微信结合Orem理论模式下的系统护理在COPD患者延续性护理中的应用  

Application of systematic nursing based on both WeChat and Orem’s Self-care Theory in the continuity of care for patients with chronic obstructive pulmonary disease

作　　者：张贞 智喜荷[1] 赵志敏 熊锦倩 ZHANG Zhen;ZHI Xi-he;ZHAO Zhi-min;XIONG Jin-qian(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Henan University,Kaifeng 475000,Henan,CHINA;School of Medicine,Kaifeng University of Science and Media,Kaifeng 475000,Henan,CHINA)

机构地区：[1]河南大学第一附属医院呼吸与危重症医学科,河南开封475000 [2]河南开封科技传媒学院医学院,河南开封475000

出　　处：《海南医学》2024年第22期3321-3327,共7页Hainan Medical Journal

基　　金：2022年度河南省开封市科技发展计划项目(编号:2206001)。

摘　　要：目的 探讨微信结合Orem理论模式下的系统护理在慢性阻塞性肺疾病(COPD)患者延续性护理中的应用效果。方法 选取河南大学第一附属医院呼吸与危重症医学科2022年1月至2023年12月经治疗出院的96例COPD患者纳入研究,按随机数表法分为对照组和研究组,每组48例。对照组患者给予常规延续性护理,研究组患者在此基础上给予微信结合Orem理论模式下的系统护理,两组均延续护理3个月。比较两组患者的治疗依从性,出院当天、出院后1个月和3个月的睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]、自我管理量表评分、临床症状[COPD患者报告结局量表修订版(m COPD-PRO)]、运动能力[6 min步行试验(6MWT)]、血氧饱和度(SpO2)及生活质量[COPD评估测试(CAT)]。结果 研究组患者的治疗依从性为100.00%,明显高于对照组的83.33%,差异有统计学意义(P<0.05);出院后1个月、3个月,研究组患者的PSQI评分分别为(8.34±1.46)分、(6.35±1.30)分,明显低于对照组的(10.45±1.68)分、(8.26±1.46)分,差异均有统计学意义(P<0.05);出院后1个月、3个月,研究组患者的自我管理能力评分分别为(176.84±11.32)分、(188.36±10.06)分,明显高于对照组的(168.64±10.48)分、(176.45±9.82)分,差异均有统计学意义(P<0.05);出院后1个月、3个月,研究组患者的mCOPD-PRO评分分别为(36.55±4.02)分、(29.84±3.26)分,明显低于对照组的(45.69±4.53)分、(36.56±3.52)分,差异均有统计学意义(P<0.05);出院后1个月、3个月,研究组患者的6MWT、SpO2分别为(353.85±30.65) m、(97.41±1.18)%和(426.98±35.49) m、(98.26±0.84)%,明显高于对照组的(300.49±26.98) m、(95.26±1.36)%和(375.74±33.85) m、(97.65±1.08)%,差异均有统计学意义(P<0.05);出院后1个月、3个月,研究组患者的CAT评分分别为(19.68±3.12)分、(14.69±2.68)分,明显低于对照组的(23.85±3.59)分、(19.46±3.85)分,差异均有统计学意义(P<0.05)。结论 微信结合Orem理论�Objective To explore the application effect of systematic nursing based on both WeChat and Orem's Self-care Theory in the continuity of care for patients with chronic obstructive pulmonary disease(COPD).Methods A total of 96 COPD patients discharged from the Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Henan University between January 2022 and December 2023 were enrolled and randomly divided into a control group and a study group using a random number table,with 48 cases in each group.Patients in the control group received routine continuing nursing,while patients in the study group received systematic nursing based on both WeChat and Orem's Self-care Theory,all for 3 months.The treatment compliance,sleep quality(Pittsburgh Sleep Quality Index,PSQI),Self-management Scale score,clinical symptoms(the modified Patient-reported Outcome Scale for Chronic Obstructive Pulmonary Disease,mCOPD-PRO),exercise capacity(6-minute walk test,6MWT),blood oxygen saturation(SpO2),and quality of life(COPD Assessment Test,CAT)were compared between the two groups on the day of discharge,one month after discharge,and three months after discharge.Results The treatment compliance of patients in the study group was 100.00%,which was significantly higher than 83.33%of the control group(P<0.05).The PSQI scores of patients in the study group were (8.34±1.46) points and (6.35±1.30) points at 1 month and 3 months after dis-charge, respectively, which were significantly lower than (10.45±1.68) points and (8.26±1.46) points in the control group (P<0.05). At one month and three months after discharge, the self-management ability scores of patients in the study group were (176.84±11.32) points and (188.36±10.06) points, respectively, which were significantly higher than (168.64± 10.48) points and (176.45±9.82) points of the control group (P<0.05). The mCOPD-PRO scores of patients in the study group were (36.55±4.02) points and (29.84±3.26) points at one month and 3 months after discharge, respecti

关 键 词：慢性阻塞性肺疾病 微信 OREM理论 系统护理 延续性护理 

分 类 号：R473.5[医药卫生—护理学]