病例管理对慢性阻塞性肺部疾病的老年患者的影响
Na Li1, Wenjing Wang2, Yinyin Lv1
1Department of Nursing, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, People's Republic of China.
概括
病例管理显著改善了慢性阻塞性肺病 (COPD) 的老年患者的呼吸功能和生活质量. 它还增强了药物坚持,为COPD患者的护理提供了有价值的策略.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 健康管理健康管理
背景情况:
- 慢性阻塞性肺病 (COPD) 是老年人患病和死亡的主要原因.
- 有效的管理策略对于改善患者的治疗结果和减少医疗保健负担至关重要.
研究的目的:
- 调查病例管理对老年COPD患者的影响.
- 为了比较肺功能,生活质量,呼吸障碍,以及病例管理前后的药物坚持.
主要方法:
- 从2020年1月到2023年11月,199名老年COPD患者的队列被纳入.
- 案例管理包括教育,个性化干预,支持系统和反.
- 在干预后的1,3,6个月和12个月收集数据.
主要成果:
- 在肺功能指标 (FEV1/FVC,FEV1,FEV1%pred,MMEF75/25,MMEF75/25%) 中观察到显著改善 (P < 0.001).
- 降低了COPD评估测试 (CAT) 评分 (17.96至11.80) 和修改的医学研究委员会 (mMRC) 呼吸障碍评分 (2.35至1.14) (P < 0.001).
- 77.9%的患者在一年内继续使用吸入器.
结论:
- 病例管理有效提高呼吸功能,提高生活质量,减少老年COPD患者呼吸困难.
- 研究结果支持病例管理作为优化该群体护理策略的宝贵工具.
- 为进一步研究和临床应用COPD管理计划提供基础.
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