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Chinese Journal of Clinicians(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (12): 988-991. doi: 10.3877/cma.j.issn.1674-0785.2020.12.007

Special Issue:

• Clinical Research • Previous Articles     Next Articles

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

Zongquan Zhao1, Yihong Wu2, Xiaohong Wang1, Hao Zhang1, Xiangfan Tian1, Zhenyuan Tang3, Min Huang3,()   

  1. 1. General Medical Department, Pingjiang Xincheng Community Health Service Center of Gusu District, Suzhou 215000, China
    2. General Medical Department, Runda Community Health Service Center of Gusu District, Suzhou 215000, China
    3. General Medical Department, Suzhou Municipal Hospital Suzhou Hospital Affiliated to Nanjing Medical University, Suzhou 215000, China
  • Received:2020-07-06 Online:2020-12-15 Published:2021-03-23
  • Contact: Min Huang

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

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