慢性阻塞性肺疾病患者居家管理平台的应用及效果评价

doi:10.3761/j.issn.1672-9234.2020.05.004

摘要/Abstract

摘要： 目的探讨居家管理平台在慢性阻塞性肺疾病患者中的应用及健康管理干预效果。方法选取2018年2月—2019年1月郑州市某三级甲等医院呼吸内科经治疗后处于稳定期并出院回归社区的80例患者作为研究对象,按照出院时间顺序分为对照组和试验组,每组各40例。对照组采用常规的随访管理,试验组采用居家管理平台进行居家管理。采用COPD患者评估测试问卷比较两组的健康状况;采用COPD患者自我管理量表,比较两组的自我管理行为情况;采用COPD患者疾病相关知识行为问卷比较两组的疾病相关知识掌握情况。结果干预后,试验组健康状况总分低于对照组,自我管理量表总分及各维度得分均高于对照组,疾病相关知识掌握情况优于对照组,差异均具有统计学意义（P<0.05）。结论应用居家管理平台对慢性阻塞性肺疾病患者进行居家管理,有利于改善患者的自我管理行为,提高患者的生活质量及健康状况。

关键词: 肺疾病, 慢性阻塞性, 健康教育, 居家管理, 互联网

Abstract: Objective To explore the application of a home management platform in patients with chronic obstructive pulmonary disease and the effect of health management intervention. Methods A total of 80 patients admitted to the department of respiratory medicine of a third-level first-class hospital in zhengzhou from February 2018 to January 2019, who were in stable condition after treatment and discharged to the community, were selected as the study subjects, and were divided into the experimental group and the control group according to the time sequence of discharge, with 40 patients in each group. The control group adopted routine follow-up management, while the experimental group adopted home management platform for home management. COPD Assessment Test（CAT） was used to compare the health status of patients in the two groups. The chronic self-management behavior scale was used to compare the self-management behavior of the two groups after 2 months of follow-up. The disease-related knowledge of COPD patients was compared between the two groups. Results The total score of health status of COPD patients in the experimental group was lower than that in the control group. After 2 months of intervention, the total scores of self-management behavior scale and all dimensions in the experimental group were higher than those in the control group. The mastery of disease-related knowledge was higher than that of the control group and the difference were statistically significant（P<0.05）. Conclusion The application of family management platform in the family management of COPD patients is conducive to improving the self-management behavior of patients,and improving the quality of life and health status of patients.

Key words: Pulmonary Disease, Chronic Obstructive, Health Education, Family-management, Internet

刘丹丹, 段娟, 蔡田培, 贺旖君, 王晓东, 张菊红. 慢性阻塞性肺疾病患者居家管理平台的应用及效果评价[J]. 中华护理教育, 2020, 17(5): 406-410.

LIU Dan-dan, DUAN Juan, CAI Tian-pei, HE Yi-jun, WANG Xiao-dong, ZHANG Ju-hong. The effects of a home-based management platform for patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing Education, 2020, 17(5): 406-410.

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