CAJ | 학술논문

目的探讨早期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)社区综合管理实践效果.方法本院与社区卫生服务中心合作,对本地区户籍居民具备COPD高危人群1091例进行肺功能检查,筛选出早期COPD第Ⅰ、Ⅱ级患者191例,制订有效的社区综合管理方法.3个月后对综合管理前后患者肺功能情况、COPD评估测试(assessment test,CAT)评分及吸烟率情况进行比较.结果综合管理前后患者肺功能第1 s用力呼气容积(forced expiratory volume in one second,FEV1)、FEV1与用力肺活量(forced vital capacity,FVC)之比(forced expiratory volume in one second/forced vital capacity, FEV1/FVC)、CAT及吸烟率情况比较,均P<0.05,差异具有统计学意义,综合管理后患者FEV1、FEV1/FVC、CAT及吸烟率情况明显优于综合管理前.结论社区综合管理模式能使早期COPD患者得到有效的治疗与护理,发病率及肺功能下降率明显减少,取得较好的社会与经济效益.
목적 탐토조기만성조새성폐질병(chronic obstructive pulmonary disease,COPD)사구종합관리실천효과.방법 본원여사구위생복무중심합작,대본지구호적거민구비COPD고위인군1091례진행폐공능검사,사선출조기COPD제Ⅰ、Ⅱ급환자191례,제정유효적사구종합관리방법.3개월후대종합관리전후환자폐공능정황、COPD평고측시(assessment test,CAT)평분급흡연솔정황진행비교.결과 종합관리전후환자폐공능제1 s용력호기용적(forced expiratory volume in one second,FEV1)、FEV1여용력폐활량(forced vital capacity,FVC)지비(forced expiratory volume in one second/forced vital capacity, FEV1/FVC)、CAT급흡연솔정황비교,균P<0.05,차이구유통계학의의,종합관리후환자FEV1、FEV1/FVC、CAT급흡연솔정황명현우우종합관리전.결론 사구종합관리모식능사조기COPD환자득도유효적치료여호리,발병솔급폐공능하강솔명현감소,취득교호적사회여경제효익.
Objective To study the effect of comprehensive management of chronic obstructive pulmonary diseases(COPD)in the communities.Methods One thousand and ninety one residents with high risk of COPD in the communities were involved in the pulmonary function tests conducted by the hospital together with the local community health service centers,191 cases of early COPD screened out at stages of I or II.The comprehensive management plan was made for the patients.Three months later,the results in their lung function,the score by CAT(COPD Assessment Test)and the smoking rate were compared with the results before the performance.Result The forced expiratory volume in one second(FEV1)and the ratio between forced expiratory volume in one second and forced vital capacity(FEV1/FVC), the CAT score and the smoking rate after the performance were all significantly better than before the performance(all P<0.05.Conclusion The comprehensive management of early chronic obstructive pulmonary diseases in the communities may make patients accessible to effective early treatment and nursing care so that the morbidity of COPD and the rate of lung function decline are reduced.