基于问题导向的慢性病干预行为对老年COPD患者用药依从性及生活质量影响

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Abstract Objective To investigate the application value of problem-oriented chronic disease intervention behavior of clinical pharmacists in elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 212 COPD patients admitted to Suzhou Ninth People′s Hospital of Jiangsu Province from January to April 2019 were selected. They were divided into the control group (106 cases) and the study group (106 cases) according to the random number table method. The control group was given routine intervention, while the study group was given problem-oriented chronic disease intervention. After the intervention, the self-management scale, health status questionnaire, anxiety self-rating scale (SAS) and depression self-rating scale (SDS) and medication compliance of the two groups were compared. Results The scores of daily life management, self-efficacy management, emotion management, symptom management and information management in the study group were higher than those in the control group (all P < 0.01). The improved scores of positive and optimistic, with ventilator, with home oxygen therapy, familiar with disease knowledge, drug safety, healthy diet and lifestyle, and have quit smoking or are quitting smoking in the study group were higher than those in the control group (all P < 0.01). The vitality, social function, physiological function, emotional function, physical function, physical pain, mental health and overall health scores of the study group were all higher than those of the control group (all P < 0.01). Before intervention, there were no significant differences in SAS and SDS scores of the two groups (P > 0.05); after intervention, SAS and SDS scores of the two groups were lower than those before intervention, and the study group were lower than the control group (all P < 0.01). The total compliance rate of study group was higher than that of control group (P < 0.05). Conclusion Clinical pharmacist problem-oriented chronic disease intervention behavior has higher application value in elderly patients with COPD, which can improve patients′ self-management ability and medication compliance, relieve negative emotions, and improve the quality of daily life.

Key words： Elderly chronic obstructive pulmonary disease Chronic disease intervention Problem-oriented Application value

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	ZHANG Lifang YAO Xinglan HU Xiaobo▲

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ZHANG Lifang YAO Xinglan HU Xiaobo▲. Effects of problem-oriented chronic disease intervention behavior on medication compliance and quality of life in elderly COPD patients[J]. 中国医药导报, 2020, 17(31): 122-125.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I31/122

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