SF-36 quality of life and rehabilitation compliance rate in the comprehensive follow-up group were higher than those of the control group,while CAT score,mMRC score,number of patients with acute attack of COPD and recurrence rate were lower than those of the the control group,and the differences were statistically significant(P<0.05).Conclusions For CPOD patients,the comprehensive follow-up mode can effectively reduce the 1-year recurrence rate,promote the recovery of respiratory and motor functions,and improve compliance and quality of life.

关 键 词：肺疾病 慢性阻塞性 电话 互联网 随访 复发 

分 类 号：R473.5[医药卫生—护理学]