社区综合干预在慢性阻塞性肺疾病稳定期患者中的应用效果  

Application Effect of Community Comprehensive Intervention in Patients with Stable Chronic Obstructive Pulmonary Disease

作　　者：薛伟斌 薛峰[1] 曹奕 唐晓春 Xue Weibin;Xue Feng;Cao Yi;Tang Xiaochun(Shanghai Pudong New Area Hudong Community Health Service Center,Shanghai 200129,China)

机构地区：[1]上海市浦东新区沪东社区卫生服务中心,上海200129

出　　处：《中国社区医师》2024年第34期148-150,共3页Chinese Community Doctors

摘　　要：目的:探讨社区综合干预在慢性阻塞性肺疾病稳定期患者中的应用效果。方法:将2023年6月—2024年5月上海市浦东新区沪东社区卫生服务中心收治的慢性阻塞性肺疾病稳定期患者86例随机分为干预组和对照组,各43例。干预组实施综合干预,对照组实施常规干预。比较两组干预效果。结果:干预前,两组第1秒用力呼气容积占预计值百分比(FEV1%预计值)、用力肺活量(FVC)、FEV1/FVC比较,差异无统计学意义(P>0.05);干预后,两组FEV1%预计值、FEV1/FVC升高,且干预组高于对照组(P<0.05);两组FVC较干预前无明显变化(P>0.05)。干预前,两组6 min步行距离(6MWD)比较,差异无统计学意义(P>0.05);干预后,两组6MWD增大,且干预组大于对照组(P<0.05)。干预前,两组慢性阻塞性肺疾病评估测试问卷(CAT)评分比较,差异无统计学意义(P>0.05);干预后,两组CAT评分降低,且干预组低于对照组(P<0.05)。干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组SAS、SDS评分降低,且干预组低于对照组(P<0.05)。结论:社区综合干预在慢性阻塞性肺疾病稳定期患者中的应用效果良好,能够改善患者肺功能、运动耐力、生活质量、心理状态。Objective:To investigate the application effect of community comprehensive intervention in patients with stable chronic obstructive pulmonary disease.Methods:A total of 86 patients with stable chronic obstructive pulmonary disease admitted to Shanghai Pudong New Area Hudong Community Health Service Center from June 2023 to May 2024 were randomly divided into intervention group and control group,with 43 cases in each group.The intervention group implemented comprehensive intervention,and the control group implemented routine intervention.The intervention effects of the two groups were compared.Results:Before intervention,there was no significant difference in the percentage of forced expiratory volume in 1 second to the predicted value(FEV1%predicted value),forced vital capacity(FVC)and FEV1/FVC between the two groups(P>0.05).After intervention,the FEV1%predicted value and FEV1/FVC in the two groups increased,and these indexes in the intervention group were higher than those in the control group(P<0.05);There was no significant change of FVC in the two groups compared with that before intervention(P>0.05).Before intervention,there was no significant difference in 6-min walking distance(6MWD)between the two groups(P>0.05).After intervention,the 6MWD in the two groups increased,and this index in the intervention group was larger than that in the control group(P<0.05).Before intervention,there was no significant difference in the scores of the Chronic Obstructive Pulmonary Disease Assessment Test(CAT)between the two groups(P>0.05).After intervention,the CAT scores in the two groups decreased,and the scores in the intervention group were lower than those in the control group(P<0.05).Before intervention,there was no significant difference in the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)between the two groups(P>0.05).After intervention,the SAS and SDS scores in the two groups decreased,and the scores in the intervention group were lower than those in the control group(P<0.05).Conclusi

关 键 词：慢性阻塞性肺疾病 稳定期 社区 综合干预 

分 类 号：R473.5[医药卫生—护理学]