【摘要】 目的研究对慢性阻塞性肺疾病（即COPD）实施家庭中心慢病管理的临床应用效果。方法选取2017年1月—2018年4月到该院接收治疗的COPD患者110例作为研究对象,根据患者入院先后顺序将其分为对照组（n=60）和实验组（n=50）,对照组采取常规慢病管理;实验组患者采取家庭中心慢病管理,管理时间为半年。观察对比两组患者生活质量和运动功能改善情况,将两组患者管理前后的肺功能指标改善情况进行对比。结果管理前,两组患者肺功能指标（FEV₁、FEV₁/FVC、PaCO₂、PaO₂）差异无统计学意义（t=0.148、0.888、0.777、0.638,P>0.05）;管理后,肺功能指标对比差异有统计学意义（t=4.215、3.557、30.181、27.316,P<0.05）,管理前,两组患者生活质量及运动功能（呼吸表现、活动情况、疾病影响、6MWT）差异无统计学意义（t=0.097、0.662、0.390、0.442,P>0.05）;管理后,实验组患者肺功能指标以及运动功能情况明显比对照组更佳,差异有统计学意义（t=7.051、6.234、4.749、16.003,P<0.05）。结论针对COPD患者实施家庭中心慢病管理可明显改善患者肺功能,提高其生活质量及运动能力。更多还原

【Abstract】 Objective To study the clinical application effect of family center chronic disease management in chronic obstructive pulmonary disease（COPD）. Methods A total of 110 patients with COPD who received treatment in our hospital from January 2017 to April 2018 were enrolled. The patients were divided into control group（n=60） and experimental group（n=50）according to the order of admission. The control group was treated with conventional chronic disease; the experimental group was treated with family center chronic disease, and the management time was half a year. The quality of life and motor function improvement of the two groups were compared. The improvement of lung function indexes before and after management were compared between the two groups. Results Before management, the lung function indexes（FEV₁, FEV₁/FVC, PaCO₂, PaO₂） of the two groups were not statistically significant（t=0.148,0.888, 0.777,0.638,P>0.05）. After management,there were significant differences in lung function index（t =4.215,3.557,30.181, 27.316,P <0.05）. Before management, the quality of life and motor function（respiratory performance, activity, disease effects, 6 MWT） were compared between the two groups. There was no significant difference（t=0.097, 0.662,0.390, 0.442,P>0.05）. After management, the lung function index and motor function of the experimental group were significantly better than the control group, the difference was statistically significant（t=7.051,6.234, 4.749, 16.003,P<0.05）. Conclusion The implementation of family center chronic disease management for patients with COPD can significantly improve lung function and improve their quality of life and exercise capacity.更多还原