标题：健康管理对社区慢性阻塞性肺疾病患者治疗效果的影响

      作者：曾容辉，曾焕雄，杨少河，朱瑞容，徐小梅，刘 宇
    (深圳市坪山新区人民医院全科，广东 深圳 518118)

      卷次： 2015年26卷9期

      【摘要】 目的 探讨健康管理在社区慢性阻塞性肺疾病(COPD)患者治疗中的应用效果，评估其应用价值。
方法 收集2011年1月至2014年1月社区COPD患者135例，将患者按照随机数表法分为对照组68例和观察组
67例，两组患者均给予相同的临床治疗，观察组患者采取社区健康管理方法管理，对照组给予社区常规定期观察
随访，健康管理实施6个月后比较两组患者治疗前后的肺功能指标及生活质量指标等情况。结果 观察组患者
在肺功能指标、呼吸疾病问卷评分(SGRQ)、日常生活活动评定量表(ADL)得分以及呼吸困难评分(MMRC)得分等
方面均优于对照组，差异均有统计学意义(P<0.05)。结论 健康管理应用于社区COPD患者治疗，能有效改善患
者肺功能，提高患者生活质量，对治疗效果有积极的影响，值得在社区COPD患者管理中推广应用。

      【关键词】 健康管理；慢性阻塞性肺疾病；社区；肺功能

      【中图分类号】 R563 【文献标识码】 A 【文章编号】 1003—6350(2015)09—1363—03


Effect of health management on the treatment outcome of community patients with chronic obstructive
pulmonary disease.
ZENG Rong-hui, ZENG Huan-xiong, YANG Shao-he, ZHU Rui-rong, XU Xiao-mei, LIU Yu.
People's Hospital of Pingshan District of Shenzhen, Shenzhen 518118, Guangdong, CHINA

【Abstract】 Objective To explore the effect of health management on the treatment outcomes of community
patients with chronic obstructive pulmonary disease (COPD), and to evaluate its value of application. Methods A total
of 135 community patients with COPD were collected in community from January 2011 to January 2014. The patients
were randomly divided into control group (68 cases) and observation group (67 cases), which were both given the same
clinical treatment. Besides, the observation group was given community health management, while the control group
was given routine community follow-up. Before treatment and six months after health management, lung function and
quality of life index were compared between the two groups. Results The observation group was better than the con-
trol group in pulmonary function, respiratory disease questionnaire (SGRQ), activity of daily living scale (ADL) score,
and dyspnea score (MMRC) score, and the differences were statistically significant (P<0.05). Conclusion The applica-
tion of health management in community patients with chronic obstructive pulmonary disease can effectively improve
the pulmonary function of patients, improve patients'quality of life, which has a positive impact on the treatment ef-
fect. It is worthy of popularization and application in the community in the management of patients with COPD.