Comprehensive management mode intervention in elderly patients with moderate/severe chronic obstructive pulmonary disease at stable stage
10.3969/j.issn.1006-2483.2020.03.030
- VernacularTitle:综合管理模式干预对社区老年中重度COPD患者稳定期的影响
- Author:
Kaiming CUI
1
;
Rong ZHANG
1
Author Information
1. Shanghai Pudong New Area Jinqiao Community Health Service Center, Shanghai 201206, China
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Community;
Elderly;
Comprehensive management mode intervention;
Lung function
- From:
Journal of Public Health and Preventive Medicine
2020;31(3):126-129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of comprehensive management mode intervention in elderly patients with moderate/severe chronic obstructive pulmonary disease at stable stage. Methods A total of 150 elderly patients with stable-stage COPD were randomly divided into two groups, 75 in each group. The control group received routine medication, while the observation group was given comprehensive management mode intervention, including health education,rational medication, pulmonary rehabilitation training and psychological guidance. Both groups were treated for 12 months. Differences in lung function parameters, modified Medical Research Council (mMRC) dyspnea scale, COPD assessment test (CAT), 6-minute walk test (6MWT), and frequency of acute exacerbation of COPD (AECOPD) were compared between the two groups. Results: After treatment, FEV1/FVC and FEV1%pred of observation group（57.65±11.62%、61.83±13.50%）were higher than control group（52.38±13.24%、53.42±13.93%）(P<0.05), the mMRC and CAT scores of the observation group were decreased (P<0.05), and the 6MWT was increased (P<0.05), but no significant differences in the control group (P>0.05). Within 12 months of treatment, the frequency of AECOPD in the observation group was less than that in the control group (P<0.05). Conclusions: In the treatment of elderly patients with moderate/severe chronic obstructive pulmonary disease, comprehensive management mode intervention can help delay the deterioration of lung function, correct the difficulty of breathing, improve the quality of life, and reduce the number of AECOPD.
