Long-term Management Program Can Improve Control Status of Stable COPD_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZhangRongbao , TanXingyu ,  HeQuanying , CuiYueli , ChenQing , WangYan , GaiJun , WeiJing'an

Department of Respiratory Medicine, People's Hospital of Beijing University, Beijing 100044, China;

Corresponding?author：

HeQuanying, Email: hxk313@126.com

Keywords：

Chronic obstructive pulmonary disease; Education management; Smoking cessation; Acute exacerbation; Quality of life

DOI：

10.7507/1671-6205.2014109

Video：

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Objective To evaluate the effect of long-term systemic education management program on intervention of chronic obstructive pulmonary disease (COPD). Methods Two hundred forty-six stable patients were interviewed face-to-face from March to August in 2013.They were divided into a systemic education group, a follow-up group and a control group according to different management program.The investigation contained general conditions, commonly used medicines, the effects of smoking cessation, the frequency of acute exacerbation in the year before investigation, COPD Assessment Test (CAT) and modified British Medical Research Council (mMRC). Results The success rate for smoking cessation in the systemic education group was 97.6%, which was higher than 81.0% in the follow-up group and 73.8% in the control group(P < 0.01).97.6% of patients in the systemic education group and 93.7% of patients in the follow-up group used bronchodilator.Whereas only 65.5% of patients in the control group inhaled bronchodilator, significantly lower than other two groups (P < 0.01).Mucolytic agents were taken by 14.5% and 19.0% of patients in the systemic education group and the follow-up group, and by 36.9% of patients in the control group (P < 0.01).The frequency of acute exacerbation was 0.9±0.9 both in the systemic education group and the follow-up group, which was lower than 1.2±1.0 in the control group (P < 0.05).CAT and mMRC in the systemic education group (10.2±5.7 and 1.5±1.0) and the follow-up group (11.1±5.8 and 1.5±0.9) were significantly lower than those in the control group (15.0±6.6 and 1.9±1.1, P < 0.01). Conclusions Long-term systemic education management program can improve success rate for smoking cessation and bronchodilator use, reduce the frequency of acute exacerbation, and improve quality of life effectively in COPD patients.

Citation： ZhangRongbao, TanXingyu, HeQuanying, CuiYueli, ChenQing, WangYan, GaiJun, WeiJing'an. Long-term Management Program Can Improve Control Status of Stable COPD. Chinese Journal of Respiratory and Critical Care Medicine, 2014, 13(5): 440-444. doi: 10.7507/1671-6205.2014109 Copy

1.	中華醫學會呼吸病學分會慢性阻塞性肺疾病學組.慢性阻塞性肺疾病診治指南(2007年修訂版).中華結核和呼吸雜志, 2007, 30:8-17.
2.	何權瀛, 周新, 謝燦茂, 等.從國內部分城市慢性阻塞性肺疾病患者診治現狀看健康教育管理的必要性.中國慢性病預防與控制, 2009, 17:441-443.
3.	張榮葆, 譚星宇, 何權瀛, 等.不同管理模式對慢性阻塞性肺疾病患者的干預作用.中華醫學雜志, 2012, 92:3117-3121.
4.	柳濤, 蔡柏薔.一種新型的生活質量評估問卷:慢性阻塞性肺疾病評估測試.中國醫學科學院學報, 2010, 32:234-238.
5.	Celli BR, MacNee W; ATS/ERS Task Force.Standards for the diagnosis and treatment of patients with COPD:a summary of the ATS/ERS position paper.Eur Respir J, 2004, 23:932-946.
6.	何權瀛.積極開展慢性阻塞性肺疾病的教育和管理.中華全科醫師雜志, 2004, 3:234-235.
7.	何權瀛, 高瑩慧.關于吸煙問題若干名詞定義.中華結核和呼吸雜志, 2009, 32:26.
8.	Jones J, Harding G, Wiklund I, et al.The COPD assessment Test^TM(CAT) is responsive to pulmonary rehabilitation.Am J Respir Crit Care Med, 2010, 181:A6841.
9.	鄒世清.慢性阻塞性肺疾病健康管理實施模式探討.中華健康管理學雜志, 2010, 4:371-373.
10.	陳亞紅, 姚婉貞, 康健, 等.慢性阻塞性肺疾病患者治療狀況與自我認知的多中心調查研究.中華結核和呼吸雜志, 2010, 33:750-753.
11.	何權瀛, 周新, 謝燦茂, 等.中國部分城市穩定期慢性阻塞性肺疾病治療現況斷面調查.中國實用內科雜志, 2009, 29:354-357.
12.	Pauwels RA, Buist AS, Calverley PM, et al.Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease.NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.Am J Respir Crit Care Med, 2001, 163:1256-1276.
13.	王向國, 洪倩, 王德斌, 等.慢性阻塞性肺疾病人群的健康管理.中國慢性病預防與控制, 2009, 17:75-77.z.

1. 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組.慢性阻塞性肺疾病診治指南(2007年修訂版).中華結核和呼吸雜志, 2007, 30:8-17.
2. 何權瀛, 周新, 謝燦茂, 等.從國內部分城市慢性阻塞性肺疾病患者診治現狀看健康教育管理的必要性.中國慢性病預防與控制, 2009, 17:441-443.
3. 張榮葆, 譚星宇, 何權瀛, 等.不同管理模式對慢性阻塞性肺疾病患者的干預作用.中華醫學雜志, 2012, 92:3117-3121.
4. 柳濤, 蔡柏薔.一種新型的生活質量評估問卷:慢性阻塞性肺疾病評估測試.中國醫學科學院學報, 2010, 32:234-238.
5. Celli BR, MacNee W; ATS/ERS Task Force.Standards for the diagnosis and treatment of patients with COPD:a summary of the ATS/ERS position paper.Eur Respir J, 2004, 23:932-946.
6. 何權瀛.積極開展慢性阻塞性肺疾病的教育和管理.中華全科醫師雜志, 2004, 3:234-235.
7. 何權瀛, 高瑩慧.關于吸煙問題若干名詞定義.中華結核和呼吸雜志, 2009, 32:26.
8. Jones J, Harding G, Wiklund I, et al.The COPD assessment Test^TM(CAT) is responsive to pulmonary rehabilitation.Am J Respir Crit Care Med, 2010, 181:A6841.
9. 鄒世清.慢性阻塞性肺疾病健康管理實施模式探討.中華健康管理學雜志, 2010, 4:371-373.
10. 陳亞紅, 姚婉貞, 康健, 等.慢性阻塞性肺疾病患者治療狀況與自我認知的多中心調查研究.中華結核和呼吸雜志, 2010, 33:750-753.
11. 何權瀛, 周新, 謝燦茂, 等.中國部分城市穩定期慢性阻塞性肺疾病治療現況斷面調查.中國實用內科雜志, 2009, 29:354-357.
12. Pauwels RA, Buist AS, Calverley PM, et al.Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease.NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.Am J Respir Crit Care Med, 2001, 163:1256-1276.
13. 王向國, 洪倩, 王德斌, 等.慢性阻塞性肺疾病人群的健康管理.中國慢性病預防與控制, 2009, 17:75-77.z.

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