微信平台及手机健康软件的联合应用方案在老年慢性阻塞性肺疾病患者延续干预中的应用

李丽娟

[摘要]目的 微信平臺及手机健康软件的联合应用方案在老年慢性阻塞性肺疾病（COPD）患者延续干预中的应用价值。方法 选取2016年3月～2018年4月从我院出院的100例老年COPD患者作为研究对象，采用随机数字表法分成研究组（n=50）和对照组（n=50）。对照组采用健康讲座和电话随访方法，研究组采用微信平台及手机健康软件联合应用方案。比较两组的自我效能水平、管理水平及服药依从性。结果 研究组的自我管理水平（包括症状管理评分、情绪管理评分、日常生活评分、自我效能评分、信息管理评分）、效能水平（包括负面评分、情绪评分、体力活动评分、环境评分、危险行为评分）及服药依从性均高于对照组，差异有统计学意义（P<0.05）。结论 微信平台及手机健康软件的联合应用方案对老年COPD患者延续性护理有较高的应用价值，值得临床应用。

[关键词]微信平台;手机健康软件;联合应用;方案;老年慢性阻塞性肺疾病;延续护理;应用价值

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0214-04

Application of combined application scheme of WeChat platform and mobile health software in the continuous intervention of elderly patients with chronic obstructive pulmonary disease

LI Li-juan

Department of General Medical， Huizhou Central People′s Hospital， Guangdong Province， Huizhou   516001， China

[Abstract] Objective The application value of the combined application scheme of WeChat platform and mobile health software in the elderly patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 100 elderly patients with COPD who were discharged from our hospital from March 2016 to April 2018 were selected as the research subjects. They were divided into the study group （n=50） and control group （n=50） according to the random number table method. Patients in the control group were given health lectures and telephone follow-up methods. Patients in the study group were given combined application scheme of WeChat platform and mobile health software. The self-efficacy level， management level， and medication compliance were compared between the two groups. Results In the study group， patients′self-management level （including symptom management score， emotional management score， daily life score， self-efficacy score， and information management score）， efficacy levels （including negative scores， emotional scores， physical activity scores， environmental scores， and risk behavior scores） and medication compliance were higher than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion The combined application scheme of WeChat platform and mobile health software has  high application value for the continuous care of elderly patients with COPD， and it is worthy of widespread clinical application.

[Key words] WeChat platform; Mobile health software; Combined application; Scheme; Elderly chronic obstructive pulmonary disease; Continuous nursing; Application value

慢性阻塞性肺疾病（COPD）是一类肺气肿或慢性支气管炎，该疾病病程较漫长，迁延难愈。COPD诊治中普遍存在“轻预防、重治疗”的现象，患者对该疾病的认知度不够，且自我管理意识较差，易引起病情反复发作，进而影响疾病的转归[1-2]。对COPD的慢性疾病管理，在临床多进行常规护理，但该种方式注重院内护理和效果评价，对于院外护理涉及很少，且护理效果有限。大多患者在院内病情会有效得到控制，一旦出院，通常患者病情会有所加重，所以，院外家庭治疗就显得尤为重要[3]。延伸护理服务是一种临床重要的干預措施，即患者出院后应继续施行相应规范化康复护理，旨在提高患者自我管理能力，自觉建立起健康行为。……