社区督导治疗对缓解期支气管哮喘患者的效果

发布时间：2018-04-26 12:33

本文选题：社区督导治疗 + 支气管哮喘　；参考：《广东医学》2014年01期

【摘要】：目的探讨社区督导治疗对缓解期支气管哮喘患者的效果。方法 110例成年慢性支气管哮喘患者被随机均分为对照组和观察组,所有患者由呼吸科专科医师一对一诊治并由专科护士给予相应护理教育,接受1年以上门诊随访。观察组患者在此基础上由经专业培训的社区医护人员进行督导治疗。比较两组患者入组时及1年后的肺功能、哮喘控制测试(ACT)评分及哮喘控制感知力(PCA)评分。结果两组各有50例患者符合条件纳入统计范围。经1年治疗后,两组的肺功能第1秒用力呼气量(FEV1)、FEV1/预计值百分比及ACT评分均有一定改善(P0.05),观察组患者改善的幅度更大,两组间比较差异有统计学意义(P0.05)。经1年治疗后,对照组患者PCA评分未见明显提高,而观察组患者PCA评分有显著提高,与入组时及对照组治疗后比较,差异有统计学意义(P0.05)。结论社区督导治疗能显著提高患者PCA水平,提高影响哮喘治疗效果。
[Abstract]:Objective to investigate the effect of community-supervised therapy on patients with remission bronchial asthma. Methods 110 adult patients with chronic bronchial asthma were randomly divided into two groups: the control group and the observation group. All the patients were treated one-to-one by the respiratory specialist and the corresponding nursing education was given by the specialized nurses. All the patients were followed up for more than one year. On this basis, the patients in the observation group were supervised by professional-trained community health care personnel. Pulmonary function, asthma control test (ACTs) and asthma control perception (PCA) were compared between the two groups at the time of admission and 1 year later. Results 50 patients in each group were included in the statistical range. After one year of treatment, the percentage of FEV1 / FEV1 / predicted FEV1 / FEV1 / FEV1 / and the ACT score of the two groups were improved to a certain extent, and the improvement was more significant in the observation group. The difference between the two groups was statistically significant (P 0.05). After one year of treatment, the PCA score of the control group was not significantly improved, but the PCA score of the observation group was significantly improved, compared with that of the control group and the entry group, the difference was statistically significant (P 0.05). Conclusion Community-supervised therapy can significantly improve the level of PCA and improve the effect of asthma treatment.
【作者单位】：广东省东莞市东坑人民医院内二科;广东省东莞市东坑镇社区卫生服务中心;
【分类号】：R562.25

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