微信联合一体化诊疗护理在慢性阻塞性肺疾病稳定期出院患者中的效果

郭桂霞; 张阿宏; 吕敏; 孙社梅; 周媛媛

doi:10.7619/jcmp.20201642

微信联合一体化诊疗护理在慢性阻塞性肺疾病稳定期出院患者中的效果

Effect of WeChat combined with integrated diagnosis and treatment nursing for discharged patients with stable chronic obstructive pulmonary disease

摘要

摘要:
目的探讨微信联合一体化诊疗护理在慢性阻塞性肺疾病(COPD)稳定期出院患者中的应用效果。
方法选取2019年3月—2020年3月在本院治疗的COPD稳定期出院患者80例为研究对象，随机分为观察组和对照组，每组40例。对照组患者采用常规治疗指导和护理，观察组患者采用微信联合一体化诊疗护理。比较2组干预前、干预6个月后的肺功能指标评分及干预6个月后治疗依从性和护理满意度。
结果干预6个月后，观察组第1秒用力呼出量(FEV₁)、用力肺活量(FVC)、第1秒用力呼吸容积占用力肺活量百分比(FEV₁/FVC)均高于对照组，差异均有统计学意义(P＜0.05)。2组COPD评估测试(CAT)问卷评分均低于干预前，差异有统计学意义(P＜0.05)。观察组治疗总依从率和护理总满意度分别为95.00%、97.50%, 高于对照组患者的55.00%、52.50%, 差异有统计学意义(P＜0.05)。
结论微信联合一体化诊疗护理在COPD稳定期出院患者中具有显著优势，可以提高患者治疗依从率，改善肺功能和生活质量。

Abstract:
Objective To explore the application effect of WeChat combined with integrated diagnosis and treatment nursing for discharged patients with chronic obstructive pulmonary disease (COPD) in stable stage.
Methods A total of 80 patients with stable COPD discharged from our hospital from March 2019 to March 2020 were randomly divided into observation group and control group, with 40 cases in each group. The control group was given routine treatment guidance and nursing, while the observation group was given WeChat combined with integrated diagnosis and treatment nursing. The scores of pulmonary function indexes before and 6 months after intervention, treatment compliance and nursing satisfaction after 6 months of intervention of two groups were compared.
Results After 6 months of intervention, the forced expiratory volume in the first second (FEV₁), forced vital capacity (FVC) and ratio of FEV₁ to FVC of the observation group were significantly higher than those of the control group(P < 0.05). COPD Assessment Test (CAT) questionnaire scores of the two groups were lower than that before intervention(P < 0.05). The total compliance rate and total nursing satisfaction of the observation group were 95.00% and 97.50% respectively, which were significantly higher than 55.00% and 52.50% of the control group (P < 0.05).
Conclusion WeChat combined with integrated diagnosis and treatment nursing has significant advantages in patients with COPD in stable phase, which can improve the treatment compliance rate, lung function and quality of life.

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