三级医院联合社区卫生服务中心对P患者强化管理的研究.docVIP

三级医院联合社区卫生服务中心对COPD 患者强化管理的研究 堵钧伟凌晓波徐钦星徐则兰叶萍 杭州市富阳区第一人民医院呼吸科 R的探宄三级医院联合社区管理对慢性阻塞性肺疾病（COPD）患者预防及安全 用药的影响。方法采用回顾性分析的方法，选择三级医院接受治疗的60例COPD 患者作为研宄对象，对所有患者予以三级医院联合社区卫生中心强化管理，对 联合管理前后患者coro健康知识得分情况、正确用药、呼吸功能训练等相关情 况以及患者生活质量评分进行综合评价。结果三级医院联合社区卫生服务中心 强化管理后，COPD患者的健康知识得分均明显优于三级医院联合社区管理前， 差昇均有统计学意义（*2分别=8.24、9.48、18.43, P均0. 05）。经过三级医 院与社区联合管理，⑶PD患者正确服药数、正确呼吸功能训练及戒烟数明显高 于管理前，差异均有统计学意义（乂2分别=9.69、11.52、14.29, P均〈0. 05）, 且三级医院联合社区管理后，患者的躯体功能、心理功能及社会功能等生活质量 评分明显优于管理前，差异均有统计学意义（t分别=5. 39、6.38、3.30, P均 0. 05）。结论对COPD患荠给予三级医院联合社区管理，能够增强患荠对COPD 的认识，提高用药安全性与合理性，提升患者生存质量。 关键词： 三级医院;社区管理;慢性阻塞性肺疾病; 2017-05-03 基金：杭州富阳区科技局项目（2014SK009） Effect of intensive management by the tertiary hospital combined with the community health service center in patients with chronic obstructive pulmonary disease DU Junwei LIN Xiaobo XU Qinxing Department of Respiration, Hangzhou Fuyang First People’s Hospital; Abstract： Objective To explore the effect of intensive management by the tertiary hospital combined with the community health service center in patients with chronic obstructive pulmonary disease (COPD) ? Methods Totally 60 patients with COPD who received treatment at the tertiary hospital were selected. All patients underwent 1 year intensive management by the tertiary hospital combined with the community health service center. The health knowledge score, the correct medication, respiratory function training and the patient’s quality of life score were evaluated before and after 1 year intensive management. Results After the intensive management, the health knowledge score of patients with COPD was significantly higher than before ( x2二8.24, 9.48, 18.43, P〈0.05) . The numbers of patients with correct medication, proper breathing training and smoking cessation were significantly more than before ( x =9. 69，11. 52, 14.29，P0. 05) . The patient’s quality of life scores including somatic function, psychological function and social function were significantly higher than before (t=5. 39，6.38，3. 30，P〈0.05