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基于慢性阻塞性肺疾病评估筛查问卷(COPD-ES)的稳定期慢性阻塞性肺疾病患者管理可改善疾病分组。

COPD-ES Questionnaire Based COPD Patients Management in Stable Phrase Improves Disease Group Classification.

作者信息

Yang Yi, Huo Yajie, He Shengyang, Xie Lihua

机构信息

Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Changsha, People's Republic of China.

Department of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.

出版信息

Int J Chron Obstruct Pulmon Dis. 2024 Dec 31;19:2787-2798. doi: 10.2147/COPD.S484979. eCollection 2024.

Abstract

INTRODUCTION

Chronic obstructive pulmonary disease (COPD) is a prevalent, incurable condition requiring lifelong management. Inadequate daily management exacerbates COPD, leading to increased healthcare utilization and reduced quality of life.

METHODS

This study aimed to design and validate a 10-item COPD self-evaluation (COPD-ES) questionnaire and apply it in the education of stable COPD patients. Participants were recruited from the Third Xiangya Hospital of Central South University and randomly assigned to control and intervention groups. The intervention group received monthly disease education using the COPD-ES questionnaire during a 6 months observation period.

RESULTS

Significant improvements in smoking cessation, medication adherence, and disease knowledge in the intervention group were found. The intervention also led to a reduction in COPD Assessment Test (CAT) scores, modified Medical Research Council (mMRC) grades and acute exacerbation frequency. The COPD group classification improved accordingly.

CONCLUSION

The study highlights the importance of patient-centered education with our COPD-ES questionnaire in improving COPD management outcomes.

摘要

引言

慢性阻塞性肺疾病(COPD)是一种普遍存在的、无法治愈的疾病,需要终身管理。日常管理不当会使COPD恶化,导致医疗保健利用率增加和生活质量下降。

方法

本研究旨在设计并验证一份包含10个项目的COPD自我评估(COPD-ES)问卷,并将其应用于稳定期COPD患者的教育中。参与者从中南大学湘雅三医院招募,并随机分为对照组和干预组。在6个月的观察期内,干预组每月使用COPD-ES问卷接受疾病教育。

结果

干预组在戒烟、药物依从性和疾病知识方面有显著改善。干预还导致COPD评估测试(CAT)分数、改良医学研究委员会(mMRC)分级和急性加重频率降低。COPD组分类相应改善。

结论

该研究强调了以患者为中心的教育以及我们的COPD-ES问卷在改善COPD管理结果方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22aa/11699875/15b4c03961ce/COPD-19-2787-g0001.jpg

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