支气管哮喘管理APP对患者自我管理能力及护理质量的影响

Effect of bronchial asthma management APP on patients’self-management ability and nursing quality

目的探讨支气管哮喘管理APP对患者自我管理能力及护理质量的影响。方法选取2018年1月—2019年3月医院收治的108例支气管哮喘稳定期患者为研究对象,按照组间均衡可比的原则分为观察组和对照组,各54例。对照组进行常规健康教育和随访,观察组采用支气管哮喘管理APP对患者进行健康教育和随访。3个月后,比较两组患者自我管理能力、哮喘控制情况、哮喘发作次数、急诊就诊率、治疗费用以及患者满意度。结果干预后,观察组自我管理能力中的避免诱发因素、病情监测、发作症状的识别与处理、用药情况、复诊情况5个维度得分以及总分均高于对照组;观察组哮喘控制情况优于对照组。观察组哮喘发作次数、急诊就诊率、治疗费用均低于对照组;观察组对护理质量满意度评分高于对照组;组间比较差异均有统计学意义(P<0.05)。结论运用支气管哮喘管理APP对支气管哮喘稳定期患者进行个体化的疾病管理,能有效提高其自我管理能力,帮助患者更好地控制病情、减少发作次数,对于节约医疗资源、提高护理质量有积极作用。

Objective To explore the effect of bronchial asthma management APP on patients'self-management ability and nursing quality.Methods A total of 108 patients with stable bronchial asthma who were admitted to the hospital from January 2018 to March 2019 were selected as the study subjects,and they were divided into an observation group and a control group according to the principle of balance and comparability,with 54 cases in each group.The control group received regular health education and follow-up,and the observation group used bronchial asthma management APP to provide health education and follow-up for patients.After 3 months,the two groups of patients were compared for their self-management ability,asthma control status,and number of times of asthma attacks,rate of emergency room visit,treatment cost,and patient’s satisfaction.Results After the intervention,the observation group's self-management ability in avoidance of predisposing factors,disease monitoring,identification and treatment of onset symptoms,medication use,and follow-up diagnosis,and the total score were all higher than those of the control group,the observation group had better asthma control than the control group.The number of times of asthma attacks,emergency room visits,and treatment costs in the observation group were lower than those in the control group,the observation group’s scores on nursing quality satisfaction were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Using the Bronchial Asthma Management APP for individualized disease management for patients with stable bronchial asthma can effectively improve their self-management ability,help patients better control their condition,reduce the number of attacks,and it have a positive effect on saving medical resources and improving the quality of care.