摘要
目的:分析使用微信平台进行辅助延续性护理对呼吸内科患者依从性与自我管理应用效果。方法:选取2017年1-9月海南省文昌市人民医院出院的100例呼吸疾病患者,随机分为对照组(n=50)和微信组(n=50),对照组实施常规随访指导护理,微信组利用微信平台辅助开展延续性护理指导干预,观察比较两组患者出院6个月后的用药、饮食、运动锻炼依从性、自我疾病管理能力评分及返院情况。结果:微信组患者出院后6个月的用药、饮食、运动锻炼的依从率及症状管理、日常生活管理、情绪管理、信息管理、自我效能等疾病管理能力评分均高于对照组,患者复发返院率24%,低于对照组,P<0.05。结论:对呼吸内科疾病出院患者实施基于微信平台辅助的延续性护理指导干预,能提高患者出院后的用药、饮食、运动锻炼依从性和疾病自我管理能力,降低复发住院率,临床效果显著,值得进一步推广应用。
Objective: To analyze the effect of application of assisted continued nursing of WeChat platform on compliance and self management of patients of Respiratory Medicine Department. Methods: 100 patients with respiratory diseases discharged from our hospital from January 2017 to September 2017 are selected and randomly divided into control group(n=50) and WeChat group(n=50). Nursing guided by regular follow-up is implemented for the control group. WeChat group uses WeChat platform to assist with intervention guided by continued nursing. Medication, diet, exercise compliance, self disease management ability and returning to the hospital of two groups of patients 6 months after discharge are observed and compared. Results: Scores of medication, diet, exercise compliance, symptom management, daily life management, emotion management, information management, self efficacy and other disease management abilities of WeChat group are higher than those of the control group 6 months after discharge. The rate of recurrence and returning to the hospital of patients is 24%, lower than that of the control group(P<0.05). Conclusion: The implementation of intervention guided by assisted continued nursing based on WeChat platform for patients with respiratory diseases discharged from hospital can improve their medication, diet, exercise compliance and self-management ability of disease after discharge, and reduce the recurrence and hospitalization rate. It has a significant clinical effect, and it is worthy of further promotion and application.
作者
郑君鼐
ZHENG Jun-nai(Respiratory Medicine Department,Wenchang People's Hospital,Wenchang 571300,Hai'nan Province,P.R.C.)
出处
《中国数字医学》
2020年第2期139-140,118,共3页
China Digital Medicine
关键词
微信平台
延续性护理
呼吸疾病
护理应用
WeChat platform
continued nursing
respiratory disease
nursing application
