Analysis of the effect of"medical treatment-nurse-prevention"intervention on the elderly patients with stable chronic obstructive pulmonary disease
Objective:To study the application effectiveness of the"medical treatment-nurse-prevention"joint management approach for the elderly patients with stable chronic obstructive pulmonary disease(COPD)based on the family physician service team framework.Methods:Based on participating in free physical examinations for the elderly in 2021 and being diagnosed with COPD at the respiratory specialty clinic of a higher-level hospital,58 patients with stable COPD were screened through the medical history inquiry,simple lung function testing,and biochemical examination,and randomly divided into an intervention group and a control group with 29 cases each by drawing lots.There were 24 males and 5 females in each group.The average age of the intervention group was(71.90±6.04)years,while the average age of the control group was(73.66±6.49)years.Both groups received routine diagnosis and treatment in the general outpatient department,while the intervention group received"medical treatment-nurse-prevention"joint management from the family doctor service team.Two groups were followed up for 12 months.The lung function,number of acute attacks,awareness rate of prevention and treatment of COPD,medication adherence,anxiety,and respiratory symptom scores were compared before and after intervention.Results:After intervention,there was no statistically significant difference in FEV1,FEV1/FVC,and acute attack frequency between the two groups(all P＞0.05);the awareness rate of prevention and treatment of COPD,medication adherence,anxiety score,and symptom self-assessment scale score in the intervention group were all better than those in the control group,and the differences were statistically significant(all P＜0.05).Conclusion:The"medical treatment-nurse-prevention"joint management approach can improve the disease awareness,emotional well-being,and symptom relief of the elderly patients with stable COPD,which has a positive impact on community management of COPD.
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