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医学临床研究  2020, Vol. 37 Issue (3): 425-428    DOI: 10.3969/j.issn.1671-7171.2020.03.031
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微信式延续性护理对COPD老年患者预后及知信行的影响
曹治露, 王青霞
中南大学湘雅医院老年医学科,湖南 长沙 410008
Effect of Mobile WeChat Group Transitional Care on Prognosis and Knowledge, Belief and Practice in Older Patients with COPD
CAO Zhi-lu, WANG Qin-xia
Department of Geriatrics, Xiangya Hospital, Central South University, Hunan, Changsha 410008
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摘要 【目的】探讨微信式延续性护理对慢性阻塞性肺疾病(COPD)老年患者预后及知信行的影响。【方法】将100例COPD老年患者采用随机数字表法分为干预组和对照组,每组各50例。对照组患者接受常规延续性护理方式,观察组在对照组的基础上辅以微信式延续性护理干预。评估两组患者预后、自我管理、自我效能、用药依从性及知信行等指标。【结果】干预后,两组COPD患者肺功能分级、呼吸困难程度比较,无统计学差异(P>0.05)。干预后,两组患者在自我管理各维度及总分水平明显升高,且观察组自我管理各维度及总分水平显著高于对照组患者(P<0.05);两组患者自我效能水平均显著提高,且观察组患者自我效能水平与对照组相比明显上升(P<0.05);两组患者知识、信念、行为及总分均明显上升,且观察组患者知识、信念、行为及总分高于对照组,差异有统计学意义(P<0.05);观察组、对照组患者用药依从性评分分别为(6.86±1.09)分(5.03±1.12)分,组间比较差异有统计学意义(t=8.280,P<0.05)。【结论】微信式延续性护理模式可有效改善COPD老年患者预后,增强用药依从性,提高自我管理和自我效能水平,优化患者知信行能力,临床上值得推广。
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曹治露
王青霞
关键词 肺疾病 慢性阻塞性/护理预后    
Abstract:【Objective】 To explore the effect of mobile WeChat group transitional care on prognosis and knowledge, belief and practice in older patients with COPD. 【Methods】 A total of 100 older patients with COPD were selected as the observation subjects, they were divided into the control group and the observation group according to the random number table method, 50 cases in each group. The control group was given routine continuity nursing, and the observation group received mobile WeChat continuity nursing intervention on the basis of the control group. Prognosis, self-management, self-efficacy, drug compliance and knowledge, belief and practice between the two groups were compared and analyzed. 【Results】 After intervention, although there was no significant difference in lung function grading between the two groups (P>0.05), the difference in dyspnea grade was statistically significant (P<0.05), and the dyspnea difficulty was reduced in the intervention group; the levels of self-management and total score of the two groups were significantly improved, and the levels and total scores of self-management in the observation group were significantly lower than those in the control group (P<0.05); The self-efficacy level of the two groups increased significantly (P<0.05), and the self-efficacy level of the patients in the observation group increased significantly compared with the control group (P<0.05); After the intervention, the knowledge, belief, behavior and total score of the two groups increased significantly (P<0.05), and the knowledge, belief, behavior and total score of the patients in the observation group were significantly higher than that of the control group (P<0.05); The compliance score of the patients in the observation group was significantly higher than that in the control group (P<0.05), and the degree of drug compliance distribution in the observation group was significantly different from that in the control group (P<0.05). 【Conclusion】 Mobile WeChat group transitional care model can effectively improve the prognosis, enhance the compliance of drug use, improve the level of self-management and self-efficacy, optimize the ability of patients' knowledge, belief and practice, and it is worth promotion.
Key wordsPulmonary Disease    Chronic Obstructive/NU    Outcome
收稿日期: 2019-10-09     
PACS:  R692  
通讯作者: **, E-mail:wqxczl@163.com   
引用本文:   
曹治露, 王青霞. 微信式延续性护理对COPD老年患者预后及知信行的影响[J]. 医学临床研究, 2020, 37(3): 425-428.
CAO Zhi-lu, WANG Qin-xia. Effect of Mobile WeChat Group Transitional Care on Prognosis and Knowledge, Belief and Practice in Older Patients with COPD. JOURNAL OF CLINICAL RESEARCH, 2020, 37(3): 425-428.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.03.031     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I3/425
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