基于手机App的延续性护理在支气管扩张患者中的应用

Application of Continuous Nursing Based on Mobile Phone App in Patients with Bronchiectasis

目的:探讨基于手机App的延续性护理在支气管扩张患者中的应用效果。方法:采用信封法将2017年12月1日~2018年12月31日收治的74例支气管扩张患者分为观察组和对照组各37例,对照组给予常规出院指导,观察组在常规出院指导基础上给予基于手机App的延续性护理;干预3个月后,比较两组临床症状控制情况、研究期间急性发作加重情况、疾病自我护理能力、生活质量[采用健康调查简表(SF-36)]、劳动能力。结果:干预3个月后,观察组咳嗽及咳痰症状得分均低于对照组(P<0.05),急性加重平均发作次数少于对照组(P<0.05);观察组自护能力问卷调查表中的支气管扩张理论知识、药物不良反应及其防治方式、咳嗽技巧及呼吸道管理、运动及睡眠管理、情绪管理评分及总分均高于对照组(P<0.05);观察组SF-36中生理功能(PF)、生理职能(RP)、身体疼痛(BP)、总体健康(GH)、活力(VT)、社会职能(SF)、情感职能(RE)与精神健康(MH)得分均高于对照组(P<0.05);观察组劳动能力高于对照组(P<0.05)。结论:基于手机App的延续性护理具有便捷、高效的优势,可使支气管扩张患者得到科学、系统的护理支持,为其疾病护理的自我学习提供平台,有效提高其自我管理能力,进而控制病情,提高生活质量及劳动能力。

Objective:To explore the effect of continuous nursing based on mobile phone App in patients with bronchiectasis.Methods:A total of 74 cases of bronchiectasis admitted from December 1,2017 to December 31,2018 were divided into the observation group and the control group with 37 cases each.The control group was given routine discharge guidance,and the observation group was given continuous nursing based on mobile phone App on the basis of routine discharge guidance.After 3 months of intervention,the clinical symptom control,acute exacerbation during the study period,self-care ability of the disease,quality of life(using SF-36),and labor ability were compared between the two groups.Results:After 3 months of intervention,the scores of cough and sputum symptoms in the observation group were lower than those in the control group(P<0.05),and the average number of acute exacerbations was lower than that in the control group(P<0.05).The theoretical knowledge of bronchiectasis,adverse drug reactions,prevention and treatment methods,cough skills,respiratory tract management,sports and sleep management,and emotional management scores and total scores in the self-care ability questionnaire were all higher in the observation group than in the control group(P<0.05).The scores of physical function(PF),role physical(RP),body pain(BP),general health(GH),vitality(VT),social function(SF),role emotional(RE)and mental health(MH)in the observation group were all higher than those in the control group(P<0.05).The labor capacity of the observation group was higher than that of the control group(P<0.05).Conclusion:The continuous nursing based on mobile phone App has the advantages of convenience and efficiency,which can enable patients with bronchiectasis to receive scientific and systematic nursing support,provide a platform for their self-learning of disease nursing,and effectively improve their self-management ability,so as to control the disease and improve the quality of life and labor ability.