主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJIGN UNIVERSITY OF TRADITIONAL CHINE ›› 2016, Vol. 39 ›› Issue (4): 335-340.doi: 10.3969/j.issn.1006-2157.2016.04.013

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Evaluating the effectiveness of ring management on patients with chronic obstructive pulmonary disease: a study in tertiary hospital, community health service stations, family*

YAO Xiaoqin1, FENG Cuiling1#, XUE Guangwei1, QI Ying1, Zhang Xiaoya1, Wang Yanning2, Ma Jia3, Cai Wei4, Liu Hongxia5   

  1. 1 Respiratory Department, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700;
    2 Qingshuiyuan Community Health Service Station;
    3 Haiyuncang Community Health Service Station;
    4 Dafangjia Community Health Service Station;
    5 Waijiaobujie Community Health Service Station
  • Received:2015-01-26 Online:2016-04-30 Published:2016-04-30

Abstract: Objective To evaluate the effectiveness of ring management – tertiary hospital, community health service stations and family, on patients with chronic obstructive pulmonary disease (COPD). Methods Eligible patients were randomly divided into management group (n=107) and control group (n=103). All the patients were treated with the routine clinical practice, besides, systematic intervention for those in the management in the ways of health education, exercise management and medication management, who were managed by using COPD e-files. Furthermore, the patients in the management group were subdivided into Ba Duan Jin group and other exercises group according to the way of physical exercises, or into inhalation group and non-inhalation group according to the Western medication. COPD Assessment Test (CAT), the modified Medical Research Council (mMRC) Dyspnea Scale, number of acute exacerbation and lung function were analyzed before, six months post- and twelve months post- ring management. Results After 12 months of ring management, CAT score of patients in the management group decreased 4.69, mMRC scale decreased 0.52, the number of acute exacerbation less than twice increased to 75.7%, which were superior to that of control group(P<0.05). Increasing score of CAT in Ba Duan Jin subgroup was much more than that in other exercise subgroup(P<0.05). Increasing of FEV1% Pred in inhalation subgroup was more than that in non-inhalation subgroup(P<0.05). Score of CAT and number of acute exacerbation in the management group both decreased significantly compared with those in the control group(P<0.05). Conclusion Ring management model for COPD which can alleviate the symptoms of patients with stable COPD, improve the life quality and reduce the risk of exacerbation, is more comprehensive than medication management.

Key words: disease management, chronic obstructive pulmonary disease, stable stage, integrated management

CLC Number: 

  • R256.12