健康管理对哮喘缓解期患者的干预效果评价研究  

Effect evaluation of health management on asthma in remission stage

作　　者：刘倩 刘源 金梅 王萍 刘永全 LIU Qian;LIU Yuan;JIN Mei;WANG Ping;LIU Yongquan(Health Management Center,Affiliated Hospital of Shandong Second Medical University,Weifang 261031,China;Department of Respiratory,Affiliated Hospital of Shandong Second Medical University,Weifang 261031,China)

机构地区：[1]山东第二医科大学附属医院健康管理中心,山东潍坊261031 [2]山东第二医科大学附属医院呼吸科,山东潍坊261031

出　　处：《山东第二医科大学学报》2024年第6期452-455,共4页Journal of Shandong Second Medical University

基　　金：潍坊市卫生健康委员会科研项目(项目编号:WFWSJK-2022-183)。

摘　　要：目的探讨健康管理对哮喘缓解期患者的干预效果,评价其可行性,为临床提供经验和依据,提高患者的生命质量。方法选择支气管哮喘治疗后缓解期患者184例为研究对象,分为观察组(n=98)和对照组(n=86),两组均给予孟鲁司特钠口服治疗,观察组在此基础上实施健康管理干预。比较两组患者临床症状的改善情况、发作次数、住院次数以及肺功能昼夜变异率、生活质量及依从性。结果两组患者干预后的FEV1和PEF预计值优于干预前(P<0.05),干预后CAT、SGRQ评分低于干预前(P<0.05);观察组临床症状缓解率、每年发作次数和住院次数以及依从性均优于对照组(P<0.05)。结论健康管理对哮喘缓解期患者有良好的干预效果,明显提高患者生活质量,建议临床推广实施。Objective To explore the intervention effects of health management on patients with asthma in remission,evaluate its feasibility,provide experience and basis for clinical practice,and improve the quality of life for patients.Methods A total of 184 patients with bronchial asthma in remission were selected as the study subjects and divided into an observation group(n=98)and a control group(n=86).All of the patients received oral Montelukast sodium treatment,while the observation group received health management intervention on top of that.The improvement of clinical symptoms,frequency of attacks,hospitalization rates,lung function day,night variability,quality of life,and compliance were compared between the two groups.Results The FEV1 and PEF predicted values of the observation group were better than those of the control group(P<0.05);the CAT and SGRQ scores of both groups after intervention were lower than before intervention(P<0.05);the rate of clinical symptom relief,annual number of attacks,hospitalization rates,and compliance in the observation group were better than those in the control group(P<0.05).Conclusion Health management has a good intervention effect on patients with asthma in remission,significantly improving their quality of life.It is recommended that this approach should be promoted and implemented in clinical settings.

关 键 词：支气管哮喘 哮喘缓解期 肺功能 呼气流量峰值 

分 类 号：R562.25[医药卫生—呼吸系统]