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.
引文
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