“互联网+”慢性病管理模式在COPD患者中的应用研究  

Application of Chronic Disease Management Model with Internet Plus in Patients with COPD

作　　者：夏祝叶 刘洪洁 江帆[1] 倪金迪[1] 张璐[1] 姜丽静[1] 沈国锋[1] 李响[1] 何蕴芬 XIA Zhu-ye;LIU Hong-jie;JIANG Fan(Department of Intensive Care,Minhang Hospital,Fudan University,Shanghai,201199,China)

机构地区：[1]复旦大学附属闵行医院,上海201199 [2]上海市闵行区妇幼保健医院,上海201199

出　　处：《中国初级卫生保健》2020年第5期60-62,共3页Chinese Primary Health Care

基　　金：上海市闵行区中心医院院级课题立项项目(2017MHHL06);上海市闵行区卫生和计划生育委员会科研课题立项项目(2018MW17);上海市闵行区科学技术委员会自然科学研究课题立项项目(2019MHZ076)。

摘　　要：目的探讨基于“互联网+”理念的慢性病管理模式对COPD患者的干预效果。方法便利选取复旦大学附属闵行医院内科收治的100例COPD患者,采用随机数字法分为实验组和对照组。实验组采用“互联网+”医院社区一体化慢性病管理模式进行管理,对照组进行常规COPD慢性病管理。在干预6个月时,分别测评两组自我管理能力、生活质量和健康素养等指标并进行比较。结果观察组44例、对照组45例完成研究。干预6个月时,两组的自我管理能力、生活质量和健康素养均有不同程度的提升;实验组COPD患者自我管理能力量表、改良呼吸困难指数和健康素养量表的评分优于对照组,差异有统计学意义(P<0.05)。结论基于“互联网+”理念的医院社区一体化慢性病管理模式可以提高患者自我管理的效能和健康素养水平,提高患者生活质量,给予COPD患者积极的影响。OBJECTIVE To investigate the effects of chronic disease management model based on the concept of“Internet plus”in patients with chronic obstructive pulmonary disease(COPD).METHODS Referred patients with COPD(100 cases)was selected from medical department of Minhang Hospital,Fudan University,and were divided into the experimental group and the control group using random number table.The experimental group received hospital-community integrated chronic disease management model with“Internet plus”,while the control group was given routine COPD management.Six months after intervention,self-management ability,quality of life,health literacy and other indicators of two groups were evaluated and compared.RESULTS Forty-four patients in the experimental group and forty-five patients in the control group completed the study.Six months after intervention,self-management ability,quality of life and health literacy of two groups were improved with different levels.Self-management ability,quality of life and health literacy in the experimental group were better than those in the control group(P<0.05).CONCLUSION Hospital-community integrated chronic disease management model based on the concept of“Internet plus”can effectively improve self-management ability,quality of life and health literacy of the patients with COPD and give a positive impact on them.

关 键 词：互联网 慢性病 管理模式 COPD 

分 类 号：R195[医药卫生—卫生统计学]