摘要
目的观察基于微信平台的延续护理对家庭使用无创呼吸机的慢性阻塞性肺疾病(COPD)患者依从性及生存质量的影响.方法选取我院2016年2月至2018年10月出院并需要使用家庭无创呼吸机的COPD患者70例为研究对象,按照随机数字表法分为实验组和对照组各35例,对照组予常规出院指导及定期门诊随访,观察组在常规出院指导的基础上给予微信平台的延续护理干预.两组患者均于出院后3个月进行随访,评估其出院前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、整体生活质量(中文版SF-36量表)评分以及家庭无创呼吸机使用依从性的情况.结果出院后,试验组患者的家庭无创呼吸机使用依从性显著高于对照组,SF-36评分显著高于对照组,SAS、SDS评分显著低于对照组(均P<0.05).结论基于微信平台的延续护理能改善家庭使用无创呼吸机患者的依从性,提高其生存质量.
Objective To observe the effect of continuous nursing based on Wechat platform on compliance and quality of life of patients with chronic obstructive pulmonary disease (COPD) who use non-invasive ventilator at home. Methods Seventy COPD patients discharged from our hospital February 2016 to October 2018 who needed to use family non-invasive ventilator were selected as the research objects. According to the random number table method, they were divided into experimental group and control group, 35 cases in each group. The control group was given routine discharge guidance and regular outpatient follow-up. The observation group was given continuous nursing intervention on the basis of routine discharge guidance. The patients in both groups were followed up for 3 months after discharge to evaluate their self-rating anxiety scale (SAS), self-rating depression scale (SDS), overall quality of life (Chinese version of SF-36 scale) scores and family non-invasive ventilator compliance before and after discharge. Results After discharge, the compliance of family non-invasive ventilator use in the experimental group was significantly higher than that in the control group, the SF-36 score was significantly higher than that in the control group, and the SAS and SDS scores were significantly lower than those in the control group (all P<0.05). Conclusion Continuous nursing based on Wechat platform can improve the compliance and the quality of life of patients who use non-invasive ventilator at home.
作者
张容娣
王旦旦
ZHANG Rong-di;WANG Dan-dan(First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong 510405)
出处
《智慧健康》
2019年第19期81-83,共3页
Smart Healthcare
关键词
微信平台
延续护理
慢性阻塞性肺疾病
生存质量
Wechat platform
Continuous nursing
Non-invasive ventilator
Quality of life
