兴国县农村居民慢性阻塞性肺疾病防治一体化管理效果评价

摘要

目的 评价兴国县农村居民慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)防治一体化管理效果.方法 对兴国县龙口镇、社富乡、梅窖镇、高兴镇、均村乡、城岗乡6个试点乡镇18个村的933例COPD农村患者,实施1年的防治一体化综合干预、随访和管理,比较干预前后的效果.结果 与干预前比较,干预后患者建档率和规范化管理率提高(99.46%比36.50%,83.41%比12.72%,均P<0.01),干预后COPD患者急性加重率降低(5.35%比11.63%,P<0.01),COPD知晓率提高(96.72%比19.60%,P<0.01).结论 实施集"预防-诊疗-保健-健康教育-管理"为一体的COPD综合干预,可有效控制COPD患者的相关危险因素,减少急性加重的发生、提高患者COPD知识的知晓率,减少并发症,是控制COPD的有效措施.%Objective To evaluate the efficacy of integrated management of chronic obstructive pulmonary disease(COPD)prevention and treatment in rural residents of Xingguo county.Meth-ods A total of 933 COPD residents from 18 villages of 6 pilot townships(Longkou,Shefu,Mei-jiao,Gaoxing,Juncun and Chenggang)were selected in this study.The efficacy of comprehensive intervention,follow-up and management integration was evaluated after 1 year of implementation. Results The filing rate,standardized management rate and COPD awareness rate after interven-tion were higher than those before intervention(99.46% vs 36.50%,83.41% vs 12.72% and 96.72% vs 19.60%,respectively;P<0.01).The incidence of acute exacerbation of COPD after intervention was lower than that before intervention(5.35% vs 11.63%,P<0.01).Conclusion The implementation of comprehensive prevention-treatment-health care-health education-management can effectively control the related risk factors,reduce the incidence of acute exacerbation,in-crease the awareness and reduce the complications in patients with COPD.Therefore,the integrat-ed management of prevention and treatment of COPD is an effective measure to control COPD.