摘要
目的 探讨基于微信平台的延续护理模式对老年慢性阻塞性肺疾病患者的治疗影响情况。方法 选取2022年1月-2023年9月于我院感染性疾病科住院治疗的老年慢性阻塞性肺疾病患者58例，随机抽签法分观察组和对照组各29例，在对照组中，依据传统模式进行健康教育，患者出院后进行电话回访与指导，在观察组中，采用常规宣教模式的基础上进行基于微信平台的延续护理模式，比较2组患者出院日、出院1个月、出院3个月的生活质量、吸入剂使用正确率。结果 两组患者出院日的生活质量及总均分差异无统计学意义（P>0.05），出院后1个月及3个月观察组的生活质量及总均分均低于对照组（P<0.05）；两组患者在出院日吸入剂使用正确率无明显差异性（P>0.05），出院后1个月和3个月吸入剂正确率观察组明显高于对照组（P<0.05）。结论 基于微信平台的延续护理模式能改善慢阻肺老年患者的生活质量，提升治疗效果，可在临床工作中广泛运用。
关键词： 微信平台；慢性阻塞性肺疾病；老年患者；延续性护理；生活质量
Abstract
Objective To explore the therapeutic impact of the continuous nursing model based on the WeChat platform on elderly patients with chronic obstructive pulmonary disease. Methods A total of 58 elderly patients with chronic obstructive pulmonary disease who were hospitalized in the Department of Infectious Diseases of our hospital from January 2022 to September 2023 were selected and randomly divided into an observation group and a control group, with 29 cases in each group. In the control group, health education was provided based on the traditional model, and patients were followed up and guided by phone after discharge. In the observation group, based on the conventional education and publicity model, the continuous nursing model based on the WeChat platform was adopted to compare the quality of life and the correct rate of inhalation use of the two groups of patients on the day of discharge, one month after discharge, and three months after discharge. Results There was no statistically significant difference in the quality of life and total average score between the two groups of patients on the day of discharge (P>0.05). One month and three months after discharge, the quality of life and total average score of the observation group were lower than those of the control group (P<0.05). There was no significant difference in the correct rate of inhalation use between the two groups of patients on the day of discharge (P>0.05). One month and three months after discharge, the correct rate of inhalation in the observation group was significantly higher than that in the control group (P<0.05). Conclusion The continuous nursing model based on the wechat platform can improve the quality of life of elderly patients with chronic obstructive pulmonary disease (COPD), enhance the therapeutic effect, and can be widely applied in clinical work.
Key words： WeChat platform; Chronic obstructive pulmonary disease; Elderly patients; Continuous care; Quality of life
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