Effects of self-management intervention on the self-management ability and health service utilization of patients with COPD
10.3760/cma.j.issn.1674-2907.2017.05.016
- VernacularTitle:自我管理干预对COPD患者自我管理能力和卫生服务利用的影响
- Author:
Hengjin CHENG
1
;
Huijie ZHOU
;
Enci LI
;
Xu YANG
;
Huan YE
;
Junru HUA
;
Zhimei LIU
Author Information
1. 325000,浙江省温州市人民医院呼吸内科
- Keywords:
Pulmonary disease;
chronic obstructive;
Self-management;
Health service utilization
- From:
Chinese Journal of Modern Nursing
2017;23(5):658-662
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of self-management intervention on the self-management ability and health service utilization of patients with chronic obstructive pulmonary disease (COPD). Methods A total of 84 COPD patients in stable condition with permission of being discharged in respiratory department of a tertiary comprehensive hospital in Wenzhou city,were selected as research objects from May to November 2014 by convenience sampling method,and were randomly divided into the intervention group (n=42) and the control group (n=42). Patients in the control group received routine care,while patients in the intervention group received self-management intervention and all patients were followed up. The self-management scale of chronic obstructive pulmonary disease was used investigate the self-management status of patients three months,six months and 12 months after intervention. The times of emergency services and the times of re-hospitalization were also recorded.Results The self-management ability of patients at the third month,sixth month and 12th month after intervention in the intervention group was significantly improved compared with the control group (P<0.05). There was no significant difference in the aspect of health service utilization at the third month after intervention between two groups (P>0.05);the times of health service utilization in the intervention group at the sixth month and 12th month after intervention were less than the control group (P<0.05).Conclusions Self-management intervention can improve the self-management ability of patients with COPD in stable period,and reduce the times of emergency visits and re-hospitalizations. It is an effective method for the management of chronic diseases.
