手机APP联合微信群在老年COPD患者延续护理中的应用  

Effects of mobile APP combined with WeChat group on continuous nursing for elderly patients with COPD

作　　者：苏宁[1] 张谨超[2] 殷红晶 赵学影[1] 高烨 闫琳琳 Su Ning;Zhang Jinchao;Yin Hongjing;Zhao Xueying;Gao Ye;Yan Linlin(Geriatrics Department I , Harrison International Peace Hospital of Hebei Province, Hengshui 053000, China;ICU, Harrison International Peace Hospital of Hebei Province, Hengshui 053000, China)

机构地区：[1]河北省衡水市哈励逊国际和平医院老年病一科,053000 [2]河北省衡水市哈励逊国际和平医院重症医学科,053000

出　　处：《中华现代护理杂志》2018年第5期572-576,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨手机APP联合微信群对COPD老年患者自我效能、自我管理以及服药依从性的影响.方法 采用便利抽样法选取2013年1月—2016年5月经衡水市哈励逊国际和平医院治疗并完成1年随访的96例老年COPD患者作为研究对象,按随机数字表将其分为观察组和对照组,各48例.对照组患者采取定期电话随访方式作为延续性护理措施,观察组则采用＂317护＂手机APP联合微信群模式进行延续性护理,两组患者均随访1年后,对患者COPD严重程度、呼吸困难分级、自我效能、自我管理水平以及服药依从性进行比较.结果 干预后,两组COPD严重程度差异具有统计学意义（P〈0.05）,而呼吸困难程度差异无统计学意义（P〉0.05）;干预后观察组患者自我管理量表和自我效能量表各维度评分均明显高于对照组,且观察组患者服药依从性评分较对照组高,差异均有统计学意义（P〈0.05）.结论 联合应用＂317护＂手机APP和微信群对老年COPD患者实施延续性护理可有效提高患者的自我管理和自我效能水平,改善患者服药依从性,进而达到有效改善临床症状的作用.Objective To investigate the effects of mobile APP combined with WeChat group on the self-efficacy, self-management and medical adherence of the elderly patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 96 cases of elderly patients with COPD, who had been treated in Harrison International Peace Hospital of Hengshui in Hebei Province and finished 1 year follow-up from January 2013 to May 2016, were selected as the research objects by convenience sampling method, and divided into observation group and control group by random number table method, with 48 cases in each. The patients of the control group were given regular telephone follow-up as continuous nursing measures, while the patients of the observation group were given continuous nursing by mobile APP ＂317 nurse＂ combined with WeChat group. After 1 year follow-up, COPD severity distribution, the score of modified Medical Research Council （mMRC） scale, patients＇ self-efficacy and self-management and medication adherence were compared between the two groups. Results After the 1 year follow-up, the difference of the COPD severity distribution between the two groups was statistically significant （P〈 0.05）, but there was no significant difference in the score of mMRC scale between the two groups （P〉 0.05）. The score of each dimension in the self-management scale and the self-efficacy scale of the observation group was significantly higher than that of the control group （P〈 0.05）. Additionally, the medication compliance score of observation group was significantly higher than that of the control group （P〈0.05）. Conclusions It can effectively enhance patients＇ self-efficacy and self-management level and improve patients＇ medical compliance by the application mobile APP ＂317 nurse＂ combined with WeChat group as continuous nursing measures for elderly patients with COPD, so as to improve patients＇ clinical symptoms.

关 键 词：肺疾病 慢性阻塞性 老年人 药物治疗依从性 延续护理 自我管理 自我效能 

分 类 号：R473.5[医药卫生—护理学]