基于“互联网+”全病程管理的延续性护理模式对COPD患者肺康复训练及生活质量的影响  

Effects of continuous nursing mode based on"Internet+"whole course management on pulmonary rehabilitation training and quality of life in COPD patients

作　　者：农彩梅[1] 陆柳雪[1] 邓惠英[2] 罗梅银[2] 覃雪梅[2] 马丽雅[2] 黄丽娇 覃淑奋 NONG Caimei;LU Liuxue;DENG Huiying;LUO Meiyin;QIN Xuemei;MA Liya;HUANG Lijiao;QIN Shufen(Nursing Department,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China;Respiratory Medicine Department,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院护理部,广西百色533000 [2]右江民族医学院附属医院呼吸内科,广西百色533000

出　　处：《临床医学研究与实践》2025年第12期126-129,共4页Clinical Research and Practice

基　　金：广西自然科学基金项目(No.2020GXNSFAA259038);百色市科学研究与技术开发计划项目(百科20220918)。

摘　　要：目的探讨基于“互联网+”全病程管理的延续性护理模式对慢性阻塞性肺疾病(COPD)患者出院后肺康复训练及生活质量的影响。方法选择2022年1月至2023年1月接受治疗的168例COPD患者为研究对象,将其随机分在两个病区,一病区设为试验组,二病区设为对照组,各84例。试验组采用基于“互联网+”全病程管理的延续性护理模式,对照组采用常规护理模式。比较两组的干预效果。结果试验组的肺康复依从性优于对照组,COPD急性发作次数少于对照组(P<0.05)。干预后,试验组的慢性阻塞性肺疾病评估测试(CAT)、改良的英国医学研究委员会呼吸困难量表(mMRC)评分低于对照组(P<0.05)。试验组的服务态度、基础护理、健康教育及总体评价评分高于对照组(P<0.05)。结论基于“互联网+”全病程管理的延续性护理模式可改善COPD患者病情,提高肺康复训炼依从性。Objective To explore the effects of continuous nursing mode based on"Internet+"whole course management on pulmonary rehabilitation training and quality of life in patients with chronic obstructive pulmonary disease(COPD)after discharge.Methods A total of 168 patients with COPD who were treated from January 2022 to January 2023 were selected as the research objects.The patients were randomly divided into two wards,the first ward was set as experimental group,and the second ward was set as control group,with 84 cases in each group.The experimental group was treated with continuous nursing mode based on"Internet+"whole course management,while the control group was treated with routine nursing mode.The intervention effects of the two groups were compared.Results The compliance of pulmonary rehabilitation in the experimental group was better than that in the control group,and the number of COPD acute episodes was less than that in the control group(P<0.05).After intervention,the scores of Chronic Obstructive Pulmonary Disease Assessment Test(CAT)and Modified Medical Research Council Scale(mMRC)in the experimental group were lower than those in the control group(P<0.05).The scores of service attitude,basic nursing,health education and overall evaluation in the experimental group were higher than those in the control group(P<0.05).Conclusion The continuous nursing mode based on"Internet+"whole course management can improve the condition of COPD patients,elevate the compliance of pulmonary rehabilitation training.

关 键 词：慢性阻塞性肺疾病 “互联网+” 延续性护理 

分 类 号：R473.5[医药卫生—护理学]