稳定期COPD患者长期家庭氧疗中实施医联体团队干预的临床效果分析  

Clinical Effect Analysis of Implementing Medical Consortium Team Intervention in Long-term Home Oxygen Therapy for COPD Patients in Stable Period

作　　者：杨敏[1] 吕雪婷 王春梅 贾云双 葛艳慧 YANG Min;LYU Xueting;WANG Chunmei;JIA Yunshuang;GE Yanhui(The First People's Hospital of Taicang,Taicang City,Jiangsu Province,China215400;Taicang Port District Hospital,Taicang City,Jiangsu Province,China215434;Taicang Liuhe People's Hospital,Taicang City,Jiangsu Province,China215400)

机构地区：[1]太仓市第一人民医院,江苏太仓215400 [2]太仓市港区医院,江苏太仓215434 [3]太仓市浏河人民医院,江苏太仓215400

出　　处：《卫生职业教育》2024年第22期149-152,共4页HEALTH VOCATIONAL EDUCATION

基　　金：苏州太仓市医疗卫生应用基础研究项目“N-乙酰半胱氨酸调控SIRT1/NF-k B通路及MUC5AC的表达对慢性阻塞性肺疾病气道黏液高分泌的影响”(TC2021JCYL25)。

摘　　要：目的 探讨稳定期慢性阻塞性肺疾病(COPD)患者长期家庭氧疗中实施医联体团队干预的效果。方法 选择2020年10月至2022年10月太仓市第一人民医院收治的稳定期COPD患者108例,随机分为对照组与观察组,各54例。两组患者出院后均进行1年家庭氧疗,对照组家庭氧疗中实施常规干预,观察组家庭氧疗中实施医联体团队干预。评估并比较两组患者干预前后呼吸困难程度、肺功能、自我管理能力及干预后的家庭氧疗依从性。结果 观察组实施医联体团队干预后,呼吸困难程度明显轻于对照组(P<0.05),肺功能明显好于对照组(P<0.05),自我管理能力各维度评分及总分均高于对照组(P<0.05),家庭氧疗各方面的依从性均高于对照组(P<0.05)。结论 稳定期COPD患者长期家庭氧疗中实施医联体团队干预可减轻患者呼吸困难程度,增强肺功能及自我管理能力,提高家庭氧疗依从性。Objective To explore the effect of implementing medical consortium team intervention in long-term home oxygen therapy for stable chronic obstructive pulmonary disease(COPD)patients.Methods 108 COPD patients in stable peried admitted to the First People's Hospital of Taicang from October 2020 to October 2022 were randomly divided into the control group and the observation group,54 cases in each group.After leaving the hospital,both groups of patients underwent 1-year home oxygen therapy.The control group received routine intervention during home oxygen therapy,while the observation group received intervention from a medical consortium team during home oxygen therapy.Evaluate and compare the degree of respiratory distress,lung function,self-management ability before and after intervention,and home oxygen therapy compliance after intervention between two groups of patients.Results After the implementation of the medical consortium team intervention in the observation group,the degree of respiratory distress was significantly milder than those in control group(P<0.05),lung function was significantly better than that of the control group(P<0.05),self-management ability scores and total score for each dimension were higher than those in control group(P<0.05),and compliance with home oxygen therapy in all aspects was higher than that of the control group(P<0.05).Conclusion Long-term home oxygen therapy in COPD patients of stable period can reduce the degree of respiratory distress,enhance lung function and self-management ability,and improve compliance with home oxygen therapy through the implementation of the medical consortium team.

关 键 词：COPD 家庭氧疗 医联体团队 临床效果 

分 类 号：R563[医药卫生—呼吸系统]