基于微信平台的自我管理干预对COPD患者肺功能及生活质量的影响

Effect of Self-management Intervention Based on Wechat Platform on Lung Function and Quality of Life in COPD Patients

目的研究基于微信平台的自我管理干预对慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响。方法选择2017年1月至2018年12月在我院治疗的COPD患者80例,采用随机数字表法随机分为对照组和观察组,每组各40例。对照组患者参照《COPD自我管理知识手册》进行自我管理,观察组患者采用基于微信平台的自我管理干预,比较两组患者的肺功能、生活质量、焦虑抑郁及运动耐力等指标。结果干预前,两组患者的第1秒用力呼气容积(FEV1)、第1秒用力呼气容积/用力肺活量(FEV1/FVC)、6分钟步行试验(6 MWT)和Borg评分相近(P>0.05);干预后,两组患者的肺功能和运动耐力均明显提高,观察组患者的FEV1、FEV1/FVC和6 MWD均高于对照组,Borg评分低于对照组(P<0.05)。干预后,观察组的呼吸症状、活动受限、疾病影响和圣乔治呼吸问卷(SGRQ)总分均低于对照组(P<0.05)。干预前,两组患者的医院焦虑抑郁情绪测量表(HAD)评分和抑郁自评量表(SDS)评分相近(P>0.05);干预后,观察组的HAD评分和SDS评分均低于对照组(P<0.05)。结论基于微信平台的自我管理干预可以明显提高COPD患者的肺功能,提高运动耐力和生活质量,缓解患者的焦虑抑郁情绪和呼吸困难症状,值得在临床推广应用。

OBJECTIVE To study the effect of WeChat platform based self-management intervention on pulmonary function and quality of life in COPD patients.METHODS 80 cases of COPD patients who treated in target hospital from January 2017 to December 2018 were selected and divided into control group and observation group by random number table method,40 cases in each group.Patients in the control group were self-managed by referring to COPD self-management knowledge manual,while patients in the observation group were self-managed by using WeChat platform.Lung function,quality of life,anxiety,depression and exercise endurance were compared between these two groups.RESULTS The scores of FEV1,FEV1/FVC,6MWD and Borg in the two groups were similar before treatment(P>0.05),but improved significantly after treatment,moreover,the levels of FEV1,FEV1/FVC and 6MWD in the observation group were higher than the control group,and the Borg score was lower than the control group(P<0.05).After treatment,the respiratory symptoms,activity restriction,disease influence and SGRQ score of the observation group were lower than those in the control group(P<0.05).Before treatment,the HAD score and SDS score of these two groups were similar(P>0.05).However,the HAD score and SDS score of the observation group were lower than the control group after treatment(P<0.05).CONCLUSION Self-management intervention based on WeChat platform could significantly improve pulmonary function,exercise endurance and quality of life in COPD patients,relieve their anxiety and depression and symptom of dyspnea,which was widely recommended in clinical application.