中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
21期
2528-2530
,共3页
肺疾病,慢性阻塞性%急性加重%医疗资源使用%自我管理干预
肺疾病,慢性阻塞性%急性加重%醫療資源使用%自我管理榦預
폐질병,만성조새성%급성가중%의료자원사용%자아관리간예
Lung disease%Chronic obstructive%Acute times%Medical costs
目的 探讨自我管理干预对慢性阻塞性肺疾病(COpD)患者医疗资源使用情况的影响.方法 选择病情稳定准许出院或门诊就诊的COPD患者84例,按照时间顺序随机分为两组,干预组42例患者接受自我管理干预,对照组42例患者接受常规护理.比较干预3个月和6个月时的两组患者医疗资源使用情况和急性加重次数情况.结果 干预3个月,干预组急诊4例5例次,住院3例5例次,加重12例17例次；对照组急诊人数5例11例次,住院5例8例次,加重27例54例次.干预3个月时,两组患者急诊次数、住院次数和住院天数比较,差异无统计学意义(P＞0.05),两组患者的急性加重次数比较,差异具有统计学意义(Z=-3.361,P＜0.01).干预6个月,干预组急诊6例8例次,住院4例6例次,加重18例23例次；对照组急诊人数5例18例次,住院6例9例次,加重27例65例次；两组患者急诊次数、住院次数和住院天数的差异无统计学意义(P＞0.05),两组患者的急性加重次数的差异有统计学意义(Z=-3.018,P＜0.01).结论 自我管理干预可以减少患者急性加重次数,但是在减少患者急诊次数、住院次数和住院天数等医疗资源使用方面有待于进一步的研究.
目的 探討自我管理榦預對慢性阻塞性肺疾病(COpD)患者醫療資源使用情況的影響.方法 選擇病情穩定準許齣院或門診就診的COPD患者84例,按照時間順序隨機分為兩組,榦預組42例患者接受自我管理榦預,對照組42例患者接受常規護理.比較榦預3箇月和6箇月時的兩組患者醫療資源使用情況和急性加重次數情況.結果 榦預3箇月,榦預組急診4例5例次,住院3例5例次,加重12例17例次；對照組急診人數5例11例次,住院5例8例次,加重27例54例次.榦預3箇月時,兩組患者急診次數、住院次數和住院天數比較,差異無統計學意義(P＞0.05),兩組患者的急性加重次數比較,差異具有統計學意義(Z=-3.361,P＜0.01).榦預6箇月,榦預組急診6例8例次,住院4例6例次,加重18例23例次；對照組急診人數5例18例次,住院6例9例次,加重27例65例次；兩組患者急診次數、住院次數和住院天數的差異無統計學意義(P＞0.05),兩組患者的急性加重次數的差異有統計學意義(Z=-3.018,P＜0.01).結論 自我管理榦預可以減少患者急性加重次數,但是在減少患者急診次數、住院次數和住院天數等醫療資源使用方麵有待于進一步的研究.
목적 탐토자아관리간예대만성조새성폐질병(COpD)환자의료자원사용정황적영향.방법 선택병정은정준허출원혹문진취진적COPD환자84례,안조시간순서수궤분위량조,간예조42례환자접수자아관리간예,대조조42례환자접수상규호리.비교간예3개월화6개월시적량조환자의료자원사용정황화급성가중차수정황.결과 간예3개월,간예조급진4례5례차,주원3례5례차,가중12례17례차；대조조급진인수5례11례차,주원5례8례차,가중27례54례차.간예3개월시,량조환자급진차수、주원차수화주원천수비교,차이무통계학의의(P＞0.05),량조환자적급성가중차수비교,차이구유통계학의의(Z=-3.361,P＜0.01).간예6개월,간예조급진6례8례차,주원4례6례차,가중18례23례차；대조조급진인수5례18례차,주원6례9례차,가중27례65례차；량조환자급진차수、주원차수화주원천수적차이무통계학의의(P＞0.05),량조환자적급성가중차수적차이유통계학의의(Z=-3.018,P＜0.01).결론 자아관리간예가이감소환자급성가중차수,단시재감소환자급진차수、주원차수화주원천수등의료자원사용방면유대우진일보적연구.
Objective To explore the effect of self-management intervention on chronic obstructive pulmonary disease (COPD) patients' medical costs.Methods Convenience sampling of 84 COPD patients at stable stage or discharged from hospital after treatment in Beijing Hospital and PUMC Hospital were recruited from April 2011 to January 2012.The samples were divided into two subgroups.Intervention group (n =42)performed self-management intervention,patients in control group (n =42) only received usual care.All patients were followed up and collected regarding times of exacerbations or emergency,times or length of hospitalization at 3 months and 6 months respectively.Results There was significant difference between group at both 3 and 6 months,but no difference in times of emergency,times or length of hospitalization were found between groups.And at the 3th months in intervention group,times of emergency and hospitalization times respectively were (4 cases 5times)and (3cases 5times) and that in control group respectively were (5cases11times),(5cases 8times),no significant difference was found between them (P ＞ 0.05),while significant difference was found in exacerbations times (12cases 17times vs 27cases 54times ;Z =-3.361,P ＜ 0.01).No significant difference was found at the 6th months between intervention group and control group in times of emergency (6cases 8times vs 5cases18times) and hospitalization times (4cases 6times vs 6cases 9times),while significant difference was found in exacerbations times (18cases 23times vs 27cases 65times;Z =-3.018,P ＜0.01).Conclusions Self-management intervention can decrease COPD patients' times of exacerbations,and whether can decrease times of emergency,times or length of hospitalization should be study in further.
