摘要
目的评价综合医院呼吸哮喘专科-社区合作管理模式对社区哮喘患者疾病知识掌握及控制的影响。方法通过建立专科-社区合作型哮喘防治及管理体系,加强对社区哮喘患者的管理,并随机选取该模式管理1年以上的98例来自社区的哮喘患者,比较管理前后患者哮喘知识掌握情况及疾病控制情况。结果应用专科-社区合作模式管理后,患者对哮喘的疾病本质、诱发因素、病情监测、用药知识及治疗目标等认知率较管理前明显提高;ACT评分提示患者疾病控制状况明显好转;肺功能改善,FEV1%预计值及PEF%预计值显著提高(P<0.05)。结论综合医院专科-社区合作管理模式在社区哮喘患者疾病认知及控制中具有积极意义。
Objective To evaluate the effects of general hospital specialist-community cooperation management on knowledge apprehension and conditions of disease control in community patients with asthma. Methods To strengthen asthma health management through establish specialist-community cooperation management. Meanwhile, A total of 98 patients who had received over 1 year management by our specialist-community cooperation mode were randomly se- lected. Then the post-managnment information was compared with the pre＇s, including patients＇ understanding of asthma knowledge and asthma control situation evaluated by ACT. Results After the one-year health administration through specialist-community cooperation mode, the understanding of asthma knowledge of the 98 patients, including disease essential quality, provocation factors, pathogenetie condition monitoring, medication knowledge and therapy objective was improved obviously. The conditions of disease control evaluated by ACT was improved obviously. Com- pared with Pre-management, percentage of predicted forced expiratory volume in one second （FEV 1%pre） and peak ex- piratory flow rate （PEF%pre） of post-management were significantly improved （P 〈 0.05）. Conclusion General hospital specialist-community cooperation management plays a positive role in the health education and asthma control.
出处
《中国现代医生》
2013年第7期118-120,共3页
China Modern Doctor
基金
浙江省湖州市科技计划项目(2011YS03)
