The Effect of Out-of-Hospital Extended Care on the Prognosis of Patients With Chronic Obstructive Pulmonary Disease

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-03-03 DOI:10.1111/jep.70025

Xiaoyan Gong, Yan Gong, Shuhua Peng, Qiaoying Huang, Wenting Luo, Man Jin, Ling Xiao, Liping Xiong

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引用次数: 0

Abstract

Objective

Nursing services are crucial for the recovery and prognosis of patients with chronic obstructive pulmonary disease (COPD). This study is to evaluate the impact of out-of-hospital extended care services on patients with COPD.

Methods

A total of 67 COPD patients were enroled in this study, divided into a control group and an intervention group. The intervention group was provided with out-of-hospital extended care services for 6 months, and at the end of the follow-up visit, the patients' psychological status, pulmonary function, and exercise endurance were assessed.

Results

Compared with the control group, patients in the intervention group showed significant improvement in pulmonary function, as reflected in FVC, FEV1, FEV1%, and FEV1/FVC. Meanwhile, after 6 months of extended care services, patients in the intervention group showed significant improvement in exercise endurance, with a significant increase in 6-min walking distance. In addition, patients in the intervention group experienced a significant reduction in anxiety and depression after extended care services.

Conclusions

Extended care service as a new care model can significantly improve the prognosis of COPD patients.

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院外延伸护理对慢性阻塞性肺疾病患者预后的影响

目的护理服务对慢性阻塞性肺疾病（COPD）患者的康复和预后至关重要。本研究旨在评估院外延伸护理服务对慢性阻塞性肺病患者的影响。方法将67例慢性阻塞性肺病患者分为对照组和干预组。干预组给予6个月的院外延伸护理服务，随访结束时评估患者心理状态、肺功能、运动耐力。结果干预组患者肺功能较对照组有明显改善，FVC、FEV1、FEV1%、FEV1/FVC均有明显改善。同时，延长护理服务6个月后，干预组患者运动耐力显著提高，6分钟步行距离显著增加。此外，干预组的患者在延长护理服务后焦虑和抑郁显著减少。结论延长护理服务作为一种新的护理模式，可显著改善慢性阻塞性肺病患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.