移动短信服务在社区肺康复中的应用

Application of Short Message Service for Community-based Pulmonary Rehabilitation

目的探讨移动短信服务在社区肺康复中的应用价值。方法 102位居家老年慢性阻塞性肺疾病(COPD)稳定期患者随机等分成3组,均进行运动方案健康教育2周,按方案自行运动干预22周。第1组每周固定时间主动电话与研究人员沟通;第2组研究人员每周通过电话与患者沟通;第3组研究者利用移动电话每天群发短信,患者或照护者每天发短信到指定移动电话进行沟通。干预前后,采用运动自我调控效能量表(Ex-SERS)、改良英国医学研究会呼吸困难量表(m MRC)、COPD评估测试(CAT)进行评定。结果干预后,第3组Ex-SERS评分最优(F=179.53,P<0.001),且与时间有交互作用(F=387.09,P<0.001);第3组m MRC评分最低(F=8.754,P<0.001),CAT评分最低(F=11.32,P<0.001)。结论移动短信服务应用于肺康复管理,可进一步提高患者运动调控效能感,改善呼吸困难,提高生活质量。

Objective To apply short message service（SMS） for pulmonary rehabilitation in residence. Methods A total of 102 old patients with chronic obstructive pulmonary disease（COPD） in stable situation were equally divided into three groups randomly. They all accepted a two-week lesson of exercise project, and then took in the project for 22 weeks. Meanwhile, group A phoned to their experts once a week, group B was phoned by their experts once a week, and group C accepted SMS once a day and sent back to the experts. They were investigated with Exercise Self Regulatory Efficacy Scale（Ex-SERS）, modified British Medical Research Council Scale（m MRC） and COPD Assessment Test（CAT） before and after intervention. Results The score of Ex-SERS was the most in group C（F=179.53, P0.001）, with the interaction of time（F=387.09, P0.001）. While the scores of m MRC（F=8.754, P0.001） and CAT（F=11.32, P0.001） were the least in group C. Conclusion Application of SMS in the integrated management for pulmonary rehabilitation in residence may improve the self regulatory efficacy of exercise, release the dyspnea and the influence on living in patients with COPD.