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
刘倩 1刘源 2金梅 1王萍 2刘永全2
作者信息
- 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
- 折叠
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.
Abstract
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 pa-tients.Methods A total of 184 patients with bronchial asthma in remission were selected as the study subjects and di-vided into an observation group(n=98)and a control group(n=86).All of the patients received oral Montelukast sodi-um 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 com-pliance 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 qual-ity 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Key words
Bronchial asthma/Asthma remission period/Lung function/Peak expiratory flow引用本文复制引用
出版年
2024
NETL
NSTL
万方数据