Liu J, Sun C H, Zhao Y, Lin X T
Department of Health Management, Qilu Hospital of Shandong University, Jinan 250012, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Jan 20;39(1):37-40. doi: 10.3760/cma.j.issn.121094-20200204-00042.
To explore the role of chronic disease self-management program (CDSMP) in promoting pulmonary rehabilitation of patients with chronic obstructive pulmonary disease (COPD) . In June 2017 and December 2018, 380 COPD patients were selected from the health management center of Qilu Hospital of Shandong University during the same period. They were randomly divided into the experimental group and the control group. At the end of the study, 17 cases were lost to follow-up and 5 cases were withdrawn from the study. Finally, 175 and 183 patients in the experimental group and the control group completed the study. The experimental group was treated with CDSMP for 6 months, while the control group was not intervened. Lung function and blood gas analysis results, lung rehabilitation related indicators and SF-36 scores were compared between the two groups before and after intervention. The measurement data were expressed by Mean±SD, and the comparison between the two groups was performed by t test. The count data were expressed by frequency and constituent ratio (%) . Chi square test or rank sum test was used for comparison between groups. After CDSMP intervention, compared with the control group, the 6MWD, weekly moderate intensity exercise time, weekly moderate intensity exercise frequency and self exercise efficacy score of the experimental group were significantly increased, and the single exercise duration was longer, the difference was statistically significant (<0.05) . The physiological function score, general health score, physical energy score, mental health score and total score of the experimental group were higher, and the differences were statistically significant (<0.05) . CDSMP may have a certain effect in promoting lung rehabilitation in COPD patients.
探讨慢性病自我管理项目（CDSMP）在促进慢性阻塞性肺疾病（COPD）患者肺康复中的作用。2017年6月至2018年12月，同期从山东大学齐鲁医院健康管理中心选取380例COPD患者。将他们随机分为实验组和对照组。研究结束时，17例失访，5例退出研究。最终，实验组和对照组分别有175例和183例患者完成研究。实验组接受CDSMP治疗6个月，而对照组未进行干预。比较两组干预前后的肺功能和血气分析结果、肺康复相关指标及SF - 36评分。计量资料以Mean±SD表示，两组间比较采用t检验。计数资料以频数和构成比（%）表示，组间比较采用χ²检验或秩和检验。CDSMP干预后，与对照组相比，实验组的6分钟步行距离（6MWD）、每周中等强度运动时间、每周中等强度运动频率及自我运动效能评分显著增加，单次运动持续时间更长，差异有统计学意义（<0.05）。实验组的生理功能评分、总体健康评分、身体活力评分、心理健康评分及总分更高，差异有统计学意义（<0.05）。CDSMP在促进COPD患者肺康复方面可能有一定作用。
