基于微信平台的八段锦训练在社区COPD稳定期患者肺康复中的应用  

Application of Baduanjin training based on WeChat platform in pulmonary rehabilitation in the stable COPD patients in the communities

作　　者：陈睿[1] 虞典 王丽华 CHEN Rui;YU Dian;WANG Lihua(Nursing Department of Yanji Community Health Service Center in Yangpu District,Shanghai 200093,China)

机构地区：[1]上海市杨浦区延吉社区卫生服务中心护理部,上海200093

出　　处：《上海医药》2024年第24期40-43,57,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市杨浦区医学重点项目(22YPZC08)。

摘　　要：目的:评价微信平台管理的八段锦训练在社区稳定期慢性阻塞性肺疾病(COPD)患者肺康复中的应用效果。方法:采用方便抽样方法选取2023年3月至2024年4月上海延吉社区管理的COPD稳定期患者122例作为研究对象,其中男性746例,女性426例,平均年龄(71.68±7.63)岁。分为对照组和研究组各61例。对照组接受常规的随访干预,研究组接受基于微信平台的八段锦训练模式干预,比较两组患者入组前和入组12个月后的焦虑情况、改良呼吸困难指数(mMRC)、血氧饱和度(SpO2)、生活质量(SGRQ)得分以及慢阻肺急性加重(ECOPD)的发生率。结果:干预后,研究组患者的汉密尔顿焦虑量表(HAMA指数)、mMRC、SpO2、SGRQ得分均优于对照组(P<0.05),ECOPD发生率低于对照组(8.33%比38.89%,P=0.002)。结论:基于微信平管理的12个月八段锦训练干预可降低COPD稳定期患者的焦虑水平和ECOPD发生率,改善其呼吸困难症状。Objective:To evaluate the application effect of Baduanjin training managed on the WeChat Platform in the pulmonary rehabilitation in the stable chronic obstructive pulmonary disease(COPD)patients in the community.Methods:A random sampling method was used to select 122 stable COPD patients managed in Yanji Community,Shanghai from March 2023 to April 2024 as the study subjects,among them,there were 746 males and 426 females,and the average age was(71.68±7.63)years.They were divided into a control group and a research group with 61 cases each.The control group received routine follow-up intervention,while the research group received Baduanjin training mode intervention based on the“WeChat platform”.The anxiety situation,modified dyspnea index(mMRC),blood oxygen saturation(SpO2),quality of life(SGRQ)scores,and incidence of acute exacerbation of chronic obstructive pulmonary disease(ECOPD)were compared between the two groups before and 12 months after enrollment.Results:After intervention,the Hamilton anxiety scale(HAMA)index,mMRC,SpO2,and SGRQ scores in the research group were all better than those in the control group(P<0.05).The ECOPD in the research group was lower than that in the control group(8.33%vs 38.89%,P=0.002).Conclusion:Based on the“WeChat platform”,the Baduanjin training intervention can reduce patients’anxiety levels and the incidence of ECOPD,and improve dyspnea.

关 键 词：慢性阻塞性肺疾病 微信平台 八段锦 呼吸困难 

分 类 号：R247[医药卫生—中医临床基础]