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.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版).中华结核和呼吸杂志, 2007, 30:8-17.
2.	何权瀛, 周新, 谢灿茂, 等.从国内部分城市慢性阻塞性肺疾病患者诊治现状看健康教育管理的必要性.中国慢性病预防与控制, 2009, 17:441-443.
3.	张荣葆, 谭星宇, 何权瀛, 等.不同管理模式对慢性阻塞性肺疾病患者的干预作用.中华医学杂志, 2012, 92:3117-3121.
4.	柳涛, 蔡柏蔷.一种新型的生活质量评估问卷:慢性阻塞性肺疾病评估测试.中国医学科学院学报, 2010, 32:234-238.
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7.	何权瀛, 高莹慧.关于吸烟问题若干名词定义.中华结核和呼吸杂志, 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.	邹世清.慢性阻塞性肺疾病健康管理实施模式探讨.中华健康管理学杂志, 2010, 4:371-373.
10.	陈亚红, 姚婉贞, 康健, 等.慢性阻塞性肺疾病患者治疗状况与自我认知的多中心调查研究.中华结核和呼吸杂志, 2010, 33:750-753.
11.	何权瀛, 周新, 谢灿茂, 等.中国部分城市稳定期慢性阻塞性肺疾病治疗现况断面调查.中国实用内科杂志, 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.	王向国, 洪倩, 王德斌, 等.慢性阻塞性肺疾病人群的健康管理.中国慢性病预防与控制, 2009, 17:75-77.z.

1. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版).中华结核和呼吸杂志, 2007, 30:8-17.
2. 何权瀛, 周新, 谢灿茂, 等.从国内部分城市慢性阻塞性肺疾病患者诊治现状看健康教育管理的必要性.中国慢性病预防与控制, 2009, 17:441-443.
3. 张荣葆, 谭星宇, 何权瀛, 等.不同管理模式对慢性阻塞性肺疾病患者的干预作用.中华医学杂志, 2012, 92:3117-3121.
4. 柳涛, 蔡柏蔷.一种新型的生活质量评估问卷:慢性阻塞性肺疾病评估测试.中国医学科学院学报, 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. 何权瀛.积极开展慢性阻塞性肺疾病的教育和管理.中华全科医师杂志, 2004, 3:234-235.
7. 何权瀛, 高莹慧.关于吸烟问题若干名词定义.中华结核和呼吸杂志, 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. 邹世清.慢性阻塞性肺疾病健康管理实施模式探讨.中华健康管理学杂志, 2010, 4:371-373.
10. 陈亚红, 姚婉贞, 康健, 等.慢性阻塞性肺疾病患者治疗状况与自我认知的多中心调查研究.中华结核和呼吸杂志, 2010, 33:750-753.
11. 何权瀛, 周新, 谢灿茂, 等.中国部分城市稳定期慢性阻塞性肺疾病治疗现况断面调查.中国实用内科杂志, 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. 王向国, 洪倩, 王德斌, 等.慢性阻塞性肺疾病人群的健康管理.中国慢性病预防与控制, 2009, 17:75-77.z.

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