呼吸慢病管理平臺在C、D組穩定期COPD患者康復中的應用研究

陸衛芬 陳文宇 方志仙

[摘要] 目的 探討呼吸慢病管理平臺在C、D組穩定期COPD患者康復中的應用效果。 方法 隨機選取2017年1月～2018年1月我院診治的評分為C、D組穩定期COPD患者132例，根據隨機數字表法分為觀察組和對照組各66例，對照組患者予常規治療，觀察組患者則在常規治療上應用呼吸慢病管理平臺進行管理，并觀察兩組患者的治療效果、肺功能指標、生存質量及CAT、mMRC與BODE指數變化。 結果 觀察組患者治療有效率高于對照組，差異有統計學意義（P<0.05）;治療后，兩組患者的FEV1、FVC顯著高于治療前，差異有統計學意義（P<0.05）;治療后，觀察組患者的FEV1、FVC顯著高于對照組，差異有統計學意義（P<0.05）;治療后觀察組患者生存質量評分顯著高于對照組，差異有統計學意義（P<0.05）;觀察組患者CAT低于對照組;觀察組患者處于0級和1級的患者比例高于對照組，組間比較差異有統計學意義（P<0.05）。 結論 應用物聯網技術對C、D組穩定期COPD患者進行慢病管理，能夠有效提高患者的康復效率，改善患者的肺功能，提高患者的生存質量，具有臨床推廣價值。

[關鍵詞] 物聯網;呼吸慢病管理平臺;COPD;穩定期;肺康復

[中圖分類號] R563.9 ? ? ? ? ?[文獻標識碼] B ? ? ? ? ?[文章編號] 1673-9701（2020）12-0082-05

[Abstract] Objective To explore the application effect of respiratory chronic disease management platform in the rehabilitation of patients with stable COPD in group C and D. Methods A total of 132 patients with stable COPD in group C and D who were diagnosed and treated during the period from January 2017 to January 2018 were randomly selected. According to the random number table method， the patients were divided into the observation group and the control group， with 66 patients in each group. Patients in the control group were given routine treatment. Patients in the observation group were given the management via the respiratory chronic disease management platform on the basis of routine treatment. The therapeutic effect， lung function index， quality of life and changes of CAT， mMRC and BODE indices were observed in both groups. Results The effective rate of treatment in the observation group was higher than that in the control group， and the difference was significant（P<0.05）; After treatment， the FEV1 and FVC of the two groups were significantly higher than those before treatment， and the difference was significant（P<0.05）; After treatment， the FEV1 and FVC in the observation group were significantly higher than those in the control group， and the difference was significant（P<0.05）; After treatment， the quality of life in the observation group was higher than that in the control group， and the difference was significant（P<0.05）; The CAT in the observation group was lower than that in the control group; The proportion of patients in the observation group at grade 0 and grade 1 was higher than that in the control group， and the difference between the groups was statistically significant（P<0.05）. Conclusion The application of Internet of Things technology for chronic disease management in the patients with stable COPD in group C and D can effectively improve patients' rehabilitation efficiency， improve their lung function index， and improve their quality of life， which has a clinical promotion value.

[Key words] Internet of things; Respiratory chronic disease management platform; COPD; Stable period; Lung rehabilitation

COPD是較為常見的呼吸系統致殘致死性疾病，近年來其發病率和死亡率均不斷上升，在對患者生命造成嚴重威脅的同時，也增加了社會的經濟負擔[1-3]。急性加重是引起COPD患者病情惡化，甚至死亡的重要因素。因此，對穩定期COPD患者加強自我管理，減少急性加重的次數是該類患者康復治療的關鍵[4]。然而，由于穩定期COPD患者多處于社區，居住較為分散，加之社區慢病管理制度不完善，患者依從性差等因素，目前對該類患者的管理仍缺少有效的辦法[5]。……