慢性阻塞性肺疾病患者基于微信的三主体双轨道交互式护理  

WeChat driven three-stakeholder-groups,double-track,interactive nursing care for COPD patients

作　　者：郭月 管癸芬[1] 陈海燕[1] 陈燕霞 黄华兴[1] Guo Yue;Guan Kuifen;Chen Haiyan;Chen Yanxia;Huang Huaxing(Department of Respiratory and Critical Medicine,The Second Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院呼吸与危重症医学科,广东广州510260

出　　处：《护理学杂志》2022年第5期84-87,共4页Journal of Nursing Science

基　　金：广东省护士协会立项项目(gdshsxh2021b093);广东省卫生健康委医学科研基金立项项目(A2019556)。

摘　　要：目的探索基于微信平台的三主体双轨道交互式护理模式应用于慢性阻塞性肺疾病患者的效果。方法将138例慢性阻塞性肺疾病出院患者随机分为常规组和干预组各69例。常规组给予常规出院后护理。干预组实施基于微信平台的三主体双轨道交互式护理,即由医院专科护士、社区护士、患者三主体构成医院延续护理干预轨道和社区干预轨道。干预前及干预6个月后比较两组患者疾病相关知识评分、慢性阻塞性肺疾病评估测试评分、6 min步行距离及Borg评分。结果干预后干预组患者疾病相关知识评分显著高于常规组,慢性阻塞性肺疾病评估测试评分、6 min步行距离及Borg评分显著优于常规组(P<0.05,P<0.01)。结论基于微信平台的三主体双轨道交互式护理模式可提高慢性阻塞性肺疾病患者相关知识水平,促进患者康复。Objective To explore the effect of WeChat driven three-stakeholder-groups,double-track,interactive nursing care for COPD patients.Methods A total of 138 COPD patients were randomly divided into a conventional group and an intervention group,with 69 in each.The conventional group was given routine nursing services after discharge,while the intervention group received WeChat driven three-stakeholder-groups,double-track,interactive nursing care that included continuous care of the hospital and community care involving specialty nurse in the hospital,community nurse and the patient.Disease-related knowledge,COPD Assessment Test(CAT)score,six-minute walk distance and Borg dyspnoea score were measured before and after 6 months of intervention.Results The intervention group had significantly higher disease-related knowledge and 6-min walk distance,whereas lower CAT score,and Borg score compared with the conventional group(P<0.05,P<0.01).Conclusion WeChat driven three-stakeholder-groups,double-track,interactive nursing care for COPD patients can promote their disease-related knowledge and boost recovery.

关 键 词：慢性阻塞性肺疾病 微信平台 三主体双轨道交互式护理 6 min步行距离 延续护理 健康教育 社区护理 

分 类 号：R473.2[医药卫生—护理学]