基于微信随访的自我管理对肺移植受者居家期间生活质量的影响
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摘要
目的探讨微信随访干预对肺移植受者(LTRs)居家期间生活质量的影响。方法本研究采用历史对照研究的方法,将2015年12月—2016年12月收治的LTRs14例作为对照组,将2017年1月—2018年6月收治的LTRs18例作为观察组。对照组采用常规随访,观察组在对照组基础上采用微信随访干预。比较2组出院前及随访3个月后生活质量及6分钟步行试验(6MWT)。结果随访3个月后,观察组生活质量各维度得分及总分均低于对照组,其中呼吸症状、活动受限及总分差异有统计学意义(P<0.05)。随访3个月后,2组6MWT距离均有提升,观察组6MWT距离高于对照组,差异有统计学意义(P<0.05)。结论基于微信随访的自我管理可有效提高LTRs生活质量。
Objective To investigate the effect of WeChat-based self-management intervention on the quality of life in follow-up of lung transplant recipients(LTRs). Methods A historical comparative study was conducted to compare the effects of traditional follow-up methods and WeChat-based follow-up on LTRs at home after self-management intervention. Totally 14 cases of LTRs were recruited between December 2015 and December 2016 as the control group, another 18 cases of LTRs were included between January 2017 and January 2018 as the observation group. The St. George's Respiratory Questionnaire(SGRQ) and Six-minute Walking Tests(6 MWT) were used to assess the quality of life and lung function before intervention, 3 months after intervention. Results After 3-month follow-up, the total score, respiratory symptoms domain and activity limitations domain of SGRQ in the observation group were lower than those in the control group respectively(P<0.05). LTRs in both two groups received a better outcome of 6 MWT after 3-month follow-up, and those in the observation group walked a longer distance in 6 MWT compared with those in the control group(P<0.05). Conclusion The WeChat-based self-management intervention is potentially effective to improve the quality of life in the follow-up of LTRs.
Objective To investigate the effect of WeChat-based self-management intervention on the quality of life in follow-up of lung transplant recipients(LTRs). Methods A historical comparative study was conducted to compare the effects of traditional follow-up methods and WeChat-based follow-up on LTRs at home after self-management intervention. Totally 14 cases of LTRs were recruited between December 2015 and December 2016 as the control group, another 18 cases of LTRs were included between January 2017 and January 2018 as the observation group. The St. George's Respiratory Questionnaire(SGRQ) and Six-minute Walking Tests(6 MWT) were used to assess the quality of life and lung function before intervention, 3 months after intervention. Results After 3-month follow-up, the total score, respiratory symptoms domain and activity limitations domain of SGRQ in the observation group were lower than those in the control group respectively(P<0.05). LTRs in both two groups received a better outcome of 6 MWT after 3-month follow-up, and those in the observation group walked a longer distance in 6 MWT compared with those in the control group(P<0.05). Conclusion The WeChat-based self-management intervention is potentially effective to improve the quality of life in the follow-up of LTRs.
引文
[1] 毛文君, 陈静瑜. 中国肺移植面临的困难及对策[J]. 中华胸部外科电子杂志, 2016, 3(1): 1-6.
[2] SCHUURMANS M, BENDEN C, INCI I. Practical approach to early postoperative management of lung transplant recipients[J]. Swiss Med Wkly, 2013: w13773.
[3] FINKELSTEIN S M, LINDGREN B R, ROBINER W, et al. A randomized controlled trial comparing health and quality of life of lung transplant recipients following nurse and computer-based triage utilizing home spirometry monitoring[J]. Telemed J E Health, 2013, 19(12): 897-903.
[4] BOSMA O H, VERMEULEN K M, VERSCHUUREN E A, et al. Adherence to immunosuppression in adult lung transplant recipients: Prevalence and risk factors[J]. J Heart Lung Transplant, 2011, 30(11): 1275-1280.
[5] JONES P W, QUIRK F H, BAVEYSTOCK C M. The st george's respiratory questionnaire[J]. Respir Med, 1991, 85: 25-31.
[6] 高墨涵, 钱星星, 王若冰, 等. 心脏外科术后患者出院前6分钟步行试验结果及影响因素分析[J]. 中华护理杂志, 2018, 53(4): 428-432.
[7] 曹晓东, 朱亭立, 黄云娟, 等. 药物自我处置程式训练对肺移植术后病人服药依从性、肺功能和社会功能的影响[J]. 护理研究, 2014, 28(12A): 4295-4298.
