Abstract
Objective To explore the effects of Hospital-Community-Family management mode on pulmonary function recovery and quality of life in patients with chronic obstructive pulmonary disease (COPD) noninvasive ventilation, so as to provide reference for the COPD rehabilitation management. Methods From February 2013 to June 2016, a total of 180 COPD patients with noninvasive ventilation in hospital were selected as the research objects and randomly divided into observation group and control group by random number table method, with 90 cases in each group. The observation group adopted the Hospital-Community-Family management mode, while the patients in the control group were given routine discharge guidance. The lung function and quality of life were compared between the two groups before the intervention and after 6 months of management. Results After 6 months management, the forced vital capacity (FVC) of the observation group patients was (2.35±0.46) ; the forced expiratory volume in one second (FEV1) was (1.62±0.64) ; the forced expiratory volume in one second to forced vital capacity rated (FEV1%) was (72.84±13.75) ; FEV1/FVC was (67.57±10.28) %; the peak expiratory flow (PEF) was (366.72±28.73) L/min. While those indicators of the control group were (1.96±0.45) , (1.44±0.53) , (67.91±13.05) , (62.41±10.31) % and (342.83±26.64) L/min respectively. It was indicated that the pulmonary function recovery of the observation group was better than that of the control group, and the difference was statistical significant (t=5.750, 2.055, 2.467, 3.362, 5.785; P<0.05) . The respiratory symptoms, activity limitation, disease influence and the total score of St George's respiratory questionnaire (SGRQ) were (51.27±8.64) , (50.72±9.45) , (51.49±11.69) and (51.28±10.42) , and those of the control group were (58.49±9.41) , (56.49±10.36) , (57.83±12.53) and (57.74±11.04) respectively. The differences were all statistically significant (t=5.362, 3.904, 3.510, 4.037; P<0.01) . Conclusions The implementation of Hospital-Community-Family management mode for COPD non-invasive ventilation can improve the pulmonary function and quality of life of patients. Key words: Pulmonary disease, chronic obstructive; Quality of life; Pulmonary function; Hospital-Community-Family management mode
Published Version
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