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.
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.
[1] Rabe K F, Watz H. Chronic obstructive pulmonary disease[J].Lancet,2017, 389(10082):1931. [2] Baarsma H A, Skronskawasek W, Mutze K, et al. Noncanonical WNT-5A signaling impairs endogenous lung repair in COPD[J].J Exp Med,2017, 214(2):565. [3] 归纯漪, 傅瑾, 席淑新. 基于手机APP的护理继续医学教育管理实践[J].护理学杂志, 2017, 32(7):60-62. [4] Mackay A J, Donaldson G C, Patel A R, et al. Detection and severity grading of COPD exacerbations using the exacerbations of chronic pulmonary disease tool (EXACT)[J].Eur Respir J,2014, 43(3):735-744. [5] Mindus S, Malinovschi A, Ekerljung L, et al. Asthma and COPD overlap (ACO) is related to a high burden of sleep disturbance and respiratory symptoms: Results from the RHINE and Swedish GA2LEN surveys[J].PLoS One,2018, 13(4):e0195055. [6] 张彩虹, 阳晓丽, 郭洪花,等. 自我管理项目对社区慢性阻塞性肺疾病患者焦虑抑郁及疲劳的影响[J].中国老年学杂志, 2017, 37(2):436-438. [7] 范槐芳, 李海燕, 董飞飞. 老年COPD患者症状负担、自我效能及生活质量的相关性研究[J].中华现代护理杂志, 2018, 24(2):175-180. [8] Wan M Z, Wan N A, Mohd-Nazri S, et al. Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia[J].BMC Public Health,2018, 18(1):331. [9] 崔淑节,李湘萍,陈嘉兴, 等.中文版服药依从性量表评价门诊高血压患者服药依从性的信度与效度研究[J].护理管理杂志,2018,18(2):93-96,111. [10] 邱萍, 郑锐, 谭明旗. 慢性阻塞性肺疾病合并支气管扩张治疗的研究进展[J].医学综述, 2018, 24(20):76-81. [11] Williams V, Price J, Hardinge M, et al. Using a mobile health application to support self-management in COPD: a qualitative study[J].Br J Gen Pract,2014, 64(624):392-400. [12] 高烨, 何成伟, 苏宁, 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. [13] 许绍哲,朱荣.短期高强度间歇训练对中老年男性原发性高血压患者安静时和握力运动中交感缩血管反应的影响[J].中国运动医学杂志,2018,37(6):468-478.
2020, Vol. 37 
