Effect of management by family doctor on quality of life of patients with chronic obstructive pulmonary disease

doi:10.3877/cma.j.issn.1674-0785.2020.12.007

Abstract

Abstract:

Objective

To analyze the impact of personalized management by community family doctors on the quality of life of patients with chronic obstructive pulmonary disease (COPD), to provide a reference for exploring prevention and treatment strategies for COPD.

Methods

A total of 109 patients with stable COPD who were admitted to Pingjiang Xincheng Community Health Service Center from October 2018 to April 2019 were selected. They were randomly divided into either an experimental group (55 cases) or a control group (54 cases).The control group was given routine drug maintenance therapy, while the experimental group was given individualized management by community family doctors on the basis of routine drug therapy. Comprehensive assessment test (CAT) score, forced expiratory volume in one second/forced vital capacity (FEV₁/FVC), estimated FEV₁ were compared between the two groups before and after management. The percentage of patients with acute exacerbation more than once in 1 year was compared after management.

Results

The CAT scores in the experimental group at 3 and 6 months after management (14.14±7.13 and 13.25±6.24) were significantly lower than that before management (17.61±7.21, P＜0.05) and those in the control group after management (17.14±8.41, 17.42±8.02, P＜0.05). The FEV₁/FVC in the experimental group improved from 59.14±7.3 before administration to 65.56±6.1 after administration (P＜0.05), and the estimated FEV₁ also improved from (48.36±5.20)% before management to (63.22±5.90)% after management (P＜0.05). The percentage of patients with acute exacerbation more than once in one year in the experimental group (16.36%) was significantly lower than that in the control group (33.33%, P＜0.05).

Conclusion

The individualized management by community family doctors significantly improve patients' lung function, which can slow the development of chronic obstructive pulmonary disease.

Key words: Management by family dcotor, Chronic obstructive pulmonary disease, Quality of life

Zongquan Zhao, Yihong Wu, Xiaohong Wang, Hao Zhang, Xiangfan Tian, Zhenyuan Tang, Min Huang. Effect of management by family doctor on quality of life of patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Clinicians(Electronic Edition), 2020, 14(12): 988-991.

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References 12

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组别	例数	FEV₁/FVC		FEV₁预估值（%）
组别	例数	管理前	管理后	管理前	管理后
试验组	55	59.14±7.30	65.56±6.10^a	48.36±5.20	63.22±5.90^a
对照组	54	60.21±6.90	61.17±5.30	47.42±4.90	49.25±7.10
t值		0.513	11.564	1.320	12.169
P值		0.601	0.000	0.218	0.000

组别	例数	FEV₁/FVC		FEV₁预估值（%）
组别	例数	管理前	管理后	管理前	管理后
试验组	55	59.14±7.30	65.56±6.10^a	48.36±5.20	63.22±5.90^a
对照组	54	60.21±6.90	61.17±5.30	47.42±4.90	49.25±7.10
t值		0.513	11.564	1.320	12.169
P值		0.601	0.000	0.218	0.000

组别	例数	管理前	管理3个月	管理6个月	F值	P值
试验组	55	17.61±7.21	14.14±7.13	13.25±6.24	12.497	0.000
对照组	54	17.45±8.13	17.14±8.41	17.42±8.02	1.480	0.691
t值		1.157	11.253	12.365
P值		0.587	0.000	0.000

组别	例数	管理前	管理3个月	管理6个月	F值	P值
试验组	55	17.61±7.21	14.14±7.13	13.25±6.24	12.497	0.000
对照组	54	17.45±8.13	17.14±8.41	17.42±8.02	1.480	0.691
t值		1.157	11.253	12.365
P值		0.587	0.000	0.000

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