[8] 杨翠芳, 杨焱雯. 湖北省微信使用现状和特点调查研究报告[J]. 湖北第二师范学院学报, 2018, 35(4): 35-45.
[9] 田跃, 韦钧, 郑岩. 微信平台延续护理对喉癌全切出院患者自护知识掌握和遵医行为的影响[J]. 中华肿瘤防治杂志, 2018, 25(S1): 194-195.
[10] 徐琳, 杨金旭. 微信式延续护理对乳腺癌术后功能锻炼依从性和生活质量影响[J]. 实用医学杂志, 2017, 33(1): 143-146.
[11] 陈静瑜. 努力打造与国际接轨的肺移植团队[J]. 实用器官移植电子杂志, 2017, 5(5): 329-330.
[12] 王晓军, 胡敏, 史苏霞. 肺移植患者术后生活质量的调查分析[J]. 上海护理, 2011, 11(2): 30-33.
[13] WICKERSON L, MATHUR S, SINGER L G, et al. Physical activity levels early after lung transplantation[J]. Phys Ther, 2015, 95(4): 517-525.
[14] 阮亮, 郝元涛, 陈丽花, 等. 肺移植患者术后生命质量及其影响因素研究[J]. 中国实用护理杂志, 2017, 33(6): 428-432.
[15] GERBASE M W, SPILIOPOULOS A, ROCHAT T, et al. Health-related quality of life following single or bilateral lung transplantation[J]. Chest, 2005, 128(3): 1371-1378.
[2] SCHUURMANS M, BENDEN C, INCI I. Practical approach to early postoperative management of lung transplant recipients[J]. Swiss Med Wkly, 2013: w13773.
[3] FINKELSTEIN S M, LINDGREN B R, ROBINER W, et al. A randomized controlled trial comparing health and quality of life of lung transplant recipients following nurse and computer-based triage utilizing home spirometry monitoring[J]. Telemed J E Health, 2013, 19(12): 897-903.
[4] BOSMA O H, VERMEULEN K M, VERSCHUUREN E A, et al. Adherence to immunosuppression in adult lung transplant recipients: Prevalence and risk factors[J]. J Heart Lung Transplant, 2011, 30(11): 1275-1280.
[5] JONES P W, QUIRK F H, BAVEYSTOCK C M. The st george's respiratory questionnaire[J]. Respir Med, 1991, 85: 25-31.
[6] 高墨涵, 钱星星, 王若冰, 等. 心脏外科术后患者出院前6分钟步行试验结果及影响因素分析[J]. 中华护理杂志, 2018, 53(4): 428-432.
[7] 曹晓东, 朱亭立, 黄云娟, 等. 药物自我处置程式训练对肺移植术后病人服药依从性、肺功能和社会功能的影响[J]. 护理研究, 2014, 28(12A): 4295-4298.
[8] 杨翠芳, 杨焱雯. 湖北省微信使用现状和特点调查研究报告[J]. 湖北第二师范学院学报, 2018, 35(4): 35-45.
[9] 田跃, 韦钧, 郑岩. 微信平台延续护理对喉癌全切出院患者自护知识掌握和遵医行为的影响[J]. 中华肿瘤防治杂志, 2018, 25(S1): 194-195.
[10] 徐琳, 杨金旭. 微信式延续护理对乳腺癌术后功能锻炼依从性和生活质量影响[J]. 实用医学杂志, 2017, 33(1): 143-146.
[11] 陈静瑜. 努力打造与国际接轨的肺移植团队[J]. 实用器官移植电子杂志, 2017, 5(5): 329-330.
[12] 王晓军, 胡敏, 史苏霞. 肺移植患者术后生活质量的调查分析[J]. 上海护理, 2011, 11(2): 30-33.
[13] WICKERSON L, MATHUR S, SINGER L G, et al. Physical activity levels early after lung transplantation[J]. Phys Ther, 2015, 95(4): 517-525.
[14] 阮亮, 郝元涛, 陈丽花, 等. 肺移植患者术后生命质量及其影响因素研究[J]. 中国实用护理杂志, 2017, 33(6): 428-432.
[15] GERBASE M W, SPILIOPOULOS A, ROCHAT T, et al. Health-related quality of life following single or bilateral lung transplantation[J]. Chest, 2005, 128(3): 1371-1378.