Effect of individual case management of COPD patients in respiratory nursing outpatient department
10.3760/cma.j.cn115624-20210507-00250
- VernacularTitle:呼吸专科护理门诊实施慢阻肺患者个案管理的效果
- Author:
Weiyi ZHU
1
;
Qichuan ZHANG
;
Yuhua ZHOU
;
Xiuye SU
;
Fen XIE
;
Xiaoxia JI
;
Shaohua MA
Author Information
1. 汕头市中心医院呼吸与危重症医学科，汕头 515031
- Keywords:
Pulmonary disease, chronic obstructive;
Outpatients;
Nursing care;
Case management
- From:
Chinese Journal of Health Management
2022;16(2):95-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of case management of chronic obstructive pulmonary disease (COPD) in the nurse-led clinics.Methods:A total of 50 patients with COPD who met the selection criteria in the outpatient department of the respiratory department of Shantou Central Hospital were enrolled from March 2019 to March 2020. Case management was carried out by specialist nurses in the outpatient department. Body Mass Index (BMI), the forced expiratory volume in one second/predicted value ratio (FEV 1%pred), modified British medical research council (mMRC), 6-min walking distance (6MWD), COPD assessment test (CAT), and St.George Respiratory Questionnaire (SGRQ), basic activities of daily living (BADL) were compared before and after 6 months′ case management. The difference of medication compliance after case management was also analyzed. Results:There were statistically significant differences in the mMRC[(1.9±1.2) vs (1.4±1.1) points], 6MWD[(238.1±84.9) vs (284.1±113.8) m] and CAT scores [(19.7±6.6) vs (17.1±5.9) points], which suggested the improvement of dyspnea, self-conscious symptoms and exercise performance in these patients (all P<0.05). The BADL scores [(87.8±5.4) vs (90.00±7.5) points] and the total score of SGRQ [(48.0±7.3) vs (45.0±6.9) points] were significantly different (both P<0.01). These indicators were improved after the implementation of case management. Patients were followed up for 1 month, 3 months and 6 months, and the improvement of medication compliance score was statistically significant [(7.1±0.8) vs (7.4±0.8) vs (7.7±0.5) points] ( P<0.01). Conclusion:The implementation of respiratory nursing clinic can effectively manage COPD patients, improve medication compliance of patients, so as to improve the degree of dyspnea, self-conscious symptoms, self-care ability and exercise endurance of patients.
