中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
24期
12-14
,共3页
曹继兰%韩伟%唐华平%吕英
曹繼蘭%韓偉%唐華平%呂英
조계란%한위%당화평%려영
哮喘%呼吸功能试验%医院管理%自我护理
哮喘%呼吸功能試驗%醫院管理%自我護理
효천%호흡공능시험%의원관리%자아호리
Asthma%Respiratory function tests%Hospital administration%Self care
目的 对比研究医院主动管理模式和患者自我管理模式对哮喘控制和肺功能的作用,提高哮喘管理水平。方法 2009年7-12月连续入选门诊中度哮喘患者40例,按随机数字表法分为医院主动管理组(A组)和患者自我管理组(B组),每组20例,分别以医院主动管理模式和患者自我管理模式给予规范化治疗患者1年。对比研究两组患者急性发作次数、急诊就医次数、住院次数、肺功能、圣乔治呼吸质量问卷(SGRQ)等指标。结果 研究结束时,A组依从性良好19例,疗效满意度评分为(9.300±0.801)分,完全控制13例,部分控制6例,未控制1例;B组依从性良好11例,疗效满意度评分为( 7.800±1.542)分,完全控制6例,部分控制8例,未控制6例。A组患者的依从性、疗效满意度评分和哮喘控制情况优于B组(P<0.01或<0.05)。A组第1秒用力呼气容积和最大呼气峰流速分别为(2.56±0.30)L、(6.26±0.39) L/s,明显高于B组的(2.38±0.31)L、(5.83±0.52)L/s,而A组SGRQ为(21.55±6.35)分,明显低于B组的(29.80±12.04)分,差异均有统计学意义(P<0.05或<0.01)。结论 医院主动管理模式在患者依从性、哮喘控制、肺功能和呼吸质量改善等方面的效果均优于患者自我管理模式,积极推广医院主动管理模式有利于提高我国哮喘防治水平。
目的 對比研究醫院主動管理模式和患者自我管理模式對哮喘控製和肺功能的作用,提高哮喘管理水平。方法 2009年7-12月連續入選門診中度哮喘患者40例,按隨機數字錶法分為醫院主動管理組(A組)和患者自我管理組(B組),每組20例,分彆以醫院主動管理模式和患者自我管理模式給予規範化治療患者1年。對比研究兩組患者急性髮作次數、急診就醫次數、住院次數、肺功能、聖喬治呼吸質量問捲(SGRQ)等指標。結果 研究結束時,A組依從性良好19例,療效滿意度評分為(9.300±0.801)分,完全控製13例,部分控製6例,未控製1例;B組依從性良好11例,療效滿意度評分為( 7.800±1.542)分,完全控製6例,部分控製8例,未控製6例。A組患者的依從性、療效滿意度評分和哮喘控製情況優于B組(P<0.01或<0.05)。A組第1秒用力呼氣容積和最大呼氣峰流速分彆為(2.56±0.30)L、(6.26±0.39) L/s,明顯高于B組的(2.38±0.31)L、(5.83±0.52)L/s,而A組SGRQ為(21.55±6.35)分,明顯低于B組的(29.80±12.04)分,差異均有統計學意義(P<0.05或<0.01)。結論 醫院主動管理模式在患者依從性、哮喘控製、肺功能和呼吸質量改善等方麵的效果均優于患者自我管理模式,積極推廣醫院主動管理模式有利于提高我國哮喘防治水平。
목적 대비연구의원주동관리모식화환자자아관리모식대효천공제화폐공능적작용,제고효천관리수평。방법 2009년7-12월련속입선문진중도효천환자40례,안수궤수자표법분위의원주동관리조(A조)화환자자아관리조(B조),매조20례,분별이의원주동관리모식화환자자아관리모식급여규범화치료환자1년。대비연구량조환자급성발작차수、급진취의차수、주원차수、폐공능、골교치호흡질량문권(SGRQ)등지표。결과 연구결속시,A조의종성량호19례,료효만의도평분위(9.300±0.801)분,완전공제13례,부분공제6례,미공제1례;B조의종성량호11례,료효만의도평분위( 7.800±1.542)분,완전공제6례,부분공제8례,미공제6례。A조환자적의종성、료효만의도평분화효천공제정황우우B조(P<0.01혹<0.05)。A조제1초용력호기용적화최대호기봉류속분별위(2.56±0.30)L、(6.26±0.39) L/s,명현고우B조적(2.38±0.31)L、(5.83±0.52)L/s,이A조SGRQ위(21.55±6.35)분,명현저우B조적(29.80±12.04)분,차이균유통계학의의(P<0.05혹<0.01)。결론 의원주동관리모식재환자의종성、효천공제、폐공능화호흡질량개선등방면적효과균우우환자자아관리모식,적겁추엄의원주동관리모식유리우제고아국효천방치수평。
Objective To compare the effect of hospital initiative management or patients self management in asthma control and pulmonary function, and improve the control level of asthma. Methods Forty moderate asthma patients enrolled successfully from July to December in 2009 were divided into 2 groups by random digits table:hospital initiative management group (group A) and patient self management group (group B) with 20 cases each, and received the asthma treatment with hospital initiative management or patient self management for 1 year. The acute attack time, emergency visit time, hospitalization time,pulmonary function and Saint George respiratory questionnaire (SGRQ) were compared between two groups.Results After 1 year management, there were 19 patients in good compliance, satisfaction score was (9.300 ± 0.801 ) scores, 13 total control, 6 partial control and 1 uncontrol in group A, while there were 11 patients in good compliance, satisfaction score was (7.800 ± 1.542) scores, 6 total control, 8 partial control and 6 uncontrol in group B. The compliance, satisfaction and control in group A were much better than those in group B (P<0.01 or <0.05). The forced expiratory volume in 1 second (FEV1)[(2.56 ±0.30) L]and peak expiratory flow (PEF)[(6.26±0.39) t/s]were elevated while SGRQ[(21.55 ±6.35) scores]in group A were better than those in group B[(2.38 + 0.31 ) L, (5.83 ± 0.52 ) L/s, (29.80 ± 12.04) scores](P < 0.05 or < 0.01 ). Conclusion The compliance, asthma control, pulmonary function and respiratory quality are improved by hospital initiative management, so it is helpful to promote this management model in China via a close cooperation between general hospital and community hospital.