Application effect of “chain+strengths mode of case management” in rehabilitation of elderly patients with chronic obstructive pulmonary disease
BAO Yanqiao1 LI Xiaojuan1 WANG Feifan2
1.Department of Respiratory and Critical Care Medicine, the First People’s Hospital of Yichang, Hubei Province, Yichang 443000, China;
2.Department of Nursing, the First People’s Hospital of Yichang, Hubei Province, Yichang 443000, China
Abstract:Objective To explore application effect of “chain+strengths mode of case management” in rehabilitation of elderly patients with chronic obstructive pulmonary disease. Methods A total of 85 elderly patients with chronic obstructive pulmonary disease were selected from the Department of Respiratory and Critical Care Medicine of the First People’s Hospital of Yichang, Hubei Province from January to July 2021. Patients were divided into control group (42 cases) and experimental group (43 cases) according to the order of arrival of patients. The control group was given routine management, and the experimental group was administered “chain+strengths mode of case management” on the basis of the control group. Pulmonary function, quality of life, anxiety status were compared between the two groups before intervention, and 1 and 2 months after intervention by pulmonary function index, self-assessment test (CAT) questionnaire and 7-items generalized anxiety disorder scale (GAD-7) and pulmonary rehabilitation compliance. Results There were statistically significant differences pulmonary function,CAT, GAD-7 scores between groups, time points comparison and interaction (P<0.05). Further pair-wise comparison showed that there were statistically significant differences in lung function, CAT, and GAD-7 scores between the two groups at each time points (P<0.05), and after two months intervention, forced expiratory volume in one second, forced expiratory volume in one second/ forced vital capacity of the experimental group were higher than thlse of the control group, and the CAT and GAD-7 scores were lower than those of the control group (P<0.05). The compliance of pulmonary rehabilitation in experimental group was better than that in control group(P<0.05). Conclusion The application of “chain + strengths mode of case management” in pulmonary rehabilitation management can improve pulmonary function indicators, quality of life and anxiety in elderly patients with chronic obstructive pulmonary disease, and improve the patients’ pulmonary rehabilitation compliance.
包延乔1 李晓娟1 王非凡2. “链式+个案管理优势模式”在老年慢性阻塞性肺疾病康复中的应用效果[J]. 中国医药导报, 2023, 20(27): 166-170.
BAO Yanqiao1 LI Xiaojuan1 WANG Feifan2. Application effect of “chain+strengths mode of case management” in rehabilitation of elderly patients with chronic obstructive pulmonary disease. 中国医药导报, 2023, 20(27): 166-170.