连续性、多元化院外健康管理在氟替美维吸入粉雾剂治疗COPD稳定期患者中的应用价值
Application value of continuous and diversified out-of-hospital health management in the treatment of stable COPD patients with flutemeivir inhalation powder
曲柳 1贾伟伟 1朱丽1
作者信息
- 1. 南阳市第一人民医院呼吸与危重症医学一科,河南南阳 473000
- 折叠
摘要
目的 探讨连续性、多元化院外健康管理在氟替美维吸入粉雾剂治疗慢性阻塞性肺疾病(COPD)稳定期患者中的应用价值.方法 选取南阳市第一人民医院2022年6月～2023年6月收治的112例COPD稳定期患者,依据随机数字表法分成多元化管理组(56例)、常规管理组(56例).常规管理组接受常规健康管理,多元化管理组接受连续性、多元化院外健康管理,干预3个月,对比两组知识掌握情况、依从性、肺功能改善情况[用力肺活量(VC)、第1秒用力呼气量(FEV1)、第1秒用力呼气量占用力肺活量比率(FEV1/FVC)]、自我效能感[一般自我效能感量表(GSES)]、心理状况[正性与负性情绪量表(PANAS)]及生活质量[慢性阻塞性肺疾病评估测试问卷(CAT)].结果 干预3个月后,多元化管理组功能锻炼、用药、疾病知识评分高于常规管理组(P＜0.05);多元化管理组依从率(96.43％)高于常规管理组(83.93％)(P＜0.05);干预3个月后,多元化管理组VC、FEV1、FEV1/FVC均高于常规管理组(P＜0.05);干预3个月后,多元化管理组GSES、PANAS-正性评分明高于常规管理组,CAT、PANAS-负性评分低于规管理组(P＜0.05).结论 对于氟替美维吸入粉雾剂治疗的COPD稳定期患者,连续性、多元化院外健康管理可提升患者对疾病的认知、依从性和自我效能,调节负性心理状态,进而改善肺功能,提高生活质量.
Abstract
Objective To investigate the application value of continuous and diversified out-of-hos-pital health management in the treatment of stable chronic obstructive pulmonary disease(COPD)patients with flutemivir inhalation powder.Methods A total of 112 patients with stable COPD treated in Nanyang First People's Hospital from June 2022 to June 2023 were collected and divided into diversified management group(56 cases)and routine management group(56 cases)according to random number table method.The routine management group received routine health management,and the diversified management group received continuous and diversified out-of-hospital health management.After 3 months of intervention,knowledge mastery,compli-ance,improvement of lung function[forced vital capacity(VC),forced expiratory volume in the first second(FEV1),ratio of forced expiratory volume in the first second to forced vital capacity(FEV1/FVC)],self-efficacy[general self-efficacy scale(GSES)],and psychological status[pos-itive and negative emotion scale(PANAS)]were compared between the two groups.Results After 3 months of intervention,the scores of functional exercise,medication and disease knowl-edge in the diversified management group were higher than those in the routine management group(P＜0.05);the compliance rate of diversified management group(96.43％)was higher than that of routine management group(83.93％)(P＜0.05).After 3 months of intervention,VC,FEV1 and FEV1/FVC in the diversified management group were higher than those in the routine management group(P＜0.05).After 3 months of intervention,the GSES and PANAS positive scores in the diversified management group were significantly higher than those in the routine management group,and the CAT and PANAS negative scores were lower than those in the routine management group(P＜0.05).Conclusion Continuous and diversified out-of-hospi-tal health management can improve patients'disease cognition,compliance and self-efficacy,reg-ulate negative mental state,and improve lung function and quality of life in stable COPD patients treated with flutimeivir inhalation powder.
关键词
慢性阻塞性肺疾病/稳定期/多元化院外健康管理/氟替美维吸入粉雾剂/肺功能Key words
Chronic obstructive pulmonary disease/Stable period/Diversified out-of-hospital health management/Flutemeivir inhaled powder aerosol/Lung function引用本文复制引用
基金项目
河南省医学科技攻关联合共建项目(LHGJ20195311)
出版年
2024
NETL
NSTL
万方数据