The Systematic Health Management To Chronic Obstructive Pulmonary Disease Affect The Prognosis Of Patients

Objective:This study is to analyze and discuss the influence of health management in patients with chronic obstructive pulmonary disease to their lifestyle, quality of life, treatment compliance, and pulmonary function tests. And we compared the health management with conventional health education to provide an effective proof that we could explore more scientific, more rational and more effective COPD community health management in the future.Methods:200 research objects were enrolled from stabilized patients with COPD in Datong Coal Mine Group Hospital from October 2014 to October 2015.The 200 research objects were randomly divided into two groups, 100 cases in experimental group and 100 cases in control group. The experimental group received systematic Health Management and regular follow-up for a month, but the control group received routine health education.After 12 months later, we compared the difference between two groups in lung function test, in aspect of 6min walking distance test(6MWT), treatment compliance, quality of life,the number of patients, who receive exacerbations and the number of days of hospitalization.Results:All 200 patients were followed completely. The experimental group has FEV1(1.70±0.53) L, FEV1 / FVC(46.58±7.88)%, and FEV1(49.85±5.45)%; the control group has FEV1(1.59±0.20) L, FEV1 / FVC(45.07±5.49)%, and FEV1(49.22±4.66)%. Before the experiment, there was no significant difference between the two groups in lung function,the evaluation of life quality, and 6min walk distance. Lung function is(P>0.05); the evaluation of life quality in CAT score(points) is(26.4±10.04) points in the experimental group and(25.48±3.77) points in the control group; 6min walk distance(m) is(259.52±36.20) m in the experimental group, and(265.25 ± 45.75) m in the control group. We conclude that it has no significant difference statistically in CAT scores and 6min walking distance. After lung function test, the experimental group of has FEV1(1.93± 0.42) L,FEV1 / FVC(46.19±1.97)%, FEV1(60.26±3.66)%; the control group has FEV1(1.67±0.39) L, FEV1 / FVC(47.92 ± 3.97)%, FEV1(49.46 ± 6.95)%. The lung function in patients, after experimental groups, were significantly different(P<0.05) in statistics. In the treatment compliance, experimental group has 72 good-compliant patients and 28poor-compliant patients, while the control group has 63 good-compliant patients and 37poor-compliant patients. In the number of patients required hospitalization, the experimental group has 26 patients required hospitalization due to acute exacerbation,whose number of days of hospitalization is(14.32±1.72), but the control group has 33 patients required hospitalization due to acute exacerbation, whose number of days of hospitalization is(15.33±1.03).Conclusion:Health Management, for patients with chronic obstructive pulmonary disease, can effectively improve their treatment compliance, lung function, and quality of life, which promotes their rehabilitation.