基于微信平台的延续护理对COPD患者肺功能及治疗依从性的影响
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摘要
目的观察基于微信平台的延续护理对慢性阻塞性肺疾病(COPD)患者肺功能、治疗依从性及生活质量的影响。方法 120例COPD患者随机分为两组,每组60例;对照组予以常规延续管理,观察组在常规延续管理基础上还予以基于微信平台的延续护理,两组均干预6个月。比较两组干预前后肺功能、治疗依从性及生活质量评估量表(QOL)评分变化。结果出院后6个月,观察组治疗依从性明显优于对照组(P<0.05),用力肺活量(FVC)、第1秒最大呼气量(FEV1)及其占预计值百分比(FEV1%)均明显高于对照组(P<0.05),QOL量表日常生活因子评分、焦虑因子评分及总均分均明显低于对照组(P<0.05)。结论基于微信平台的延续护理能够提高COPD患者治疗依从性,改善患者肺功能及生活质量。
Objective To observe the effects of continuous nursing based on WeChat platform on lung function, treatment compliance and quality of life in patients with chronic obstructive pulmonary disease(COPD). Methods 120 patients with COPD were randomly divided into two groups, 60 cases in each group. The control group was given routine continuation management. On this basis, the observation group was given continuous nursing based on WeChat platform. Both groups were intervened for 6 months. Lung function, treatment compliance and changes of quality of life(QOL) scores were compared between the two groups before and after intervention. Results At 6 months after discharge, the treatment compliance of the observation group was significantly better than that of the control group(P<0.05). The forced vital capacity(FVC), forced expiratory volume in one second(FEV1) and the ratio of FEV1 to predicted value(FEV1%) were significantly higher than those of the control group(P<0.05).The daily life factor score, anxiety factor score and total score in the QOL of the observation group were significantly lower than those of the control group(P<0.05). Conclusion Continuing nursing based on WeChat platform can improve the treatment compliance of patients with COPD, improve lung function and quality of life.
Objective To observe the effects of continuous nursing based on WeChat platform on lung function, treatment compliance and quality of life in patients with chronic obstructive pulmonary disease(COPD). Methods 120 patients with COPD were randomly divided into two groups, 60 cases in each group. The control group was given routine continuation management. On this basis, the observation group was given continuous nursing based on WeChat platform. Both groups were intervened for 6 months. Lung function, treatment compliance and changes of quality of life(QOL) scores were compared between the two groups before and after intervention. Results At 6 months after discharge, the treatment compliance of the observation group was significantly better than that of the control group(P<0.05). The forced vital capacity(FVC), forced expiratory volume in one second(FEV1) and the ratio of FEV1 to predicted value(FEV1%) were significantly higher than those of the control group(P<0.05).The daily life factor score, anxiety factor score and total score in the QOL of the observation group were significantly lower than those of the control group(P<0.05). Conclusion Continuing nursing based on WeChat platform can improve the treatment compliance of patients with COPD, improve lung function and quality of life.
引文
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[8]陈美玲,卢焕平,梁宝卿.基于微信平台的远程动机性访谈在COPD患者延续性护理中的应用[J].护理实践与研究,2017,14(19):47-49.
[2]刘海棠,谢丽娟.多学科合作延续护理对慢性阻塞性肺疾病患者生命质量的影响[J].中国实用护理杂志,2016,32(10):737-742.
[3]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264.
[4]吴晓冰,邓妙贞,李桂芬,等.慢性阻塞性肺疾病缓解期患者疾病自我管理模式的建立及效果评价[J].中国实用护理杂志,2013,29(31):19-22.
[5]夏玉兰,李小莉,刘雨村,等.延续护理对COPD患者生活质量的影响[J].重庆医学,2015,44(21):3020-3021.
[6]董亚娜.延续护理在COPD稳定期病人中的应用效果[J].护理研究,2015,29(27):3431-3432.
[7]苏宁,张谨超,殷红晶,等.手机APP联合微信群在老年COPD患者延续护理中的应用[J].中华现代护理杂志,2018,24(5):572-576.
[8]陈美玲,卢焕平,梁宝卿.基于微信平台的远程动机性访谈在COPD患者延续性护理中的应用[J].护理实践与研究,2017,14(19):47-49.