文章摘要

基于吸入性药物装置使用方法的多种再教育策略对慢性阻塞性 肺疾病稳定期患者的应用效果

作者: 1徐艳, 1李秀
1 安徽医科大学第三附属医院呼吸内科,合肥 230000
通讯: 李秀 Email: 919296610@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.09.019

摘要

目的:探究多种再教育策略对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者的临床应用效果。方法:将入选的105例患者随机分为对照组与观察组,所有患者应用为期6个月的信必可治疗,对照组患者出院时由管床医师向其演示信必可使用方法,观察组在此基础上对患者通过微信平台进行信必可使用方法再教育、健康宣教以及电话随访。随访6个月后,观察两组患者用药的依从性、吸入装置操作的准确性、是否因COPD急性加重而住院治疗、复查肺功能情况。结果:观察组患者在信必可操作准确性、复查时肺功能指标、用药的依从性均优于对照组,观察组患者6个月内的再入院率低于对照组,差异均有统计学意义(P<0.05)。结论:通过对患者进行吸入性药物使用方法再教育、健康宣教并结合电话督导,能够提高其用药规范性及依从性,更有效地延缓患者肺功能恶化,减少患者COPD急性加重的次数,从而规范COPD稳定期的 治疗。
关键词: 信必可;慢性阻塞性肺疾病;再教育

Clinical effect of multiple re-education strategies based on the usage of inhalation medication device in stable chronic obstructive pulmonary disease patients

Authors: 1XU Yan, 1LI Xiu
1 Department of Respiratory, Third Affiliated Hospital, Anhui Medical University, Hefei 230000, China

CorrespondingAuthor: LI Xiu Email: 919296610@qq.com

DOI: 10.3978/j.issn.2095-6959.2018.09.019

Abstract

Objective: To explore the clinical effects of multiple re-education strategies on patients with stable chronic obstructive pulmonary disease (COPD) through re-educate patients with the usage of Symbicort mainly. Methods: A total of 105 patients were enrolled and randomly assigned into a control group and an observation group; all patients were treated with Symbicort for 6 months. The patients in the control group were demonstrated the usage of Symbicort by their attending physician when they leave hospital, on this foundation, the patients in the observation group were performed with re-education of the usage of Symbicort and health education and telephone follow-up based on the WeChat platform. After 6 months follow-up, we observed the medication compliance, the accuracy of the operation of inhalation device, whether hospitalization due to acute exacerbation of COPD, and the reexamination of the pulmonary function of two groups of patients. Results: The patients in the observation group were better than the control group in accuracy of the operation of Symbicort, index of lung function and medication compliance. The reentry hospital rates in the observation group was less than that in the control group within 6 months, the differences were both statistically significant (P<0.05). Conclusion: That re-education of the usage of inhalation medication device, health education and telephone follow-up, it can improve the standard and compliance of medication, delay the deterioration of the lung function more effectively, reduce the times of acute exacerbation of COPD of patients, so as to standardize the treatment of the stable phase of the COPD.
Keywords: Symbicort; chronic obstructive pulmonary disease; re-education

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