基于中医证型的综合疗法对慢性阻塞性肺疾病患者自我效能和疗效满意度的影响。
Effect of Comprehensive Therapy based on Chinese Medicine Patterns on Self-Efficacy and Effectiveness Satisfaction in Chronic Obstructive Pulmonary Disease Patients.
机构信息
Department of Respiratory, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Collaborative Innovation Center for Respiratory Disease Diagnosis and Treatment & Chinese Medicine Development of Henan Province, Henan University of Chinese Medicine, Zhengzhou, 450046, China.
出版信息
Chin J Integr Med. 2019 Oct;25(10):736-742. doi: 10.1007/s11655-017-2417-9. Epub 2017 Sep 8.
OBJECTIVE
To evaluate the effect of comprehensive therapy based on Chinese medicine (CM) patterns on self-efficacy and satisfaction with its effectiveness in patients with chronic obstructive pulmonary disease (COPD).
METHODS
A total of 216 patients were randomly divided into the trial group (n =108) and the control group (n=108) based on the stratified and block randomization design. Patients in the trial group were treated with conventional Western medicine combined with Bufei Jianpi Granules (), Bufei Yishen Granules (), and Yiqi Zishen Granules () according to the CM patterns respectively, and patients in the control group were treated with conventional Western medicine. The COPD Self-Efficacy Scale (CSES) and the Effectiveness Satisfaction Questionnaire for COPD (ESQ-COPD) were employed in a 6-month treatment and in further 6 month follow-up visit.
RESULTS
Among the 216 patients, 191 patients (97 in the trial group and 94 in the control group) fully completed the study. After 12-month treatment and follow-up, the mean scores of the trial group all continued to increase over time, which were significantly higher than those of the control group (P <0.05), and the improvement in the following trial group domain: negative affect domain (12.13%), intense emotional arousal domain (12.21%), physical exertion domain (11.72%), weather/environmental domain (13.77%), behavioral risk domain (7.67%) and total score (10.65%). The trial group also exhibited significantly higher mean scores in the ESQ-COPD (P <0.05) and the improvement in the following domain: capacity for life and work domain (30.59%), clinical symptoms domain (53.52%), effect of therapy domain (35.95%), convenience of therapy domain (35.54%), and whole effect domain (52.47%).
CONCLUSIONS
Bufei Jianpi Granules, Bufei Yishen Granules and Yiqi Zishen Granules can improve the self-efficacy and satisfaction of COPD patients.
目的
评价基于中医（CM）模式的综合疗法对慢性阻塞性肺疾病（COPD）患者自我效能感及对疗效满意度的影响。
方法
采用分层区组随机设计，将 216 例患者分为试验组（n=108）和对照组（n=108）。试验组患者采用常规西药联合补肺健脾颗粒、补肺益肾颗粒、益气补肾颗粒治疗，对照组患者采用常规西药治疗。采用 COPD 自我效能量表（CSES）和 COPD 疗效满意度问卷（ESQ-COPD）在 6 个月的治疗和进一步的 6 个月随访中进行评估。
结果
216 例患者中，191 例（试验组 97 例，对照组 94 例）完成了研究。治疗和随访 12 个月后，试验组的平均评分均随时间持续增加，且显著高于对照组（P<0.05），其中试验组在以下领域的改善更为显著：负性情绪领域（12.13%）、强烈情绪唤醒领域（12.21%）、体力活动领域（11.72%）、天气/环境领域（13.77%）、行为风险领域（7.67%）和总分（10.65%）。试验组在 ESQ-COPD 中的平均评分也显著更高（P<0.05），在以下领域的改善更为显著：生活和工作能力领域（30.59%）、临床症状领域（53.52%）、治疗效果领域（35.95%）、治疗方便性领域（35.54%）和整体效果领域（52.47%）。
结论
补肺健脾颗粒、补肺益肾颗粒和益气补肾颗粒可提高 COPD 患者的自我效能感和对疗效的满意度。
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